Nutrition
Volume 25, Issue 11 , Pages 1094-1097 , November 2009

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

  • Kiyomi Takaishi, M.D.

      Affiliations

    • Department of Reproductive Medicine and Surgery/Gynecology, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan
    • Corresponding Author InformationCorresponding author. Tel: +81-96-373-5269; fax: +81-96-363-5164.
    • ,
  • Junya Miyoshi, M.D.

      Affiliations

    • Department of Reproductive Medicine and Surgery/Gynecology, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Takeshi Matsumura, M.D.

      Affiliations

    • Department of Metabolic Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Ritsuo Honda, M.D.

      Affiliations

    • Department of Reproductive Medicine and Surgery/Gynecology, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Takashi Ohba, M.D.

      Affiliations

    • Department of Reproductive Medicine and Surgery/Gynecology, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Hidetaka Katabuchi, M.D.

      Affiliations

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

Received 2 December 2008 ,Accepted 8 April 2009.

References 

  1. Swisher SG, Hunt KK, Schmit PJ, Hiyama DT, Bennion RS, Thompson JE. Management of pancreatitis complicating pregnancy. Am Surg. 1994;60:759–762
  2. Ramin KD, Ramin SM, Richey SD, Cunningham FG. Acute pancreatitis in pregnancy. Am J Obstet Gynecol. 1995;173:187–191
  3. Beaumont JL, Carlson LA, Cooper GR, Fejfar Z, Fredrickson DS, Strasser T. Classification of hyperlipidaemias and hyperlipoproteinaemias. Bull World Health Organ. 1970;43:891–915
  4. Potter JM, Nestel PJ. The hyperlipidemia of pregnancy in normal complicates pregnancies. Am J Obstet Gynecol. 1979;133:165
  5. Swoboda K, Derfler K, Koppensteiner R, Langer M, Pamberger P, Brehm R, et al. Extracorporeal lipid elimination for treatment of gestational hyperlipidemic pancreatitis. Gastroenterology. 1993;104:1527–1531
  6. Havel RJ. Pathogenesis, differentiation and management of hypertriglyceridemia. Adv Intern Med. 1969;15:117–154
  7. Farmer RG, Winkelman EI, Brown HB, Lewis LA. Hyperlipoproteinemia and pancreatitis. Am J Med. 1973;54:161–165
  8. Ma Y, Ooi TC, Liu M-S, Zhang H, McPherson R, Edwards AL, et al. High frequency of mutations in the human lipoprotein lipase gene in pregnancy induced chylomicronemia: possible association with apolipoprotein E2 isoform. J Lipid Res. 1994;35:1066–1075
  9. Ma Yuanhong, Liu MS, Ginzinger D, Frohlich J, Brunzell JD, Hayden MR. Gene–environment interaction in the conversion of a mild to severe phenotype in a patient homozygous for a ser172cys mutation in the lipoprotein lipase gene. J Clin Invest. 1993;91:1953–1958
  10. Keilson LM, Vary CPH, Sprecher DL, Renfrew R. Hyperlipidemia and pancreatitis during pregnancy in two sisters with a mutation in the lipoprotein lipase gene. Ann Intern Med. 1996;124:425–428
  11. Henderson H, Leisegang F, Hassan F, Hayden M, Marais D. A novel Glu421Lys substitution in the lipoprotein lipase gene in pregnancy-induced hypertriglyceridemic pancreatitis. Clin Chim Acta. 1998;269:1–12
  12. Chen CP, WangvKG , Su TH, Yang YC. Acute pancreatitis in pregnancy. Acta Obstet Gynecol Scand. 1995;74:607–0
  13. Montgomery WH, Miller FC. Pancreatitis and pregnancy. Obstet Gynecol. 1970;35:658–664
  14. Corlett RC, Mishell DR. Pancreatitis in pregnancy. Am J Obstet Gynecol. 1972;113:281–290
  15. Wilkinson EJ. Acute pancreatitis in pregnancy: a review of 98 cases and report of 8 new cases. Obstet Gynecol Surv. 1973;28:281–303
  16. Yamane Y, Kodama T, Kashima K. Acute pancreatitis in pregnancy. Kan Tan Sui. 1996;33:859–867
  17. Ohmoto K, Neishi Y, Miyake I, Yamamoto S. Severe acute pancreatitis associated with hyperlipidemia: report of two cases and review if the literature in Japan. Hepatogastroenterology. 1999;46:2986–2990
  18. Cameron JL, Capuzzi DM, Zuidema GD. Acute pancreatitis with hyperlipidaemia: incidence of lipid abnormalities in acute pancreatitis. Ann Surg. 1973;177:479–483
  19. Rosenson RS, Baker AL, Chow MJ, Hay RV. Hyperviscosity syndrome in a hypercholesterolemic patient with primary biliary cirrhosis. Gastroenterology. 1990;98:1351–1357
  20. Gursoy A, Kulaksizoglu M, Sahin M, Ertugrul DT, Ozer F, Tutuncu NB, et al. Severe hypertriglyceridemia-induced pancreatitis during pregnancy. J Natl Med Assoc. 2006;98:655–657
  21. Mizushima T, Ochi K, Matsumura N, Ichimura M, Ishibashi T, Tsuboi K, et al. Prevention of hyperlipidemic acute pancreatitis during pregnancy with medium-chain triglyceride nutritional support. Int J Pancreatol. 1998;23:187–192
  22. Al-Shali K, Wang J, Fellows F, Huff MW, Wolfe BM, Hegele RA. Successful pregnancy outcome in a patient with severe chylomicronemia due to compound heterozygosity for mutant lipoprotein lipase. Clin Biochem. 2002;35:125–130
  23. Glueck CJ, Streicher P, Wang P, Sprecher D, Falko JM. Treatment of severe familial hypertriglyceridemia during pregnancy with very–low-fat diet and n-3 fatty acids. Nutrition. 1996;12:202–205

PII: S0899-9007(09)00181-6

doi: 10.1016/j.nut.2009.04.009

Nutrition
Volume 25, Issue 11 , Pages 1094-1097 , November 2009

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