When hyperlipidemia is mentioned, most people think of cholesterol, heart attacks, strokes, and atherosclerosis. Indeed, elevated cholesterol in the blood can pose a significant risk to blood vessels everywhere, especially the heart and brain vessels. However, few people may know that hyperlipidemia can also cause acute pancreatitis. Near the November holiday, we have treated three such patients: they all have striking similarities: big boys, premature general belly, multiple episodes of pancreatitis; after the holidays, to improve the food, after eating hot pot began to abdominal pain, abdominal distension; to the hospital, the blood drawn is flooded with oil (celiac blood), which can be seen on the CT. When hyperlipidemia is mentioned, most people think of cholesterol, heart attacks, strokes, and atherosclerosis. It is true that elevated blood cholesterol poses a significant risk to blood vessels everywhere, especially the heart and brain vessels. However, few people may know that hyperlipidemia can also cause acute pancreatitis. Near the November holiday, we have treated three such patients: they all have striking similarities: big boys, premature general belly, multiple episodes of pancreatitis; after the holidays, improving the food, abdominal pain and bloating after eating hot pot; when they came to the hospital, the blood drawn was covered with oil slick (celiac blood), and severe fatty liver could be seen on CT. After blood amylase and CT examinations, all three patients were diagnosed with recurrent pancreatitis, and the cause was considered: hyperlipidemia. two patients recovered quickly and without incident, while the other one was less fortunate. although the abdominal pain was relieved, a 10 cm pseudocyst appeared due to excessive pancreatic exudation, and complete recovery will be a long process. These 3 patients are typical of hyperlipidemic pancreatitis. In them, hyperlipidemia is the cause of pancreatitis, but the culprit is not cholesterol as we usually know it, but triglycerides. Triglycerides are like the cream we eat, when the concentration of triglycerides in the blood is too high, it forms what we see as “celiac blood”, which affects the flow of blood, thus affecting the microcirculation of the blood vessels of the pancreas, leading to an impaired blood supply, which in turn causes pancreatitis. Compared to pancreatitis caused by overeating and alcohol consumption, triglyceride-related pancreatitis is often more severe and relatively easy to recur. With today’s increasingly high standard of living, there are more and more pot bellies at a younger age, and at the same time, hyperlipidemic pancreatitis is also on the rise year by year. Repeated episodes of pancreatitis will not only cause pain at the onset, but in the long run, there is also a risk of chronic pancreatitis. The best way to avoid elevated blood triglycerides and hyperlipidemic pancreatitis is to remember to “keep your mouth shut and your legs open” while having a good meal. Severe fatty liver. After blood amylase and CT examination, 3 patients without exception were diagnosed with recurrence of pancreatitis, considering the cause: hyperlipidemic. 2 patients recovered fairly smoothly and quickly, while the other one was less fortunate. although abdominal pain was relieved, a 10cm pseudocyst appeared due to excessive pancreatic exudation, and complete recovery had to be a long process. These 3 patients are typical of hyperlipidemic pancreatitis. In them, hyperlipidemia is the cause of pancreatitis, but the culprit is not cholesterol as we usually know it, but triglycerides. Triglycerides are like the cream we eat, when the concentration of triglycerides in the blood is too high, it forms what we see as “celiac blood”, which affects the flow of blood, thus affecting the microcirculation of the blood vessels of the pancreas, leading to an impaired blood supply, which in turn causes pancreatitis. Compared to pancreatitis caused by overeating and alcohol consumption, triglyceride-related pancreatitis is often more severe and relatively easy to recur. With today’s increasingly high standard of living, there are more and more pot bellies at a younger age, and at the same time, hyperlipidemic pancreatitis is also on the rise year by year. Repeated episodes of pancreatitis will not only cause pain at the onset, but in the long run, there is also a risk of chronic pancreatitis. The best way to avoid elevated blood triglycerides and hyperlipidemic pancreatitis is to remember to “keep your mouth shut and your legs open” while having a good meal.