title: [Blood endotoxin in acute pancreatitis using limulus amebocyte lysate test (LAL test)].
abstract: Forty-five cases of acute pancreatitis observed during the period 1986-88 were included in this study. Four of the 45 patients were operated during the acute phase and of these, two died. The remaining 41 patients were treated with conservative therapy using the application of a nasogastric tube, analgesics, and the endovenous administration of various solutions and antibiotics. The severity of each attack of pancreatitis was assessed according to Ranson and Agarwal's criteria. In severe cases (more than 3 of Ranson's criteria) the presence of endotoxin in the systemic circulation was shown using the "limulus" method, together with contemporary low levels of C3 complement factor. As is evident from the results of the study, the presence of endotoxinemia and the low level of C3 in acute pancreatitis are related to the high percentage of complications.
authors.affiliation: Clinica Chirurgica Sismanoglion, Ospedale Generale, Atene.
authors.forename: S
authors.initials: S
authors.lastname: Pierrakakis
authors.forename: G
authors.initials: G
authors.lastname: Xepapadakis
authors.forename: A M
authors.initials: AM
authors.lastname: Mega
authors.forename: T
authors.initials: T
authors.lastname: Megas
authors.forename: V G
authors.initials: VG
authors.lastname: Katergiannakis
authors.forename: G
authors.initials: G
authors.lastname: Perpirakis
authors.forename: M
authors.initials: M
authors.lastname: Filippakis
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004731:Endotoxins / Q000097:blood*; D005260:Female; D006801:Humans; D008033:Limulus Test; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000097:blood*; D011379:Prognosis
chemical_list: D004731:Endotoxins
vernacular_title: Studio sull'endotossinemia nella pancreatite acuta con l'impiego del limulus amebocyte lysate test (LAL test).