Hypertriglyceridemia-Related Acute Pancreatitis

Word Count : 3000

Objectives to cover: 

  • Introduction: Overview of acute pancreatitis precipitated by markedly elevated triglyceride levels.

  • Epidemiology: Accounts for a small but significant proportion of pancreatitis cases, especially in metabolic syndrome.

  • Risk Factors: Includes uncontrolled diabetes, obesity, alcohol use, and genetic lipid disorders.

  • Pathophysiology: Excess triglycerides break down into toxic free fatty acids causing pancreatic inflammation.

  • Clinical Presentation: Severe epigastric pain, nausea, vomiting, and elevated pancreatic enzymes.

  • Diagnostic Evaluation: Serum triglycerides >1000 mg/dL with supportive imaging findings confirm suspicion.

  • Management: Initial treatment involves fluid resuscitation, insulin therapy, and triglyceride reduction.

  • Complications: May lead to necrosis, organ failure, or recurrent pancreatitis if untreated.

  • Conclusion: Early recognition and rapid lipid control are key to improving outcomes and preventing recurrence.

Reference: APA