THE VALUE OF BIOCHEMICAL TESTS IN DISTINGUISHING ACUTE PANCREATITIS DUE TO GALLSTONE
MUSTAFA TİRELİ, ADAM USLU, AHMET DEMİRÇAK, ALİ RIZA SANUL
SSK Tepecik Hastanesi 3.Cerrahi Kliniği, İZMİR
The early diagnosis of the acute pancreatitis has great importance for the therapy. In this investigation, the effectiveness of the six parameters (age, sex, SGOT, SGPT, amilase, alkaline phosphatase) to distinguish the acute pancreatitis due to gallstone from the other types is assessed in 106 patients. Among these patients 67 of them had acute pancreatitis due to gallstone, whereas 39 patients showed acute pancreatitis due to other causes. Biliary and nonbiliary pancreatitis were found to be statistically significantly different when compared in the aspects of sex, amilase, SGOT, SGPT, (p<0.05). Results taken above cut off points which are 3000 IU for amilase, and 100 IU for SGOT and SGPT were found to be more significant for the biliary pancreatitis.
These findings bring up the result that simple biochemical investigations like amilase, SGOT, SGPT can be helpful in diagnosing the gallstone acute pancreatitis.