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Titolo:
Hyperamylasemia and subclinical pancreatitis after cardiac surgery
Autore:
Ihaya, A; Muraoka, R; Chiba, Y; Kimura, T; Uesaka, T; Morioka, K; Matsuyama, K; Tsuda, T; Nara, M; Niwa, H;
Indirizzi:
Fukui Med Univ Hosp, Dept Surg 2, Matsuoka, Fukui 9101193, Japan Fukui MedUniv Hosp Matsuoka Fukui Japan 9101193 ka, Fukui 9101193, Japan
Titolo Testata:
WORLD JOURNAL OF SURGERY
fascicolo: 7, volume: 25, anno: 2001,
pagine: 862 - 864
SICI:
0364-2313(200107)25:7<862:HASPAC>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARDIOPULMONARY BYPASS; AMYLASE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Ihaya, A Fukui Med Univ Hosp, Dept Surg 2, 23 Shimoaizuki, Matsuoka, Fukui9101193,Japan Fukui Med Univ Hosp 23 Shimoaizuki Matsuoka Fukui Japan 9101193 n
Citazione:
A. Ihaya et al., "Hyperamylasemia and subclinical pancreatitis after cardiac surgery", WORLD J SUR, 25(7), 2001, pp. 862-864

Abstract

Hyperamylasemia after cardiac surgery is common but typically causes no clinical concern because it consists mainly of the salivary isoenzyme. In this study we evaluated the incidence, source, and time course of postoperative hyperamylasemia with special attention to the possibility of subclinical pancreatitis. In 88 patients prospectively tested for serum amylase and lipase concentrations, elastase 1 activity, and amylase isoenzyme characteristics, 57 (64%) showed hyperamylasemia during the early postoperative period. In most cases early hyperamylasemia was not of pancreatic origin, but two patients were diagnosed with subclinical pancreatitis. Among the last 23 patients, 5 of 10 patients with early hyperamylasemia exceeding 1000 IU/L showed late hyperamylasemia on the seventh postoperative day, when it represented mainly the pancreatic isoenzyme. Lipase concentrations and elastase 1 activities were elevated in these cases. Late hyperamylasemia following cardiac surgery may be of pancreatic origin and indicative of subclinical pancreatitis, even if early hyperamylasemia was of salivary origin.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 20:49:17