title: [The significance of the evocative test in the diagnosis of chronic pancreatitis (author's transl)].
abstract: To evaluate the predictive value of the evocative test (E.T.) in the diagnosis of pancreatitis, the E.T. was performed in 35 healthy subjects (group I), 65 patients with a presumptive clinical of chronic pancreatitis (group II), and 52 patients with proved chronic pancreatitis (group III). In group I, false positive results were obtained in 11,4% of the patients, the increase in lipase above the upper limit of normal was relatively small. The patients of group II gave abnormal E.T.'s in 63%, reduced faecal chymotrypsin activities being found in 40%, and steatorrhea in 28% of the cases. Positive E.T.'s were associated with abnormal chymotrypsin and faecal fat determinations in 51% and 27%, respectively. In group III,, a positive E.T. was obtained in 60%, the test results show a signifikant negative correlation with the extent of pancreatic exocrine insufficiency. In group of patients with confirmed chronic pancreatitis but without steatorhea, the E.T. was positive in 72%. The E.T. has a limited value in the diagnosis of early stages of chronic pancreatitis.
mesh_terms: D002908:Chronic Disease; D002918:Chymotrypsin / Q000032:analysis; D004796:Clinical Enzyme Tests / Q000379:methods; D005189:False Positive Reactions; D005243:Feces / Q000032:analysis; D006801:Humans; D008049:Lipase / Q000097:blood*; D008055:Lipids / Q000032:analysis; D010195:Pancreatitis / Q000175:diagnosis*
chemical_list: D008055:Lipids; D008049:Lipase; D002918:Chymotrypsin
vernacular_title: Die Bedeutung des Evokationstests für die Diagnostik der chronischen Pankreatitis.