[Study of an optimal biological profile for demonstrating pancreatic involvement in acute abdominal syndrome].
The authors have studied several seric, plasmatic and urinary constituents in patients hospitalized for an acute abdominal syndrome to be able to characterize an eventual pancreatic lesion; mainly seric and urinary amylase as well as its isoenzymes, lipase, liver profile and trypsin. In acute pancreatitis, the means of the maximal increases of seric amylase, lipase and trypsin are respectively: 10.7; 21.6 and 19.2 X N (upper normal limit) whereas in chronic pancreatitis, these elevations are 6.5 X N for amylase and 9.5 XN for lipase. The authors observed at J1 (first day of hospitalisation) and at J2 an increase in seric amylase, lipase and/or liver profile respectively in 95, 90 and 25 p. cent of acute pancreatitis; in 86, 86 and 14 p. cent of chronic pancreatitis and 43, 39 and 86 p. cent of bili duct diseases. In conclusion, it appears compulsory to run a liver profile with the pancreatic enzymes (amylase and lipase) to diagnose a pancreatitis in presence of an acute abdominal syndrome.
Foucault
P
P
Laboratoire de Biochimie A, CHU Côte de Nacre, Caen.
Menard
S
S
Papadopoulos
V
V
Bureau
F
F
Travert
G
G
Labat-Robert
J
J
Meimon
G
G
Siramy
M
M
Drosdowsky
M
M
D000006:Abdomen, Acute / Q000097:blood / Q000209:etiology* / Q000652:urine; D001649:Bile Duct Diseases / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000097:blood / Q000150:complications* / Q000652:urine; D012016:Reference Values
Recherche d'un profil biologique optimal pour la mise en évidence d'une atteinte pancréatique devant un syndrome abdominal aigu.