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The team management of patient suffered of acute severe dyslipidaemic pancreatitis - the experience of one tertiary health centre
Department of Geriatrics, Clinic for Internal Medicine, KBC Zemun Serbia
Department of Endocrinology, Clinic for Internal Medicine, KBC Zemun Serbia
Department of Endocrinology, Clinic for Internal Medicine, KBC Zemun Serbia
Department of Endocrinology, Clinic for Internal Medicine, KBC Zemun Serbia
Department of Endocrinology, Clinic for Internal Medicine, KBC Zemun Serbia
Department of Gastroenterology, Clinic for Internal Medicine, KBC Zemun Serbia
Department of Transfusion, KBC Zemun Serbia
Department of Transfusion, KBC Zemun Serbia
Laboratory for Molecular Genetics and Radiobiology, Institute for Nuclear Sciences “Vinča”, University of Belgrade , Belgrade , Serbia
Laboratory for Molecular Genetics and Radiobiology, Institute for Nuclear Sciences “Vinča”, University of Belgrade , Belgrade , Serbia
Published: 01.12.2017.
Volume 33, Issue 3 (2017)
pp. 1557-1562;
Abstract
This article presents a case of patient with acute and complicated dyslipidaemic pancreatitis, managed by team, consisted of the endocrinologists, gastroenterologists and transfusiologists. Dyslipidaemia, predominantly type IV, is a common cause of acute pancreatitis in young patients, especially in the cases of poor compliance (irregular taking of recommended fibrates and failure to comply with the dietary regime). The treatment of acute pancreatitis, regardless of the aetiology, is due to the severity of the condition, the complexity of the treatment, and the monitoring of patients, in the Intensive Care Units. In cases where dyslipidaemia is the cause of acute pancreatitis, in the context of acute care, a therapeutic plasma exchange is often performed. It rapidly and significantly corrects lipid levels, primarily triglycerides. Therapeutic plasma exchange requires the activity of transfusiology team, which are often unavailable in smaller hospitals.
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