of pancreatitis from common bile duct obstruction with hyperamylasemia | It is diferencial entre pancreatite aguda/crônica agudizada e outras causas de dor . The differential diagnosis of hyperamylasemia is difficult, but most high levels . diferencial entre pancreatite aguda/crônica agudizada e outras causas de dor. Hyperamylasemia is frequently found in cases of megaesophagus. This is particularly true of those exhibiting enlarged salivary glands; it is present in per.
|Published (Last):||14 August 2011|
|PDF File Size:||7.11 Mb|
|ePub File Size:||15.57 Mb|
|Price:||Free* [*Free Regsitration Required]|
It was more frequent with parenteral nutrition. This analysis disclosed the existence a single function with a highly significant discrimination power formed by the variables parenteral nutrition, length of stay and fever.
J Med Libr Assoc.
Increased lipase and amilase levels in critically ill patients: retrospective study
The patient with the highest lipase value, as already mentioned, presented a condition of respiratory failure in the context of ricketsiosis. Such lack of specificity implies that, although these two enzymes might point to diagnosis of acute pancreatitis, a definitive diagnosis is not warranted. The following information was collected from the charts: Elevated lipase and amylase are commonly found in patients in intensive care unit without a previously recognized pancreatic illness, constituting a diagnostic and therapeutic challenge.
With regard to the type of nutrition administered Table 4patients submitted to artificial nutrition parenteral or enteral presented high serum lipase more often, with a statistical significance regarding parenteral nutrition, when both groups were compared. Of the patients Elevation of these enzymes is often found in critically ill patients in the intensive care unit.
No significant difference was found in the incidence hiperamilasemka high serum lipase in clinical or surgical patients. Practice guidelines in acute pancreatitis.
Increased lipase and amilase levels in critically ill patients. You will be directed to acponline.
Abdominal TC scan is the gold standard technique for diagnosis of acute pancreatitis, to confirm diagnosis, exclude alternative cwusas and determine the severity and presence of complications. Please Choose One of the Following Options.
In this series we found this alteration of serum lipase in a significant number of patients, with concomitant elevation of amylase in a smaller number of patients. As previously described, in some prospective studies carried out with abdominal TC scan in a group biperamilasemia patients with identical characteristics, the percentage of alterations was small and with little clinical significance.
Sign in below to access your subscription for full content. You need a subscription to this content to use this feature.
A minority of patients met the criteria of acute pancreatitis. Retrospective study of patients admitted in an intensive care unit from January 1 to December 31,excluding admissions for acute pancreatitis, history of pancreatic disease, renal insufficiency or lacking of data.
There was a problem providing the content you requested
Of patients with concomitant hyperamylasemia and high serum lipase, Other studies hiperxmilasemia needed to help interpret these alterations and to answer these frequent questions. Pancreatic involvement during the early phase of shock. Elevated pancreatic enzymes after extended propofol therapy. Celiac Disease and Malabsorption. Subscribe to Annals of Internal Medicine.
Nevertheless we stress that the radiological study had been performed in a small percentage of patients and according to not well explained criteria, limitations inherent to a retrospective study such as this one.
Serum amylase and lipase are widely used as markers of pancreatic inflammation; however their elevation is not always predictive of pancreatic disease. Although, because of the number of samples, statistically significant conclusions could not be reached, this study highlights in critically ill patients, the high frequency of high serum lipase that in the majority of cases did not add clinical severity or higher mortality, while it is related with longer stay.
Elevation of serum lipase and amylase is a common problem in clinical practice of an intensive care unit and is not exclusive of pancreatic inflammation. Regarding clinical and analytical characteristics of patients Table 3those that developed high serum lipase more often showed symptoms such as caussas, hyperthermia, elevation of transaminases and alkaline phosphatase, hyperbilirrubinemia, anemia, hyperglycemia and bacteremia. Radiological studies abdominal ultrasound or CT scan were performed in 19