PMID- 34525949
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240403
IS  - 1865-1372 (Print)
IS  - 1865-1380 (Electronic)
IS  - 1865-1372 (Linking)
VI  - 14
IP  - 1
DP  - 2021 Sep 15
TI  - Recurrent acute pancreatitis during a ketogenic diet-a case report and literature 
      review.
PG  - 52
LID - 10.1186/s12245-021-00374-5 [doi]
LID - 52
AB  - BACKGROUND: The ketogenic ("keto") diet has been gaining more attention lately in 
      the medical literature and the lay media as a potentially effective method for 
      weight control and management of type 2 diabetes. Though rare, there have been 
      case reports of serious side effects. Here, we present a peculiar case of 
      pancreatitis presumably associated with the ketogenic diet. CASE PRESENTATION: A 
      35-year-old man on a calorie-restricted ketogenic diet presented to the emergency 
      department with weekly abdominal pain on Monday mornings, each time after dietary 
      indiscretions ("cheat days") on the weekend. It was found that he had a clinical 
      presentation consistent with acute pancreatitis with no associated alcohol use, 
      hypertriglyceridemia, pancreatic obstruction, or other anatomic abnormalities. 
      The patient's symptoms resolved with conservative management and progressive 
      reintroduction of a standard diet. CONCLUSION: This case indicates that the 
      ketogenic diet could lower the threshold for acute pancreatitis, and that an 
      episodic stressor may trigger an acute attack in the absence of traditional risk 
      factors.
CI  - (c) 2021. The Author(s).
FAU - Choi, Joseph
AU  - Choi J
AUID- ORCID: 0000-0002-5815-9431
AD  - Emergency Department, University Health Network, 200 Elizabeth Street, RFE - 
      Ground Floor, 480, Toronto, Ontario, M5G 2C4, Canada. joseph.choi@utoronto.ca.
AD  - Division of Emergency Medicine, Department of Medicine, University of Toronto, C. 
      David Naylor Building, 6 Queen's Park Crescent West, Third Floor, Toronto, 
      Ontario, M5S 3H2, Canada. joseph.choi@utoronto.ca.
FAU - Young, Tayler L
AU  - Young TL
AD  - Faculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, K1H 
      8M5, Canada.
FAU - Chartier, Lucas B
AU  - Chartier LB
AD  - Emergency Department, University Health Network, 200 Elizabeth Street, RFE - 
      Ground Floor, 480, Toronto, Ontario, M5G 2C4, Canada.
AD  - Division of Emergency Medicine, Department of Medicine, University of Toronto, C. 
      David Naylor Building, 6 Queen's Park Crescent West, Third Floor, Toronto, 
      Ontario, M5S 3H2, Canada.
LA  - eng
PT  - Journal Article
DEP - 20210915
PL  - England
TA  - Int J Emerg Med
JT  - International journal of emergency medicine
JID - 101469435
PMC - PMC8444592
OTO - NOTNLM
OT  - Emergency department
OT  - Gastroenterology
OT  - Ketogenic diet
OT  - Low carbohydrate diet
OT  - Pancreatitis
COIS- The authors declare that they have no competing interests.
EDAT- 2021/09/17 06:00
MHDA- 2021/09/17 06:01
PMCR- 2021/09/15
CRDT- 2021/09/16 05:40
PHST- 2021/07/25 00:00 [received]
PHST- 2021/08/27 00:00 [accepted]
PHST- 2021/09/16 05:40 [entrez]
PHST- 2021/09/17 06:00 [pubmed]
PHST- 2021/09/17 06:01 [medline]
PHST- 2021/09/15 00:00 [pmc-release]
AID - 10.1186/s12245-021-00374-5 [pii]
AID - 374 [pii]
AID - 10.1186/s12245-021-00374-5 [doi]
PST - epublish
SO  - Int J Emerg Med. 2021 Sep 15;14(1):52. doi: 10.1186/s12245-021-00374-5.