[TOTAL PARENTERAL NUTRITION IN A PREGNANT PATIENT WITH ACUTE PANCREATITIS AND LIPOPROTEIN LIPASE DEFICIENCY].

Abstract

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.

• Authors: Victoria Contreras-Bolívar, Inmaculada González-Molero, Pedro Valdivieso, Gabriel Olveira
• Journal: Nutricion hospitalaria (Nutr Hosp) Vol. 32 Issue 4 Pg. 1837-40 (Oct 01 2015) ISSN: 1699-5198 [Electronic] Spain
• Vernacular Title: NUTRICIÓN PARENTERAL TOTAL EN UNA PACIENTE GESTANTE CON PANCREATITIS AGUDA E HIPERTRIGLICERIDEMIA POR DÉFICIT DE LIPOPROTEÍN LIPASA.
• PMID: 26545559 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

Topics

• Adult
• Diabetes, Gestational (therapy)
• Female
• Food, Formulated
• Humans
• Hyperlipoproteinemia Type I (therapy)
• Hypertriglyceridemia (blood, etiology)
• Infant, Newborn
• Pancreatitis (therapy)
• Parenteral Nutrition, Total (methods)
• Pregnancy