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Query: UMLS:C0001339 (acute pancreatitis)
 10,593 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In 134 consecutive patients with acute abdominal pain, we evaluated the clinical role of a new rapid test for serum lipase based on latex agglutination. The results were compared with those obtained with a widely used lipase immunoassay as well as with serum amylase and pancreatic isoamylase measurements. Fifty-five healthy subjects were studied as controls. In 174 cases (121 patients and 53 controls) the results of the two lipase assays were in agreement. A positive lipase latex test was found in 10 of 12 patients with acute pancreatitis, in eight of 24 patients with other pancreatic diseases, and in 14 of 98 with nonpancreatic diseases. The sensitivity and specificity of this test were similar to those of the other pancreatic enzyme assays performed. The results indicate that the lipase latex agglutination test is useful for emergency screening for acute pancreatitis in patients with acute abdominal pain.
Pancreas 1986
PMID:A rapid assay for serum immunoreactive lipase as a screening test for acute pancreatitis. 356 30

Simplified prognostic criteria (SPC) have been developed for evaluating patients with acute pancreatitis. The criteria based on easily measured biologic and clinical variables were evaluated on all 76 patients with acute pancreatitis treated over a 2-year period. Results were compared with Ranson's early objective sings. All the SPC within 48 h of admission correlated significantly (p less than 0.001) with increased incidence of complications. Of the 11 early objective signs only four--fall in hematocrit, serum calcium, PO2, and fluid sequestrations--were associated with significantly increased complications. The incidence of complications, 48%, seen in patients with one or more SPC was comparable to the 50% seen in patients with three or more Ranson's early objective signs. The results suggest that SPC is a simple, easily applicable gauge that gives valuable assessment of the severity of acute pancreatitis.
Pancreas 1986
PMID:Simplified prognostic criteria in acute pancreatitis. 357 1

A 29-year-old woman with a history of a maxillary plasmacytoma treated with radiation therapy presented with painless jaundice. A computed tomography (CT) scan revealed biliary dilatation and diffuse pancreatic enlargement suggestive of pancreatitis. Percutaneous transhepatic cholangiography demonstrated encasement of the distal common bile duct by an extrinsic mass. At exploratory laparotomy, a large mass replacing the entire pancreas was found. Pathologic examination confirmed plasmacytoma. This report presents a unique case of extramedullary plasmacytoma involving the pancreas early in a patient's clinical course. The CT appearance was similar to that of acute pancreatitis.
Pancreas 1987
PMID:Biliary obstruction secondary to an extramedullary plasmacytoma of the pancreas: confusion with pancreatitis on computed tomography. 362 27

The incidence and significance of pancreas-related complications (pseudocysts, abscesses, and fistulas) were evaluated in 100 patients with acute pancreatitis. Alcoholic (40 percent), biliary (20 percent), and postoperative (15 percent) pancreatitis were seen most frequently. Eighteen patients had severe pancreatitis (3 or more Ranson's criteria). The overall mortality rate was 8 percent, and there were 16 pancreas-related complications. Pancreas-related complications developed in eight patients (53 percent), including two pseudocysts, four abscesses, and two fistulas. The incidence of pancreas-related complications was significantly greater in the postoperative group than in the overall 9 percent incidence in the other groups (p less than 0.005). Half of these patients required operation for their complications. Patients with postoperative pancreatitis are at a markedly increased risk of pancreas-related complications. Since these complications occur even in apparently mild cases of pancreatitis, these patients should be followed closely to detect pancreas-related complications.
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PMID:Increased incidence of pancreas-related complications in patients with postoperative pancreatitis. 407 61

Pancreas divisum was demonstrated in 22 of 500 consecutive ERCP (4.4%). Among patients with otherwise normal ERCP, pancreas divisum was found in 12.8%. In contrast, only 1.8% of patients with other pathology in the ERCP exhibited pancreas divisum (p less than 0.001). In relation to the clinical indication, pancreas divisum was found in 13.3% of patients with suspected or proven pancreatitis, in 1.9% of patients with suspicion of biliary tract disease (p less than 0.001), in 1.9% of patients with suspicion of pancreatic cancer (p less than 0,05) and in 4.4% of patients with epigastric pain of undetermined origin (p greater than 0.05). In 14 patients pancreas divisum was the only pathological finding in a thorough clinical and gastrointestinal workup; 6 of the 14 patients had had typical episodes of pancreatitis, in 6 other patients there was clinical and biochemical evidence of pancreatic disease (mainly pain and hyperenzymemia), and the last 2 cases had chronic epigastric pain without biochemical abnormalities. In 2 patients of this series the pancreas divisum was misinterpreted morphologically (sonography, autopsy) as tumor of the head of the pancreas. Based upon our experience and the literature, the following practical conclusions can be drawn: 1. Pancreas divisum may cause typical episodes of acute (relapsing) pancreatitis. 2. In patients with chronic epigastric pain associated with hyperenzymemia but without typical acute pancreatitis, pancreas divisum may be the cause. 3. Morphologically pancreas divisum may mimic a pancreatic tumor (sonography, computer-tomography, autopsy).
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PMID:[Clinical significance of pancreas divisum]. 618 82

Nonfusion of the pancreatic ducts (pancreas divisum) was diagnosed in 41 of 812 patients in whom ERCP provided a definite diagnosis (5.04% of cases). Pancreas divisum was significantly associated with diseases of the pancreas. Chronic pancreatitis was less frequently observed in cases of pancreas divisum whereas acute pancreatitis, especially acute recurrent pancreatitis, was statistically more frequently seen in patients in whom the anomaly was present. These results support the hypothesis that pancreas divisum favours the development of acute pancreatitis.
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PMID:Clinico-pathological conditions associated with pancreas divisum. 708 65

Detailed clinical and laboratory follow-up was made of 113 patients, two to 12 years after their first attack of acute pancreatitis, to assess complete recovery versus the development either of acute relapsing pancreatitis, or of chronic pancreatitis. Mortality was low in patients with recurrent attacks of acute pancreatitis. Complete recovery decreased wih increasing periods of follow-up. In the group of alcoholic patients, complete recovery decreased continuously with a corresponding increase in chronic pancreatitis. In the group of patients with gallstones, chronic pancreatitis developed up to about three years after the acute attack, after which the recovery rate remained steady. Chronic pancreatitis in the patients with gallstones was usually painless. In patients with idiopathic pancreatitis, a high incidence of acute relapsing pancreatitis was seen, but this rarely persisted after three years. Pancreas function rarely recovered completely after an attack of severe acute pancreatitis. Alcohol withdrawal decreased the pain syndrome, but not the development of chronic pancreatitis. Early removal of gallstones minimized the development of chronic pancreatitis. Complete recovery did occur after one attack of acute pancreatitis, but probably only when the aetiological antecedent (alcohol or gallstones) had not been operating for a long time, as it is the antecedent rather than the acute attack which determines the eventual outcome.
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PMID:Natural history of acute pancreatitis. A long-term study. 746

To study the importance of oxygen-derived free radicals in acute pancreatitis, an experimental study of in vivo detection of superoxide free radicals (O2-) was performed using rats. Using a new chemiluminescence probe (2-methyl-6-[p-methoxyphenyl]-3,7-dihydro-imidazol[1,2-1]pyrazin- 3-one; MCLA; a Cypridina luciferin analogue) and a highly sensitive photon counting system, O2- from the pancreatic surface of rats with experimental acute pancreatitis induced by 180 micrograms cerulein/kg was detected. The time course of MCLA-dependent luminescence suggested that O2- production began 2-3 h after cerulein injection and then decreased gradually. Superoxide free radical production in the pancreas of rats with cerulein-induced acute pancreatitis was confirmed using MCLA-dependent chemiluminescence. This new method allows direct observation of the behavior of oxygen-derived free radicals.
Pancreas 1995 Aug
PMID:Detection of superoxide free radicals in rats with acute pancreatitis. 747 67

The effects of green tea catechins (Polyphenon) on DL-ethionine-induced acute pancreatitis in rats were examined. The acute pancreatitis induced in this study was characterized by moderate inter- and intrastitial edema and patchy acinar cell necrosis. In rats induced with acute pancreatitis by an intraperitoneal injection of DL-ethionine, the wet weight of the pancreas (0.47 +/- 0.059 g/100 g body weight; p < 0.05), the serum amylase (10,432 +/- 996 IU/L; p < 0.001), and the tissue concentration of lipid peroxides (19.5 +/- 1.78 nmol/mg tissue DNA; p < 0.001) were significantly increased compared with values obtained in control rats (0.39 +/- 0.037 g/100 g body weight, 5,639 +/- 1,568 IU/L, and 10.7 +/- 1.04 nmol/mg tissue DNA, respectively) injected with isotonic saline. In contrast, in rats injected with DL-ethionine and supplied with a green tea catechin solution as a beverage instead of water during the experimental period, the tissue of pancreas was almost-correct, and the wet weight of the pancreas (0.39 +/- 0.054 g/100 g body weight; p < 0.05), the serum amylase (5,716 +/- 708 IU/L; p < 0.001), and the concentration of lipid peroxides in tissue (11.5 +/- 2.15 nmol/mg tissue DNA; p < 0.001) were significantly decreased compared with values obtained in rats injected with DL-ethionine and supplied with water as a beverage. These data suggest that green tea catechins may have a protective effect on the pathogenesis of experimental acute pancreatitis.
Pancreas 1995 Aug
PMID:The effects of green tea catechins (Polyphenon) on DL-ethionine-induced acute pancreatitis. 747 68

Stimulation of the exocrine pancreas with cholecystokinin analogues leads to a variety of intraacinar processes, many coupled to energy consumption. It was hypothesized that extensive ATP depletion could play a role in the pathophysiology of acute pancreatitis, especially in the hyperstimulation (cerulein) model. Mice received seven intraperitoneal injections of cerulein at hourly intervals, at doses ranging from physiological (0.1 micrograms/kg) to pharmacological (50 micrograms/kg). A single dose of cerulein induced a 28-33% decrease in ATP, whereas a complete course of injections led to a nadir as low as 45% of the control value. The overall pattern of ATP tissue content during the observed time course was surprisingly similar in all four groups and statistically not different at any time point. Until 12 h, ATP levels in all groups remained below the control value. In contrast, serum amylase and light microscopy reflected a degree of pancreatitis in a close dose-response pattern to the administered cerulein dose. These findings suggest that ATP depletion--although probably facilitating acinar damage--does not seem to play a causal or primary role in the pathophysiology of acute pancreatitis.
Pancreas 1995 Aug
PMID:Energy metabolism in mouse pancreas in response to different dosages of a CCK analogue. 747 70


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