Téma: 

Current diagnostics of acute pancreatitis

Julius Špičák

The cause of the reduction in mortality from acute pancreatitis is improved diagnosis. Although not completely specific markers, amylase and lipase still play an irreplaceable role in establishing the diagnosis. A threefold increase in their levels is considered pathognomic. Determination of other enzymes has not found general acceptance mainly because of the costs involved. Severity of the condition is assessed using laboratory investigations and imaging methods. The best characterized is C-reactive protein, its drawbacks include a low specificity and its slowly rising levels, peaking on days 3 – 4. Among imaging methods, ultrasound has been employed to rule out biliary etiology and to assess local complications, while CT with a contrast-medium bolus will reliably visualize pancreatic necrosis and has become standard procedure. Magnetic resonance imaging may play a similar role in the future.

Ročník 2004  Témy časopisu Gastroenterology for practice 1 / 2004

CHAIRMAN OF THE EDITORIAL BOARD
prof. MUDr. Rudolf Hyrdel, CSc.

MEMBERS OF THE EDITORIAL BOARD
doc. MUDr. Marian Bátovský, CSc., mim. prof. SZU
prof. MUDr. Juraj Bober, CSc.
MUDr. Ivan Bunganič
prof. MUDr. Petr Dítě, DrSc.
doc. MUDr. Martin Huorka, CSc.
doc. MUDr. Peter Makovník, CSc.
MUDr. Juraj Májek, PhD.
prof. MUDr. Peter Mlkvý, CSc.
MUDr. Tomáš Šálek
MUDr. Renata Szépeová, PhD.
prof. MUDr. Anton Vavrečka, CSc.
MUDr. Mária Zakuciová

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Ing. Danica Paulenová
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2. Gao YT, McLaughlin JT, Gridley T, et al. Risk factors for esophageal cancer in Shanghai, China. Role of diet and nutrients. Int J Cancer 1994; 58: 197-202.
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Origination of pigment stones is related to:
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