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When do you recommend plasmapheresis/plasma exchange for management of severe hypertriglyceridemia?
Answer from: at Academic Institution
Generally, I recommend plasmapheresis for severe hypertriglyceridemia when patients are admitted with acute pancreatitis who either do not respond to NPO (and/or insulin if they have hyperglycemia) or if they are critically ill with for example necrotizing pancreatitis. Triglyceride concentrations d...
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Answer from: at Community Practice
Plasmapheresis may increase risk of infection. IV insulin drip and oral medications are helpful. I don’t know if treating hypertriglyceridemia faster with plasmapheresis will change the outcome.