Pancreatitis por hipertrigliceridemia en el embarazo

[Pancreatitis due to hypertriglyceridemia in pregnancy]
DOI: 10.37980/im.journal.revcog.20211813
Publicado
2021-10-15

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Autores/as

  • Angely Murgas Maternidad Hospital Santo Tomás
  • Roxarys Sanjur Maternidad Hospital Santo Tomás
  • Osvaldo Reyes Maternidad Hospital Santo Tomás; Sistema Nacional de Investigadores de Panamá

Palabras clave:

plasmaféresis, pancreatitis aguda, hipertrigliceridemia, embarazo

Keywords:

plasmapheresis, acute pancreatitis, hypertriglyceridemia, pregnancy

Resumen

La pancreatitis aguda es una causa rara de dolor abdominal durante el embarazo, puede ser potencialmente mortal para la madre y el feto. Se presenta con mayor frecuencia durante el tercer trimestre debido a un aumento progresivo de los triglicéridos y el colesterol como cambios fisiológicos del embarazo. Sin embargo, estos niveles no logran sobrepasar los 300 mg/dL; pacientes con niveles de triglicéridos por encima de 1000 mg/dL están en riesgo incrementado de desarrollar pancreatitis severa. Los criterios diagnósticos y protocolos de manejo no son específicos para esta patología durante el embarazo. El Tratamiento con aféresis puede ser usado como manejo primario durante el embarazo logrando una disminución rápida y segura de los niveles plasmáticos de triglicéridos.


Abstract

Acute pancreatitis is a rare cause of abdominal pain during pregnancy, it can be life threatening for the mother and fetus. It occurs more frequently during the third trimester due to a progressive increase in triglycerides and cholesterol as physiological changes in pregnancy. However, these levels do not exceed 300 mg / dL; patients with triglyceride levels above 1000 mg / dL are at increased risk of developing severe pancreatitis. The diagnostic criteria and management protocols are not specific for this pathology during pregnancy. Treatment with apheresis can be used as primary management during pregnancy, achieving a rapid and safe decrease in plasma triglyceride levels.

Citas

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