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. 2023 Apr 30;13(5):621. doi: 10.3390/metabo13050621

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© 2023 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

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Algorithm for management of hypertriglyceridaemia-induced acute pancreatitis. ^a serum amylase can be inaccurate or normal in HTGP due to lipaemia. ^b aim to keep CBG between 6.0–10.0 mmol/L. ^c seek specialist advice before stopping long-term medications. ^d seek a specialist to advise; decision should be individualised. No evidence of benefit in terms of hard clinical outcomes, i.e., mortality, the severity of pancreatitis, length of hospital stay, and complications. AP: acute pancreatitis; APACHE II: The Acute Physiology and Chronic Health Examination; CTSI: CT severity index; HDU: high-dependency unit; HTG: hypertriglyceridaemia; HTGP: hypertriglyceridaemia-induced pancreatitis; ITU: intensive therapy unit; NBM: nil by mouth; SHTG: severe hypertriglyceridaemia; TG, Triglycerides; VRII: variable-rate insulin infusion.