Volume : IX, Issue : III, March - 2019

CLINICAL SIGNIFICANCE OF SERUM AND URINARY AMYLASE IN ACUTE PANCREATITIS

Dr. S. Jegadhesan

Abstract :

INTRODUCTION: Acute pancreatitis is one of the commonest acute abdominal conditions presenting to the emergency. CT abdomen has been used widely to diagnose and also to exclude other acute abdominal conditions. Serum amylase is still being widely used to assist the diagnosis of acute pancreatitis. Most of the cases with typical symptoms can be diagnosed clinically but still few cases with atypical/mild symptoms with normal or subclinical serum amylase become difficult to diagnose. So this may result in misdiagnosis of cases of acute pancreatitis. Many newer investigations like serum procalcitonin, IL,IL –6 and urinary trypsinogen–2 are now used in the diagnosis of acute pancreatitis. But most of these investigations are expensive and require trained personnel. Reports from various studies have shown that the hourly excretion rate of urinary amylase could be more frequently abnormal in the presence of pancreatic diseases than the serum concentration of either amylase or lipase, and compared to the newer expensive investigations, urine amylase estimation is cheaper.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

CLINICAL SIGNIFICANCE OF SERUM AND URINARY AMYLASE IN ACUTE PANCREATITIS, Dr. S. Jegadhesan INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-3 | March-2019

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