Hipertrigliseridemiye bağlı akut pankreatit tedavisinde plazmaferez

Akut pankreatit pankreasın akut inflamasyonudur. Hastalığın hafif bir şekli olan ödematöz pankreatitten, ağır bir klinikle seyreden nekrotizan pankreati-te kadar farklı klinik şekillerde prezente olabilir. Etyolojide en sık sebep, saf­ra taşları ve alkoldür. Hipertrigliseridemi de akut pankreatite yol açabilir. Se­rum trigliserid düzeyi 1000 mgr/dl ve üstüne çıktığında akut pankreatit riski artar. Biz Tip I ailevi hiperlipidemisi olan, hipertrigliseridemiye bağlı akut pankreatitle başvuran, konservatif tedaviye rağmen akut pankreatit tablosu yatışmayan ve plazmaferez ile klinik düzelme sağlanan bir olgu sunacağız.

Treatment of hypertriglyceridemia-induced acute pancreatitis with plasmapheresis

The pancreas. The clinical pre-sentation may vary from edematous pancreatitis, a milder form, to necroti-zing pancreatitis, which has an unfavorable clinical course. The most com-mon etiological agents are bile stones and alcohol. Hypertriglyceridemia can also cause acute pancreatitis. The risk of acute pancreatitis increases when se­rum triglyceride levels exceed 1000 mg/L. Herein, we present a case wth type I familial hyperlipidemia who presented with hypertriglyceridemia-induced acute pancreatitis, which did not respond to conservative treatment but only abated after plasmapheresis.

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Endoskopi Gastrointestinal-Cover
  • ISSN: 1302-5422
  • Başlangıç: 2010
  • Yayıncı: Türk Gastroenteroloji Vakfı