Mi SciELO
Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
- Accesos
Links relacionados
- Citado por Google
- Similares en SciELO
- Similares en Google
Compartir
Nutrición Hospitalaria
versión On-line ISSN 1699-5198versión impresa ISSN 0212-1611
Resumen
CONTRERAS-BOLIVAR, Victoria; GONZALEZ-MOLERO, Inmaculada; VALDIVIESO, Pedro y OLVEIRA, Gabriel. Total parenteral nutrition in a pregnant patient with acute pancreatitis and lipoprotein lipase deficiency. Nutr. Hosp. [online]. 2015, vol.32, n.4, pp.1837-1840. ISSN 1699-5198. https://dx.doi.org/10.3305/nh.2015.32.4.9608.
We present a case of severe acute pancreatitis induced by hypertriglyceridemia secondary to lipoprotein lipase (LPL) deficiency in a pregnant patient with gestational diabetes, initially maneged with diet but it was later necessary to carry out artificial nutricional support measures: total parenteral nutrition. LPL deficiency might cause severe hypertriglyceridemia, repetition acute pancreatitis which is an unwieldy and severe situation during pregnancy. Acute familial hypertriglyceridemia pancreatitis accounts for 5% of cases, including LPL deficiency. The goal of treatment is to reach triglycerides levels below 500 mg/dl, being very low fat diet the treatment of choice, drugs or plasmapheresis techniques can also be associated. TPN enriched in ω3 fatty acids and glutamine was safe and effective in our patient with significant decrease in triglyceride levels.
Palabras clave : Lipoprotein lipase; Hypertriglyceridemia; Pancreatitis; Nutrition.