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Diagnosis of chronic pancreatitis: Functional testing.
Best Pract Res Clin Gastroenterol
June 2010
Department of Gastroenterology and Hepatology, The University Hospital of Santiago de Compostela, Spain.
The diagnosis of chronic pancreatitis is mainly based on imaging procedures (e.g., endoscopic ultrasound, magnetic resonance cholangiopancreatography (MRCP) and magnetic resonance imaging (MRI)).
View Article and Find Full Text PDF[Preoperative laboratory diagnosis in pancreatic surgery--what is necessary?].
Swiss Surg
January 2001
IV. Medizinische Universitätsklinik, Schwerpunkt Gastroenterologie und Hepatologie, Fakultät für Klinische Medizin Mannheim, Universität Heidelberg, Universitätsklinikum Mannheim.
Some aspects of preoperative laboratory investigations are discussed in pancreatic surgery. Diagnosis of acute pancreatitis is not a major diagnostic problem with pancreatic enzyme measurement and with further regard to medical history and clinical presentation. However, early assessment of the prognosis of acute pancreatitis still remains a clinical challenge.
View Article and Find Full Text PDFFaecal elastase 1: not helpful in diagnosing chronic pancreatitis associated with mild to moderate exocrine pancreatic insufficiency.
Gut
April 1998
Department of Internal Medicine, Municipal Hospital of Lüneburg, Germany.
Background/aim: The suggestion that estimation of faecal elastase 1 is a valuable new tubeless pancreatic function test was evaluated by comparing it with faecal chymotrypsin estimation in patients categorised according to grades of exocrine pancreatic insufficiency (EPI) based on the gold standard tests, the secretin-pancreozymin test (SPT) and faecal fat analysis.
Methods: In 64 patients in whom EPI was suspected, the following tests were performed: SPT, faecal fat analysis, faecal chymotrypsin estimation, faecal elastase 1 estimation. EPI was graded according to the results of the SPT and faecal fat analysis as absent, mild, moderate, or severe.
Sensitivity and specificity of quantitative determination of pancreatic elastase 1 in feces of children.
J Pediatr Gastroenterol Nutr
January 1997
Department of Pediatrics, University of Technology, Dresden, Germany.
Background: The secretin-pancreozymin test has been accepted as the gold standard for testing exocrine pancreatic function. However, this test is invasive, time-consuming, and expensive. Therefore, in daily practice, more simple, indirect methods are proposed.
View Article and Find Full Text PDFExocrine pancreatic insufficiency: accuracy and clinical value of the uniformly labelled 13C-Hiolein breath test.
Gut
November 1996
Medical Department II, Centre of Internal Medicine, University Hospital, JW Goethe-University Frankfurt, Germany.
Background And Aims: The 13C-Hiolein breath test (98% [U-13C] labelled long chain triglyceride mixture (highly labelled triolein) was evaluated as a non-invasive, non-radioactive test for exocrine pancreatic insufficiency. Accuracy and clinical validity were examined with reference to both the secretin pancreozymin test and faecal fat analysis.
Methods: A secretin pancreozymin test and faecal fat analysis were performed in 46 patients, 30 with exocrine pancreatic insufficiency and 16 with normal pancreatic function.
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