| Biochemical evaluation of patients with acute pancreatitis. | |
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MedLine Citation:
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PMID: 11156345 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In this study we determined the clinical accuracy of alpha2-macroglobulin, alpha-amylase, C-reactive protein, lipase, non-esterified fatty acids, pancreatic alpha-amylase and phospholipase A in the diagnosis and prognosis of acute pancreatitis in a group of patients with acute abdominal pain using receiver operator characteristic curve analysis. We investigated 59 patients with acute pancreatitis and 72 patients with extrapancreatic diseases of gastrointestinal origin. On the basis of initial enzyme activities, at cut-offs of 245 U/l for amylase, 656 U/l for lipase, and 182 U/l for pancreatic alpha-amylase, the diagnostic efficiencies were 0.993, 0.980, and 0.975, respectively. Receiver operator characteristic curve analysis showed the same diagnostic accuracies. We evaluated the accuracy of serum alpha2-macroglobulin, C-reactive protein, non-esterified fatty acids and phospholipase A for differentiation between acute necrotizing pancreatitis and acute oedematous pancreatitis. C-reactive protein had the highest prognostic accuracy of the parameters studied (the area under curve = 0.9082) and at a cut-off value of 126 mg/l, sensitivity and specificity were 0.759 and 0.912, respectively. The role of the clinical laboratory in the investigation of patients with acute pancreatitis continues to evolve and biochemical parameters are a good diagnostic and prognostic option. |
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Authors:
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S Ignjatović; N Majkić-Singh; M Mitrović; M Gvozdenović |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinical chemistry and laboratory medicine : CCLM / FESCC Volume: 38 ISSN: 1434-6621 ISO Abbreviation: Clin. Chem. Lab. Med. Publication Date: 2000 Nov |
Date Detail:
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Created Date: 2001-01-11 Completed Date: 2001-03-01 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9806306 Medline TA: Clin Chem Lab Med Country: Germany |
Other Details:
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Languages: eng Pagination: 1141-4 Citation Subset: IM |
Affiliation:
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Institute of Medical Biochemistry, Clinical Center of Serbia and Faculty of Pharmacy, Belgrade, Yugoslavia. tana@eunet.yu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Amylases / blood C-Reactive Protein / metabolism Evaluation Studies as Topic Fatty Acids, Nonesterified / blood Female Humans Lipase / blood Male Middle Aged Pancreatitis / blood* Phospholipases A / blood ROC Curve Sensitivity and Specificity alpha-Macroglobulins / metabolism |
| Chemical | |
Reg. No./Substance:
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0/Fatty Acids, Nonesterified; 0/alpha-Macroglobulins; 9007-41-4/C-Reactive Protein; EC 3.1.1.-/Phospholipases A; EC 3.1.1.3/Lipase; EC 3.2.1.-/Amylases |
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