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Volume 25, Issue 11, Pages 1094-1097 (November 2009)


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Hypertriglyceridemic acute pancreatitis during pregnancy: Prevention with diet therapy and ω-3 fatty acids in the following pregnancy

Kiyomi Takaishi, M.D.aCorresponding Author Informationemail address, Junya Miyoshi, M.D.a, Takeshi Matsumura, M.D.b, Ritsuo Honda, M.D.a, Takashi Ohba, M.D.a, Hidetaka Katabuchi, M.D.a

Received 2 December 2008; accepted 8 April 2009. published online 15 June 2009.

Abstract 

Acute pancreatitis complicating pregnancy is rare and has previously been associated with high mortality rates. We report a case of repeated hypertriglyceridemia during pregnancy. During the patient's first pregnancy, acute pancreatitis was elicited in the third trimester by pregnancy-induced hypertriglyceridemia. The patient was treated successfully with a conservative treatment course. The hypertriglyceridemia recurred during her second pregnancy. She carried the pregnancy to term without incident while maintaining a diet low in fat diet and high in ω-3 fatty acids. Early diagnosis and intensive treatment can help to preserve the lives of the patient and the fetus. Prophylactic diet therapy and ω-3 fatty acids may prevent recurrent hypertriglyceridemia during pregnancy.

a Department of Reproductive Medicine and Surgery/Gynecology, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan

b Department of Metabolic Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan

Corresponding Author InformationCorresponding author. Tel: +81-96-373-5269; fax: +81-96-363-5164.

PII: S0899-9007(09)00181-6

doi:10.1016/j.nut.2009.04.009


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