The value of diagnostic findings in acute pancreatitis

Acute pancreatitis is a common cause of abdominal pain, without any characteristic signs, symptoms or a gold standard diagnostic modality. This study aimed to review the value of diagnostic findings in acute pancreatitis. This review article by searching on Google scholar search engines and databases magiran, Sid, PubMed and iranmedex by keyword pancreatitis, pancreas, diagnosis and laboratory findings between 1990 and 2015 was done. The results showed that urine trypsinogen with a sensitivity of 80% and specificity of 90 percent, Amylase with sensitivity and specificity of 82.6% and 75% and lipase with 76 and 85.7 percent are used in the diagnosis of pancreatitis. The low level of bicarbonate, and IL-17 were valuable in the diagnosis of pancreatitis. Serum levels C-reactive protein and interleukin-15 valuable had shown in pancreatitis and the sensitivity and specificity of 92.3 and 78.8 respectively 40 and 48 percent, respectively. But in foreign studies results regarding the use of enzymes, Interleukin 6 and 8 there was no consensus. They also identified CRP and urinary markers as a valuable indicator. According to the results of different studies using markers such as C-reactive protein and urine trypsinogen pancreatitis would be useful.

کلیدواژه ها:

Pancreatitis ، Pancreas ، Diagnosis ، Laboratory findings