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VOLUME 19 , ISSUE 8 ( 2015 ) > List of Articles

CASE REPORT

Early plasmapheresis in patients with severe hypertriglyceridemia induced acute pancreatitis

Deven Juneja, George Alexander, Sudhish Sehra, Rajesh Agarwal

Keywords : Hypertriglyceridemia, plasmaphresis, severe acute pancreatitits

Citation Information : Juneja D, Alexander G, Sehra S, Agarwal R. Early plasmapheresis in patients with severe hypertriglyceridemia induced acute pancreatitis. Indian J Crit Care Med 2015; 19 (8):487-489.

DOI: 10.4103/0972-5229.162472

License: CC BY-ND 3.0

Published Online: 00-08-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Hypertriglyceridemia can cause severe diseases such as acute pancreatitis (AP) and coronary artery disease. The routine management of hypertriglyceridemia is dietary restriction of fat and lipid-lowering medications to manage the secondary or precipitating causes of hypertriglyceridemia. However, in cases of AP with severe hypertriglyceridemia (SHTG) (triglycerides [TG] >1000 mg/dl) rapid reduction of TG levels to well below 1000 mg/dl can improve outcome and prevent further episodes of pancreatitis. Plasmapheresis is a therapeutic option in such medical emergencies. We discussed 2 cases of severe AP with SHTG where we used early plsmapheresis along with other supportive management.


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