Hypertriglyceridemia Induced Pancreatitis: Inpatient Management at a Single Pediatric Institution.

Abstract:

OBJECTIVES:Hypertriglyceridemia-induced pancreatitis is an important cause of acute pancreatitis (AP) in children, which lacks established guidelines. The aim of this study was to review management approaches at a single pediatric center. METHODS:This retrospective study included all inpatients younger than 21 years with AP and triglycerides (TG) of 1000 mg/dL or greater. A linear mixed effect model was used to calculate drop in TGs. The patient's diet, intravenous fluid (IVF) rate, insulin, and plasmapheresis were included in the model. RESULTS:Seventeen admissions were identified among 8 patients, average age 15 years (range, 6-19 years). Fifty percent had recurrent AP and 29% of admissions had complications including 1 death. The population was primarily female (75%), white (75%), and overweight, and 63% had diabetes. The median stay was 5.4 days. There were 14 approaches used with variations in IVF rates, insulin, plasmapheresis, and nill per os (NPO) versus feeds. Variables that reduced TG's were NPO, higher IVF rates, plasmapheresis, and insulin (P < 0.05). Importantly, NPO reduced TGs faster than those who started early nutrition. CONCLUSIONS:Hypertriglyceridemia is an important cause of pancreatitis in children. This study shares a management algorithm from a single institution. Larger studies are needed for more evidence-based guidelines.

journal_name

Pancreas

journal_title

Pancreas

authors

Ippisch HM,Alfaro-Cruz L,Fei L,Zou Y,Thompson T,Abu-El-Haija M

doi

10.1097/MPA.0000000000001505

subject

Has Abstract

pub_date

2020-03-01 00:00:00

pages

429-434

issue

3

eissn

0885-3177

issn

1536-4828

pii

00006676-202003000-00016

journal_volume

49

pub_type

杂志文章

相关文献

PANCREAS文献大全
  • Pharmaceutical development for treating pancreatic diseases.

    abstract::The efficacy of medications to treat pancreatic diseases, even when proven effective by experimental studies, are difficult to prove by controlled clinical trials. In the treatment of acute pancreatitis, prophylactic antibiotics, somatostatin, protease inhibitors, and cholecystokinin (CCK)-receptor antagonists are adv...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/00006676-199804000-00035

    authors: Kitagawa M,Naruse S,Ishiguro H,Hayakawa T

    更新日期:1998-04-01 00:00:00

  • Amelioration of rat cerulein pancreatitis by guamerin-derived peptide, a novel elastase inhibitor.

    abstract::Increased activity of various proteases is observed in both human and experimental pancreatitis; however, the information on the effects of specific protease inhibitors on the disease is limited. In this study we show that a novel elastase inhibitor, guamerin-derived synthetic peptide (GDSP), improves the parameters o...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199904000-00003

    authors: Song M,Zaninovic V,Kim D,Gukovsky I,Gukovskaya A,Kang K,Pandol S

    更新日期:1999-04-01 00:00:00

  • Aberrant methylation of secreted apoptosis-related protein 2 (SARP2) in pure pancreatic juice in diagnosis of pancreatic neoplasms.

    abstract:OBJECTIVE:Secreted apoptosis-related protein (SARP) families are considered to counteract the oncogenic Wnt signaling pathway, and inactivation of this gene may aid cancer development and progression. Recently, the aberrant methylation of SARP2 was detected frequently in pancreatic carcinoma (PCa) tissue, but not in no...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000221617.89376.38

    authors: Watanabe H,Okada G,Ohtsubo K,Yao F,Jiang PH,Mouri H,Wakabayashi T,Sawabu N

    更新日期:2006-05-01 00:00:00

  • Characteristics of L-glutamine transport in the perfused rat exocrine pancreas: lack of sensitivity to insulin and streptozotocin-induced experimental diabetes.

    abstract::The transport specificity of L-glutamine influx in the perfused rat exocrine pancreas has been investigated using a dual isotope tracer dilution technique. During a single circulation through the isolated pancreas, an epithelial uptake of 71 +/- 1% (n = 10) was measured for L-(3H)glutamine relative to the extracellula...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198605000-00007

    authors: Mann GE,Habara Y,Peran S

    更新日期:1986-01-01 00:00:00

  • The biological relevance of N-terminal neurotensin fragments in the regulation of exocrine pancreas secretion.

    abstract::Stimulation of the exocrine pancreas is one of the biological effects attributed to the tridecapeptide neurotensin (NT). Only the C-terminal 8-13 fragment with its extremely short plasma half-life in the peripheral circulation was considered to be necessary for biological activity. The N-terminal fragments that are de...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198902000-00018

    authors: Nustede R,Köhler H,Pfannkuche A,Fölsch UR,Schafmayer A

    更新日期:1989-01-01 00:00:00

  • Ablative Therapies for Locally Advanced Pancreatic Cancer.

    abstract::The vast majority of patients who present with pancreatic adenocarcinoma have locally advanced or metastatic disease at the time of presentation without possibility of cure. Although in recent years there have been some new promising chemotherapy regimens that improve overall survival by a few months, the prognosis re...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/MPA.0000000000000948

    authors: Shah R,Ostapoff KT,Kuvshinoff B,Hochwald SN

    更新日期:2018-01-01 00:00:00

  • Expression of ATM protein and its relationship with p53 in pancreatic carcinoma with tissue array.

    abstract::ATM protein anticipates in the initiation of the DNA repair signal pathway and also mediates cell cycle arrest and repair. ATM deficiency predictably results in radiosensitivity, germ cell degeneration, chromosomal instability, immunodeficiency, and an extreme predisposition to tumors. Moreover, studies found that ATM...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200405000-00011

    authors: Yu G,Zhu MH,Zhu Z,Ni CR,Zheng JM,Li FM

    更新日期:2004-05-01 00:00:00

  • Hedgehog signaling in the normal and diseased pancreas.

    abstract::The hedgehog (Hh) family of genes, sonic hedgehog (Shh), Indian hedgehog (Ihh), and desert hedgehog (Dhh) encode signaling molecules that regulate multiple functions during organ development and in adult tissues. Altered hedgehog signaling has been implicated in disturbed organ development as well as in different dege...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/01.mpa.0000202937.55460.0c

    authors: Kayed H,Kleeff J,Osman T,Keleg S,Büchler MW,Friess H

    更新日期:2006-03-01 00:00:00

  • Pancreatopleural fistula.

    abstract::The clinical, diagnostic, and therapeutic aspects of 27 patients with pancreatopleural fistula (PPF) reported in the literature, and two additional patients managed by the authors, form the basis of this report. The diagnosis of PPF is based on the triad of massive pleural effusions, elevated pleural fluid amylase, an...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198605000-00013

    authors: Bedingfield JA,Anderson MC

    更新日期:1986-01-01 00:00:00

  • Inhibitory effect of islet amyloid polypeptide of glucose-induced proinsulin biosynthesis in rat insulinoma cells.

    abstract::Islet amyloid polypeptide (IAPP) has been recently identified as the principal constituent of amyloid deposits in pancreatic islets of patients with type 2 (non-insulin-dependent) diabetes mellitus and causes insulin resistance in some target cells. In addition, glucose-induced insulin secretion is inhibited by IAPP. ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199207000-00009

    authors: Chuang LM,Wu HP,Jou TS,Tai TY,Lin BJ

    更新日期:1992-01-01 00:00:00

  • Eosinophilic pancreatitis: report of a case.

    abstract::A case of relapsing pancreatitis in a young man is presented. Stenosis of the main duct and cystic lesions of the tail of the pancreas were shown by ultrasonography, CT scan, and endoscopic retrograde cholangiopancreatography (ERCP). After a wrong diagnosis of cancer, the pathological examination demonstrated an eosin...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199001000-00016

    authors: Bastid C,Sahel J,Choux R,Payan MJ,Sarles H

    更新日期:1990-01-01 00:00:00

  • Comparison of gas clearance and radioactive microspheres for pancreatic blood flow measurement.

    abstract::Measurement of pancreatic blood flow (PBF) is technically demanding. Although radiolabeled microspheres are considered the "gold standard" for PBF assessment, they have practical limitations. In the current study, H2 and xenon-133 gas clearance techniques were adapted to PBF measurement and compared to radiolabeled mi...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198904000-00004

    authors: DeMar AR,Graham LS,Lake R,Fink AS

    更新日期:1989-01-01 00:00:00

  • Effects of the cholecystokinin A receptor antagonist loxiglumide on the proliferation and cell cycle time of pancreatic acinar cells in rats.

    abstract:OBJECTIVES:Prior studies have indicated that endogenous or exogenous cholecystokinin (CCK) induces transient acinar cell proliferation at about 24 hours after its stimulation. The aims of the present study were to determine the time point when the administration of the CCK-A-receptor antagonist loxiglumide had its maxi...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000202960.63977.d1

    authors: Kanemitsu D,Sakagami J,Motoyoshi T,Nakajima T,Kataoka K

    更新日期:2006-03-01 00:00:00

  • Investigation of the mechanisms by which EB1089 abrogates apoptosis induced by 9-cis retinoic acid in pancreatic cancer cells.

    abstract:OBJECTIVES:Previous research has shown that the retinoid 9-cis retinoic acid (RA) promotes apoptosis in pancreatic cancer cells. The vitamin D analog EB1089 does not. Furthermore, cotreatment of cells with 9-cis RA and EB1089 abrogates apoptosis. To explain this, we studied the regulation of proteins involved in apopto...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000191648.47667.4f

    authors: Mouratidis PX,Dalgleish AG,Colston KW

    更新日期:2006-01-01 00:00:00

  • Clinical characteristics of long-term survivors of inoperable pancreatic cancer: an 8-year cohort analysis in Korea.

    abstract:OBJECTIVES:Inoperable pancreatic ductal adenocarcinoma is known to have an extremely poor prognosis. Although rare, there are some patients who have unexpected long-term survival, but the reason is not yet clear. METHODS:A total of 482 inoperable pancreatic ductal adenocarcinoma of 1602 patients diagnosed at Severance...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000163

    authors: Jo JH,Chung MJ,Park JY,Bang S,Park SW,Chung JB,Song SY

    更新日期:2014-10-01 00:00:00

  • Regeneration of tubular complex is promoted by a free space.

    abstract:OBJECTIVES:Regeneration of the pancreas is initiated by the tubular complexes that consist of a cluster of epithelia surrounded by the mesenchymal cells. They have the potential to become pancreatic lobes, but their growth stops before the complete regeneration of the organ. To elucidate the possibility that we could p...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000150110.45017.fc

    authors: Kitamura T,Asanuma N,Inaba M,Otsuki M,Kasayama S,Kouhara H,Kawase I

    更新日期:2005-03-01 00:00:00

  • Long-term function of islets encapsulated in a redesigned alginate microcapsule construct in omentum pouches of immune-competent diabetic rats.

    abstract:OBJECTIVE:Our study aim was to determine encapsulated islet graft viability in an omentum pouch and the effect of fibroblast growth factor 1 (FGF-1) released from our redesigned alginate microcapsules on the function of the graft. METHODS:Isolated rat islets were encapsulated in an inner core made with 1.5% low-viscos...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000107

    authors: Pareta R,McQuilling JP,Sittadjody S,Jenkins R,Bowden S,Orlando G,Farney AC,Brey EM,Opara EC

    更新日期:2014-05-01 00:00:00

  • Antioxidant status and oxidative stress markers in pancreatic cancer and chronic pancreatitis.

    abstract:OBJECTIVES:Oxidative stress has been implicated in the pathogenesis of chronic pancreatitis (CP) and pancreatic cancer (PC). The study aim was to assess the oxidative stress markers and antioxidant defense system in patients with CP and those with PC. METHODS:Activities of superoxide dismutase 1 (SOD1), catalase (CAT)...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318288360a

    authors: Kodydkova J,Vavrova L,Stankova B,Macasek J,Krechler T,Zak A

    更新日期:2013-05-01 00:00:00

  • Investigation of relaxant effects of new agents affecting nitric oxide/cyclic guanosine monophosphate pathway on sheep oddi sphincter.

    abstract:OBJECTIVES:Nitric oxide (NO) is a potent nonadrenergic, noncholinergic mediator of gastrointestinal smooth muscle. We aimed to investigate the effects of new NO/cyclic guanosine monophosphate (cGMP) pathway-affecting agents at the sheep sphincter of Oddi (SO) in vitro. METHODS:Sheep SO rings were mounted in organ bath...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181d3645b

    authors: Sarac B,Durmus N,Bagcivan I,Altun A,Turan M,Sencan M

    更新日期:2010-08-01 00:00:00

  • Erythrocyte sedimentation rate and C-reactive protein for the prediction of severity of acute pancreatitis.

    abstract:OBJECTIVES:To investigate the performance of erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) for predicting severe acute pancreatitis (AP). METHODS:Fifty patients with AP were prospectively enrolled. Erythrocyte sedimentation rate and CRP were measured at admission and every 12 hours for 48 hours aft...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181deb33e

    authors: Pongprasobchai S,Jianjaroonwong V,Charatcharoenwitthaya P,Komoltri C,Tanwandee T,Leelakusolvong S,Pausawasdi N,Srikureja W,Chainuvati S,Prachayakul V,Manatsathit S,Kachintorn U

    更新日期:2010-11-01 00:00:00

  • Expression of estrogen-induced genes and estrogen receptor β in pancreatic neuroendocrine tumors: implications for targeted therapy.

    abstract:OBJECTIVE:The indolent nature and expression of progesterone receptor (PR), a well-known estrogen-induced gene, in a subset of pancreatic neuroendocrine tumors (PanNETs), raise the possibility of hormonal regulation in these tumors. METHODS:Immunohistochemical expression of estrogen receptors (ERs) α and β as well as ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000203

    authors: Estrella JS,Ma LT,Milton DR,Yao JC,Wang H,Rashid A,Broaddus RR

    更新日期:2014-10-01 00:00:00

  • Malignant Solitary Fibrous Tumor of the Pancreas.

    abstract::Solitary fibrous tumor (SFT) arising in the pancreas is exceedingly rare, with only 11 cases reported in the English literature. All cases described thus far have exhibited benign histology. We report the first case of malignant SFT of the pancreas. The patient was a 52-year-old woman who presented with obstructive ja...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000350

    authors: Estrella JS,Wang H,Bhosale PR,Evans HL,Abraham SC

    更新日期:2015-08-01 00:00:00

  • Effect of prolonged ethanol intake on pancreatic lipids in the rat pancreas.

    abstract::Although fat accumulation in acinar cells is the earliest histopathological change in the pancreas of patients and experimental animals, there are few long-term studies regarding lipid composition of the pancreas in alcoholism. In the present study, female Sprague-Dawley rats were divided into three groups each fed Wa...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199007000-00005

    authors: Simsek H,Singh M

    更新日期:1990-07-01 00:00:00

  • Successful Localization and Resection of Small Pancreatic Cystic Insulinoma Using Intraoperative Near-Infrared Fluorescence Imaging: A Case Report and Literature Review.

    abstract::Pancreatic cystic insulinoma is an uncommon tumor. Perioperative localization remained challenging if the tumor is atypical with cystic feature or in small size. Near-infrared (NIR) imaging is a technique by injecting fluorescent dye intravenously, which accumulates to the target lesion and creating signal by laser so...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001678

    authors: Kou HW,Yu MC,Chong SW,Hsu HY,Chou HH,Lee CW,Chen TC,Huang SF

    更新日期:2020-11-01 00:00:00

  • A novel acute necrotizing pancreatitis model induced by L-arginine in rats.

    abstract:OBJECTIVE:This study developed a novel protocol for creating an acute necrotizing pancreatitis model in rats using L-arginine. METHODS:Anesthetic laparotomy was performed on the upper abdomen, and the pancreatic parenchyma of Sprague-Dawley rats was injected with 1 mL of sterilized L-arginine solution at 5 different l...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000259

    authors: Guo F,Zheng S,Gao X,Zhang Q,Liu J

    更新日期:2015-03-01 00:00:00

  • Evaluation of pancreatic exocrine function by secretin-enhanced magnetic resonance cholangiopancreatography.

    abstract:AIM:To assess the feasibility and usefulness of secretin-enhanced magnetic resonance cholangiopancreatography (S-MRCP) for evaluation of pancreatic exocrine function. METHODOLOGY:S-MRCP was performed in 20 patients with mild (n = 8) or severe (n = 12) chronic pancreatitis (according to the grade of exocrine pancreatic...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200110000-00015

    authors: Czakó L,Endes J,Takács T,Boda K,Lonovics J

    更新日期:2001-10-01 00:00:00

  • Evaluation of the effects of noniodinized and iodinized ionic contrast media and gadoteric acid in acute necrotizing pancreatitis: experimental study in rabbits.

    abstract:OBJECTIVE:To evaluate the effects of iodine contrast media and gadoteric acid in acute necrotizing pancreatitis. METHODS:Fifty rabbits were distributed in 5 groups: 10 rabbits were assigned in the control group (group 5) and 40 rabbits were assigned in the pancreatitis group, wherein acute necrotizing pancreatitis was...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/mpa.0b013e3180a6f366

    authors: Apodaca-Torrez FR,Goldenberg A,Lobo EJ,Farah JF,Triviño T,Montero EF,Schraibman V,Benvenuto RB,Artigiani Neto R

    更新日期:2007-11-01 00:00:00

  • The activity of class I, II, III, and IV of alcohol dehydrogenase isoenzymes and aldehyde dehydrogenase in pancreatic cancer.

    abstract:OBJECTIVES:The pancreas can metabolize ethanol via oxidative pathway involving the enzymes alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH) as well as the nonoxidative pathway. In this study, we compared the activity of ADH isoenzymes and ALDH in the pancreatic cancer with the activity in normal tissue. In...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318053eae2

    authors: Jelski W,Chrostek L,Szmitkowski M

    更新日期:2007-08-01 00:00:00

  • Diagnostic imaging for pancreatic cancer: computed tomography, magnetic resonance imaging, and positron emission tomography.

    abstract::Computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) are sophisticated modalities typically used in the second-line diagnosis following routine clinical practice. Among them, CT is regarded as the standard imaging in diagnosing pancreatic cancer at present in Japan due to ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200404000-00011

    authors: Saisho H,Yamaguchi T

    更新日期:2004-04-01 00:00:00

  • Seventy years of pancreatic physiology: take a look back.

    abstract::This review article has 4 major objectives to follow pancreatic physiology development more than close to 70 years of intensive and productive basic research. At first, the review will focus on secretion of the pancreatic enzymes with (1) the controls involved, (2) the interrelations existing between secretion and syn...

    journal_title:Pancreas

    pub_type: 历史文章,杂志文章

    doi:10.1097/MPA.0000000000000226

    authors: Morisset J

    更新日期:2014-11-01 00:00:00