Diagnostic problems in acute pancreatitis: relationship between amylasuria values and study of peritoneal exudate
Four cases of acute- pancreatitis which present troubles in order to perform a diagnosis are exposed. The real positive value of urinary amylase dosages produce errors when theirmarks are taken into consideration to state or refuse the diagnosis of acute pancreatitis. W...
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| Päätekijä: | |
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| Aineistotyyppi: | article |
| Kieli: | espanja |
| Julkaistu: |
2020
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| Aiheet: | |
| Linkit: | https://revista.scu.org.uy/index.php/cir_urug/article/view/1794 |
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| _version_ | 1868890177305313280 |
|---|---|
| author | Perdomo, Roberto |
| author_browse | Perdomo, Roberto |
| author_facet | Perdomo, Roberto |
| author_role | author |
| collection | Revista Cirugía del Uruguay |
| dc.creator.none.fl_str_mv | Perdomo, Roberto |
| dc.date.none.fl_str_mv | 2020-04-13 |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://revista.scu.org.uy/index.php/cir_urug/article/view/1794 |
| dc.language.none.fl_str_mv | spa |
| dc.publisher.none.fl_str_mv | Sociedad de Cirugía del Uruguay |
| dc.relation.none.fl_str_mv | https://revista.scu.org.uy/index.php/cir_urug/article/view/1794/1635 |
| dc.rights.none.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | Cirugía del Uruguay; Vol. 35 No. 2 (1965): Revista Cirugía del Uruguay; 162-168 Cirugía del Uruguay; Vol. 35 Núm. 2 (1965): Revista Cirugía del Uruguay; 162-168 Cirugía del Uruguay; v. 35 n. 2 (1965): Revista Cirugía del Uruguay; 162-168 1688-1281 0009-7381 reponame:Revista Cirugía del Uruguay instname:Sociedad de Cirugía del Uruguay instacron:Sociedad de Cirugía del Uruguay |
| dc.subject.none.fl_str_mv | pancreatitis aguda cirugía abdominal acute pancreatitis abdominal surgery |
| dc.title.none.fl_str_mv | Diagnostic problems in acute pancreatitis: relationship between amylasuria values and study of peritoneal exudate Problemas de diagnóstico en pancreatitis aguda: relación entre valores de amilasuria y estudio del exudado peritoneal |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/publishedVersion |
| description | Four cases of acute- pancreatitis which present troubles in order to perform a diagnosis are exposed. The real positive value of urinary amylase dosages produce errors when theirmarks are taken into consideration to state or refuse the diagnosis of acute pancreatitis. W e have found examples of false-positive dosage in bowel strangulation; false. negative dosage in an acute necrotizing haemorragic pancreatitis, and a questionable one in a developed acute pancreatitis. It is difficult to perform a diagnosis in acute pancreatitis and biliar-peritonitis connected, specially in bilio pancreatic and pancreatic-biliar peritonitis, as they were called by Tejerina Fotheringham. At last, we can emphasize that the study of pancreatitis is harmless, when it is positive, in order to perform the difinitive diagnosis. Therefore, the author analyses: 1) the physical characteristics of peritoneal fluid; 2) the hígher persistentnucleous .f amylase in this fluid than in seru and urine, and 3) other chemical an citobacteriological studies that help to p form the diagnosis of acute pancreatitis. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | anni_bb81bcbb17be395063fc8d0c04e57b06 |
| instacron_str | Sociedad de Cirugía del Uruguay |
| institution | Sociedad de Cirugía del Uruguay |
| instname_str | Sociedad de Cirugía del Uruguay |
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| oai_identifier_str | oai:ojs2.revista.scu.org.uy:article/1794 |
| publishDate | 2020 |
| publishDateSort | 2020 |
| publisher.none.fl_str_mv | Sociedad de Cirugía del Uruguay |
| reponame_str | Revista Cirugía del Uruguay |
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| spelling | Diagnostic problems in acute pancreatitis: relationship between amylasuria values and study of peritoneal exudateProblemas de diagnóstico en pancreatitis aguda: relación entre valores de amilasuria y estudio del exudado peritonealPerdomo, Robertopancreatitis agudacirugía abdominalacute pancreatitisabdominal surgeryFour cases of acute- pancreatitis which present troubles in order to perform a diagnosis are exposed. The real positive value of urinary amylase dosages produce errors when theirmarks are taken into consideration to state or refuse the diagnosis of acute pancreatitis. W e have found examples of false-positive dosage in bowel strangulation; false. negative dosage in an acute necrotizing haemorragic pancreatitis, and a questionable one in a developed acute pancreatitis. It is difficult to perform a diagnosis in acute pancreatitis and biliar-peritonitis connected, specially in bilio pancreatic and pancreatic-biliar peritonitis, as they were called by Tejerina Fotheringham. At last, we can emphasize that the study of pancreatitis is harmless, when it is positive, in order to perform the difinitive diagnosis. Therefore, the author analyses: 1) the physical characteristics of peritoneal fluid; 2) the hígher persistentnucleous .f amylase in this fluid than in seru and urine, and 3) other chemical an citobacteriological studies that help to p form the diagnosis of acute pancreatitis.Se presentan 4 observaciones de pancreatitis agudas que plantearon problemas especiales para su diagnóstico positivo. A su través se intenta ilustrar los errores a que expone la valorización de las dosifica.ciones de amilasa urinaria, cuando sus cifras son tomadas con carácter absoluto para afirmar o negar el diagnóstico de pancreatitis aguda. Las observaciones ofrecen ejemplos de dosificaciones falsa-positiva, en la estrangulación intestinal, falsa-negativa, en una pancreatitis aguda necrótica y hemorrágica grave, y dudosa, en una pancreatitis aguda evolucionada. En una última observación, se pone de relieve el problema de diagnóstico particularmente difícil que presenta la asociación de pancreatitis aguda y peritonitis biliar, en las formas llamadas por Tejerina Fotheringham, peritonitis -biliopancreáticas y y pancreáticobiliares. Finalmente, se destaca el valor de la paracentesis como estudio complementario inoc?o y de seguro valor, cuando positiva, para establecer el diagnóstico definitivo. A este propósito se hacen consideraciones sobre los caracteres físicos del exudado peritoneal, los niveles más altos y más persistentes de amilasa en este exudado que en suero y orina, así como sobre otros aportes con que el. estudio químico y citobacteriológico inmediato de ese líquido contribuye a establecer el diagnóstico de pancreatitis aguda.Sociedad de Cirugía del Uruguay2020-04-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revista.scu.org.uy/index.php/cir_urug/article/view/1794Cirugía del Uruguay; Vol. 35 No. 2 (1965): Revista Cirugía del Uruguay; 162-168Cirugía del Uruguay; Vol. 35 Núm. 2 (1965): Revista Cirugía del Uruguay; 162-168Cirugía del Uruguay; v. 35 n. 2 (1965): Revista Cirugía del Uruguay; 162-1681688-12810009-7381reponame:Revista Cirugía del Uruguayinstname:Sociedad de Cirugía del Uruguayinstacron:Sociedad de Cirugía del Uruguayspahttps://revista.scu.org.uy/index.php/cir_urug/article/view/1794/1635info:eu-repo/semantics/openAccessoai:ojs2.revista.scu.org.uy:article/17942026-06-16T04:48:03Z |
| spellingShingle | Diagnostic problems in acute pancreatitis: relationship between amylasuria values and study of peritoneal exudate Perdomo, Roberto pancreatitis aguda cirugía abdominal acute pancreatitis abdominal surgery |
| status_str | publishedVersion |
| title | Diagnostic problems in acute pancreatitis: relationship between amylasuria values and study of peritoneal exudate |
| title_full | Diagnostic problems in acute pancreatitis: relationship between amylasuria values and study of peritoneal exudate |
| title_fullStr | Diagnostic problems in acute pancreatitis: relationship between amylasuria values and study of peritoneal exudate |
| title_full_unstemmed | Diagnostic problems in acute pancreatitis: relationship between amylasuria values and study of peritoneal exudate |
| title_short | Diagnostic problems in acute pancreatitis: relationship between amylasuria values and study of peritoneal exudate |
| title_sort | Diagnostic problems in acute pancreatitis: relationship between amylasuria values and study of peritoneal exudate |
| topic | pancreatitis aguda cirugía abdominal acute pancreatitis abdominal surgery |
| url | https://revista.scu.org.uy/index.php/cir_urug/article/view/1794 |