Role of therapeutic plasma exchange in the treatment of severe hypertriglyceridemia: an experience

Author:

Wassay Shaikh Ahmed Muntajib1,Dar Farhan Javed2,Saleh Asem K.1,Mansoor Ibrahim1

Affiliation:

1. International Medical Center, Jeddah, Saudi Arabia

2. Laboratory Medicine & Blood Bank, P.O. Box 2172, Jeddah 21451, Saudi Arabia

Abstract

Hypertriglyceridemia of obesity, the metabolic syndrome, and type II diabetes mellitus are highly prevalent in Saudi Arabia. Severe hypertriglyceridemia is a rare but well known cause of acute pancreatitis. In treatment pancreatic rest, lifestyle changes, and lipid-lowering medications are essential, but the response is slow. Recently the role of therapeutic plasma exchange (TPE) has been stressed for fast and effective management in addition to insulin and heparin infusion. TPE for hypertriglyceridemic pancreatitis resulted in drastic improvements in clinical and laboratory findings and patient outcomes as suggested in our cases. However, this procedure is limited due to its high cost and availability only in specialized hospitals.

Publisher

SAGE Publications

Subject

Endocrinology, Diabetes and Metabolism

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