Le rapport L/A permet-il d'identifier les pancréatites aiguës alcooliques [Can the L/A ratio identify acute alcoholic pancreatitis?].

Details

Serval ID
serval:BIB_F96173F151E9
Type
Article: article from journal or magazin.
Collection
Publications
Title
Le rapport L/A permet-il d'identifier les pancréatites aiguës alcooliques [Can the L/A ratio identify acute alcoholic pancreatitis?].
Journal
Acta Gastro-enterologica Belgica
Author(s)
Deltenre P., Ghilain J.M., Maisin J.M., Schapira M., Henrion J., Heller F.R.
ISSN
0001-5644 (Print)
ISSN-L
0001-5644
Publication state
Published
Issued date
1995
Volume
58
Number
2
Pages
222-229
Language
french
Notes
Publication types: English Abstract ; Journal ArticlePublication Status: ppublish
Abstract
Early distinction between acute alcoholic pancreatitis is important, because of possible emergency endoscopic sphincterotomy in case of biliary pancreatitis. The aim of this study was to evaluate the value of L/A ratio in the diagnosis of acute alcoholic pancreatitis. From 1990 to end 1993, 133 patients with acute pancreatitis were reviewed. Inclusion criteria were: 1) abdominal pain, 2) pathological serum amylase or serum lipase on admission or within 24 hours after beginning or abdominal pain, 3) acute pancreatitis at the echography or CT scan within 48 hours after admission. 60 patients met the inclusion criteria (31 alcoholic pancreatitis, 19 biliary pancreatitis and 10 pancreatitis of other causes). L/A ratio was studied in terms of delay from beginning of abdominal pain. There was no statistical difference between alcoholic and biliary pancreatitis at any time of the study, with the exception of admission. AST, ALT and alkaline phosphatase were higher in biliary pancreatitis than in alcoholic pancreatitis. AST and ALT were the best biochemical tests to diagnose biliary pancreatitis. Blamey's criteria can also contribute to diagnose biliary pancreatitis. These biochemical tests are the most helpful if they are collected very soon in the evolution of acute pancreatitis. It is concluded that L/A ratio is not helpful in the diagnosis of alcoholic acute pancreatitis.
Keywords
Acute Disease, Adult, Aged, Aged, 80 and over, Alcoholism/blood, Alcoholism/complications, Alkaline Phosphatase/blood, Amylases/blood, Female, Humans, Lipase/blood, Male, Middle Aged, Pancreatitis/enzymology, Pancreatitis/etiology, Transaminases/blood
Pubmed
Web of science
Create date
06/12/2013 10:32
Last modification date
20/08/2019 16:25
Usage data