Subcutaneous heparin for treatment of hypertriglyceridemia-induced pancreatitis

Hypertriglyceridemia Induced Pancreatitis (Chylomicronemia Syndrome) Treated with Supportive Care

“…Initial treatment of HTIP includes pancreas rest (by limiting oral intake, aggressive intravenous hydration, and analgesia) [ 5 ]. For further treatment of HTIP, plasmapheresis [ 7 – 9 ], heparin infusion [ 10 – 16 ], and subcutaneous heparin [ 17 ] were reported, but still they are considered as experimental treatment modalities in HTIP [ 5 ]. Apheresis has been recommended as category III (optimum role of apheresis therapy is not established; individualized decision is necessary) and grade-2C (weak recommendation, low-quality, or very low-quality evidence) for hypertriglyceridemic pancreatitis by American Society for Apheresis [ 18 ].…”