Lipase/Amylase Ratio to Predict Alcoholic Versus Gall Stone as Etiology of Acute Pancreatitis in Population of Upper Assam
Journal Title: PARIPEX-Indian Journal of Research - Year 2016, Vol 5, Issue 12
Abstract
INTRODUCTION: Acute pancreatitis patients are mostly caused by gall stone or chronic alcoholism. Serum Lipase/amylase ratio can be used to distinguish the etiology. AIM: To study serum amylase, lipase, lipase/amylase ratio in patients of acute pancreatitis. METHOD: Prospective study of 549 patients suffering from acute pancreatitis. Blood sample collected in emergency department and subjected to analysis in SEIMENS auto analyser by spectrophotometry. RESULTS: Amylase has positive correlation 0.252, 99% CI with alcoholic pancreatitis with mean lipase/amylase ratio=4.0. In gallstone pancreatitis mean lipase/amylase ratio=1.67. If L/A ratio =2.3, +LR=5.63, –LR=0.17,sensitivity85.7% & specificity84.8%,can be used as cutoff. CONCLUSION: We find Lipase/Amylase ratio of >2.3 suggests alcoholic origin in whom no acute intervention is indicated while ratio< 2.3 of biliary origin in whom surgical intervention required.
Authors and Affiliations
Dr. Arpita Saxena, Dr. Monigopa Das, Dr. Ratnesh Kumar
Keywords
Related Articles
- EP ID EP569564
- DOI -
- Views 66
- Downloads 0
PROPOFOL – KETAMINE VERSUS PROPOFOL – FENTANYL FOR OUT PATIENT LAPAROSCOPY AND COMPARISION OF POST OPERATIVE NAUSEA,EMESIS ANALGESIA AND RECOVERY.
Aims: To compare post operative nausea,emesis analgesia and recovery between propofol – ketamine versus propofol – fentanyl for out patient laparoscopy tubal ligation.Study: Prospective randomized blinded study.Methods :...
PREOPERTAIVE EVALUATIONS AS A PREDICECTOR FOR ASSESSMENT OF DIFFICULTY IN LAPAROSCOPIC CHOLECYSTECTOMY
INTRODUCTION: Laparoscopic cholecystectomy is the most common abdominal procedure performed in Western countries. Preoperative procedures including ultrasound can be used as a predictor of difficulty level during surgica...
Traumatic Cerebellar Hematoma: A Single Institute Experience
Background-Traumatic cerebellar hematoma(TCH)is rare, but they are important cause of morbidity and mortality. Method-Thisretrospective study was conducted over two years on patients of head injury at a tertiary care cen...
Management of Crop Quality & Productivity Using Solar Power Irrigation System
Energy is a key resource for the overall development of an economy. India receives 5000 Trillion kWh/year amount of solar energy with a daily average solar energy incidence of 4-7 kWh/m2. This is considerably more than t...
LEARNING STYLES OF PROSPECTIVE TEACHER AND ITS RELATION TO TEACHING COMPETENCY
The present study is on Learning styles of prospective teacher and its relation to teaching competency. The main objective of this study was to find out the relationship between learning style and teaching competency of...