Clinicobiochemical factors in predicting gallstones in necrotizing pancreatitis
Nordback, I.; Auvinen, O.; Autio, V.
Surgery Gynecology and Obstetrics 161(2): 139-141
1985
ISSN/ISBN: 0039-6087 PMID: 2410985 Document Number: 260501
Patients (61) with acute necrotizing pancreatitis were studied for age, sex, ASAT , alkaline phosphatase, bilirubin and amylase 48 h after admission, these factors having recently been found to be significant in predicting this gallstone-associated disease. Age, ASAT, ALAT and alkaline phosphatase were found to be significant. However, 38% of the patients with pancreatitis and gallstones remained unidentified with these criteria only. Thus, more intensive methods of investigation should be used whenever gallstone-associated pancreatitis is suspected. Increased hepatic chemistry could seldom be explained by the necrotizing form of pancreatitis if there was no biliary tract cause.