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Effectiveness of intensive insulin therapy in the management of acute necrotizing pancreatitis induced by very severe hypertriglyceridemia
Joint Authors
Abd al-Hakim, Karim
Hamzah, Iman
Bu Silmi, Kamil
al-Rumayhi, Dalal
Sharif, Umar A.
Source
Issue
Vol. 39, Issue 1 (31 Mar. 2017), pp.62-65, 4 p.
Publisher
King Hamad University Hospital
Publication Date
2017-03-31
Country of Publication
Bahrain
No. of Pages
4
Main Subjects
Pharmacy, Health & Medical Sciences
Abstract EN
Hypertriglyceridemia may be responsible for up to 4% of acute pancreatitis.
Complicated pancreatitis is a serious medical condition and might be fatal.
Therefore, treating the underlying cause along with supportive measures is crucial to prevent further deterioration and possible death.
There have been reports where Insulin has been the mainstay of treatment for reducing triglyceride levels in patients with pancreatitis, however, there are no well-established guidelines.
We present a forty-year-old female patient diagnosed with acute necrotizing pancreatitis.
CT abdomen revealed acute necrotic pancreatitis (Balthazar E) with extensive peri-pancreatic and peritoneal fluid collections.
The patient was managed in the ICU for 28 days.
She continued to receive gemfibrozil and insulin infusion, initiated according to the ICU’s Protocol - Algorithm 1 targeting glucose values of 4.4 mmol/L to 10 mmol/L along with heparin infusion.
She was successfully treated and recovered.
She was discharged on antidiabetic and lipid lowering medications.
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American Psychological Association (APA)
Hamzah, Iman& Abd al-Hakim, Karim& Bu Silmi, Kamil& al-Rumayhi, Dalal& Sharif, Umar A.. 2017. Effectiveness of intensive insulin therapy in the management of acute necrotizing pancreatitis induced by very severe hypertriglyceridemia. Bahrain Medical Bulletin،Vol. 39, no. 1, pp.62-65.
https://search.emarefa.net/detail/BIM-729587
Modern Language Association (MLA)
Hamzah, Iman…[et al.]. Effectiveness of intensive insulin therapy in the management of acute necrotizing pancreatitis induced by very severe hypertriglyceridemia. Bahrain Medical Bulletin Vol. 39, no. 1 (Mar. 2017), pp.62-65.
https://search.emarefa.net/detail/BIM-729587
American Medical Association (AMA)
Hamzah, Iman& Abd al-Hakim, Karim& Bu Silmi, Kamil& al-Rumayhi, Dalal& Sharif, Umar A.. Effectiveness of intensive insulin therapy in the management of acute necrotizing pancreatitis induced by very severe hypertriglyceridemia. Bahrain Medical Bulletin. 2017. Vol. 39, no. 1, pp.62-65.
https://search.emarefa.net/detail/BIM-729587
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 65
Record ID
BIM-729587