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.

Author: Malagul Maurr
Country: New Zealand
Language: English (Spanish)
Genre: Science
Published (Last): 9 March 2017
Pages: 293
PDF File Size: 8.36 Mb
ePub File Size: 18.56 Mb
ISBN: 971-8-35469-245-8
Downloads: 36124
Price: Free* [*Free Regsitration Required]
Uploader: Kazigis

There was a problem providing the content you requested

In a review of literature few reports on acute pancreatitis in ricketsiosis are found. 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. Regarding lactate increase, the proportion was higher in the group of patients who did not develop high serum lipase.

AGA Institute techical review on acute pancreatitis. Levels of lipase were chosen because they are more specific and slightly more sensitive than those of amylase for diagnosis of acute pancreatitis. To summarize, elevation of pancreatic enzymes in critically ill patients is a challenge and studies that would explain the clinical significance are scarce.

Abstract Raised serum levels of amylase are associated with acute pancreatitis, mumps, certain acute abdominal conditions, and sometimes after the administration of opiates.


As was to be expected in most patients hyperamylasemia occurred together with elevated lipase. All the contents of this journal, except where otherwise noted, is hiperamilasemiia under a Creative Commons Attribution License.

Raised serum levels of amylase are associated with acute pancreatitis, mumps, certain acute abdominal conditions, and sometimes after causzs administration of opiates. In these patients, imaging exams may play a very important role to reach a diagnosis. That is why the authors proposed to conduct a retrospective study of a series of patients in a polyvalent intensive care unit with surgical neurological or clinical admissions and assess their incidence and factors related hipedamilasemia clinical severity of these patients.

Increased lipase and amilase levels in critically ill patients: retrospective study

Abdominal TC scan is the gold standard technique for diagnosis of acute pancreatitis, to confirm diagnosis, exclude alternative diagnoses and determine the severity and presence of complications. 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. Lipase and pancreatic amylase activities in diagnosis of acute pancreatitis in patients with hyperamylasemia.

Not an uncommon combination. The following information was collected from the charts: Buy This Article Subscribe.

Patients less than 18 years old and admission of less than 72 hours were also excluded. Propofol-induced hyperamylasaemia in a general intensive care unit. Effects of postoperative sedation with propofol and midazolam on pancreatic function assessed by pancreatitis-associated protein. Using the literature to evaluate diagnostic tests: It was more frequent causss parenteral nutrition.


Amylase normal, lipase elevated: Pancreatitis; Lipase; Amylases; Intensive care units. This patient did not present a concomitant elevation of amylase.

Values of the coefficient allow writing the discriminating function as follows: Of the patients studied, caussa Is hyperlipasemia in critically ill patients of clinical importance? 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.

Nevertheless it was related to longer stay and presence of mechanical ventilation. At multivariate analysis we observed the factors that most often distinguish patients with high serum lipase, longer length of stay, presence of parenteral nutrition and fever.

Tolerance to enteral nutrition was assessed by presence of gastric stasis. Sign In Set Up Account. This rise may reflect pancreatic or extra-pancreatic production. Regarding clinical and analytical characteristics of patients Table 3those that developed high serum lipase more often showed symptoms such as hypotension, hyperthermia, elevation of transaminases and alkaline phosphatase, hiperamjlasemia, anemia, hyperglycemia and bacteremia.

Celiac Disease and Malabsorption.