1987
DOI: 10.1159/000167458
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Serum and Peritoneal Fluid Amylase Levels in CAPD

Abstract: The mean serum amylase of 42 asymptomatic CAPD patients was elevated but was not significantly different from that of a group of chronic hemodialysis patients. Serum amylase levels in CAPD patients with peritonitis were not elevated with respect to asymptomatic patients. Amylase activity was not detectable in the peritoneal fluid of 38/42 asymptomatic patients and 6/13 peritonitis patients and was present at low levels in the other 11 patients. Patients with other abdominal conditions (pancreatitis, cholecysti… Show more

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Cited by 29 publications
(9 citation statements)
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“…Acute pancreatitis is a rare, but well-defined cause of chylous ascites [15]. In our patient, the clinical presentation was initially obscured by the presence of an infectious peritonitis, and serum amylase and lipase levels were increased, but not clearly diagnostic [6]. Only CT and laparotomy findings (choledocholithiasis, pancreatic edema, mesenteric steatonecrosis) could confirm the diag nosis.…”
Section: Discussionmentioning
confidence: 73%
See 1 more Smart Citation
“…Acute pancreatitis is a rare, but well-defined cause of chylous ascites [15]. In our patient, the clinical presentation was initially obscured by the presence of an infectious peritonitis, and serum amylase and lipase levels were increased, but not clearly diagnostic [6]. Only CT and laparotomy findings (choledocholithiasis, pancreatic edema, mesenteric steatonecrosis) could confirm the diag nosis.…”
Section: Discussionmentioning
confidence: 73%
“…The clinical presentation of pancreatitis may be very similar to that of peritonitis, both entities frequently coexisting [5][6][7]. In addi tion, although serum amylase and lipase levels are usually elevated, there is a considerable overlap with values ob served in uremic patients without pancreatitis, making these biochemical markers of pancreatitis useful only when they are markedly abnormal [4][5][6][7][8].…”
Section: Discussionmentioning
confidence: 99%
“…This case also highlights the importance of the perito neal fluid amylase level as a diagnostic tool in differentiat-231 ing routine infectious peritonitis from other serious intra abdominal pathology in CAPD patients [1][2][3]. In a recent study, peritoneal fluid amylase averaged 0.18 pkat/1 (11 U/I) in 39 patients with typical infectious peritonitis [2].…”
Section: Discussionmentioning
confidence: 95%
“…The development of serious intra-abdominal patholo gy, apart from routine infectious peritonitis, in patients on continuous ambulatory peritoneal dialysis (CAPD) is well recognized [1][2][3][4]. Approximately 30-40% of nondia lysis patients with mesenteric ischemia/infarction have no gross arterial or venous occlusion [5][6][7] and are said to have the entity of nonocclusive mesenteric infarction (NOMI).…”
Section: Introductionmentioning
confidence: 99%
“…En otro trabajo se describe que tanto los niveles de lipasa, como los de amilasa total y amilasa pancreática eran significativamente mayores en HD que en DPCA (34). La capacidad depurativa no es factor determinante ya que tanto en HD como en DPCA los aclaramientos de los diversos enzimas pancreáticos por el líquido de diálisis son insignificantes (34,54,55). Las elevaciones enzimáticas persisten estables en el tiempo, como se ha referido tras 4 años de seguimiento en un grupo de pacientes estables en HD (10).…”
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