Underestimation of acute pancreatitis: patients with only a small increase in amylase/lipase levels can also have or develop severe acute pancreatitis.

@article{Lankisch1999UnderestimationOA,
  title={Underestimation of acute pancreatitis: patients with only a small increase in amylase/lipase levels can also have or develop severe acute pancreatitis.},
  author={Paul Georg Lankisch and S Burchard-Reckert and Dirk Lehnick},
  journal={Gut},
  year={1999},
  volume={44 4},
  pages={
          542-4
        }
}
BACKGROUND In most treatment studies on acute pancreatitis, pancreatologists base their diagnosis on amylase/lipase levels more than three times above the upper limit of normal (>3n) and thus exclude patients with smaller enzyme level increases. The recommendations derived from the results of treatment studies do not take into account such patients. Non-pancreatologists frequently believe that only patients with high enzyme levels have a serious prognosis. AIMS To question the assumption that… CONTINUE READING

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