A 60-year-old man on ICU has severe acute pancreatitis. His serum triglycerides are 55 mmol/L. He is on IV insulin and nil by mouth. Despite these mea...

Question

A 60-year-old man on ICU has severe acute pancreatitis. His serum triglycerides are 55 mmol/L. He is on IV insulin and nil by mouth. Despite these measures, triglycerides remain >30 mmol/L. What additional intervention may be considered for severe hypertriglyceridaemia-induced pancreatitis?

Accepted Answer

Therapeutic plasma exchange (plasmapheresis) to rapidly reduce triglyceride levels

Answer

Oral fibrate therapy

Answer

IV heparin bolus 10,000 units

Answer

Omega-3 fatty acid supplementation

Answer

High-fat enteral feed to stimulate lipase

uk-fficm MCQ (SBA): Hypertriglyceridaemia-Induced Pancreatitis

A 60-year-old man on ICU has severe acute pancreatitis. His serum triglycerides are 55 mmol/L. He is on IV insulin and nil by mouth. Despite these measures, triglycerides remain >30 mmol/L. What additional intervention may be considered for severe hypertriglyceridaemia-induced pancreatitis?