Document Detail


Treatment of hyperlipidemic pancreatitis in pregnancy with total parenteral nutrition.
MedLine Citation:
PMID:  6813188     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 29-yr-old pregnant woman presented in her third trimester with severe pancreatitis, hyperlipidemia, and small-for-dates fetus. Studies suggested that her pancreatitis was caused by profound hypertriglyceridemia, which was the result of an underlying lipoprotein disorder exacerbated by pregnancy. Throughout the first 7 wk of hospitalization, attempts to refeed the patient with solid food and various elemental diets resulted in the induction of hypertriglyceridemia and relapses of pancreatitis. Concern for the nutritional status of the mother and the possibility of further growth retardation of the fetus prompted the use of total parenteral nutrition for the last 2 wk of gestation. This treatment was well tolerated by the mother, promptly reversed maternal weight loss, caused a rapid resolution of her pancreatitis, and did not induce further hypertriglyceridemia. This report documents that total parenteral nutrition may be safely and effectively used in the management of hyperlipidemic pancreatitis in pregnancy.
Authors:
R B Weinberg; M D Sitrin; G M Adkins; C C Lin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Gastroenterology     Volume:  83     ISSN:  0016-5085     ISO Abbreviation:  Gastroenterology     Publication Date:  1982 Dec 
Date Detail:
Created Date:  1982-12-18     Completed Date:  1982-12-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0374630     Medline TA:  Gastroenterology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1300-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Fetal Growth Retardation / etiology
Humans
Hyperlipidemias / blood,  complications,  therapy*
Infant, Newborn
Pancreatitis / blood,  etiology,  therapy*
Parenteral Nutrition*
Parenteral Nutrition, Total*
Pregnancy
Pregnancy Complications / blood,  therapy*
Triglycerides / blood
Chemical
Reg. No./Substance:
0/Triglycerides

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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