• Acta medica Scandinavica · Jan 1986

    Amylase, pancreatic isoamylase and lipase in serum before and after endoscopic pancreatography.

    • U Fjøsne, H L Waldum, I Romslo, P M Kleveland, H Johnsen, and L F Engebretsen.
    • Acta Med Scand. 1986 Jan 1; 219 (3): 301-4.

    AbstractSerum amylase, isoamylase and lipase were determined in 17 patients with pancreatic or biliary diseases before and after endoscopic retrograde pancreatography (ERP). Within 1/2-2 hours after cannulation of the pancreatic duct, serum lipase was increased to approximately 4 times the upper reference level and normalized almost completely at 24 hours. A much smaller increase was found in amylase and isoamylase. The elevation in enzyme activities was less in patients with abnormal than with normal ERP. The results suggest that lipase is a more sensitive indicator of pancreatic injury than amylase and isoamylase.

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