Mechanism and specificity of increased amylase/creatinine clearance ratio in pancreatitis.

Abstract:

:The amylase/creatinine clearance ratio (Cam/Ccr ratio) was determined in 239 subjects. In 87 hospitalised patients without pancreatic disease (controls) the Cam/Ccr ratio was 3.02 +/- 0.69 (mean +/- ISD). The ratio was above the normal range in all patients with acute pancreatitis but was normal in those with chronic pancreatitis and carcinoma of the pancreas. In 18 patients with choledocholithiasis a raised ratio distinguished those with pancreatitis as assessed independently by the surgeon at laparotomy from those with a macroscopically normal pancreas. Raised Cam/Ccr ratios were also found in diabetics with ketoacidosis and in three patients with fulminant alcoholic liver disease. Though a positive correlation was found between the Cam/Ccr ratio and serum creatinine concentration, abnormally high ratios did not occur in 30 patients with chronic renal failure. A significant increase in Cam/Ccr ratios was produced in six healthy volunteers by intravenous injection of glucagon. However, it is unlikely that hyperglucagonaemia alone accounts for the increased Cam/Ccr ratio seen in acute pancreatitis, as no correlation was found between the clearance ratio and the plasma glucagon concentration in a series of patients. In two other patients in whom excess circulating pancreatic polypeptide was detected the Cam/Ccr ratio was normal. It is concluded that, in view of the sensitivity and relative specificity of finding an increased Cam/Ccr ratio in acute pancreatitis, its determination should be valuable clinically, especially in those cases of hyperamylasaemia where the cause is in doubt. The mechanism whereby the ratio is increased is unknown, and it is unlikely that either glucagon or pancreatic polypeptide is a major factor in its production.

journal_name

Gut

journal_title

Gut

authors

Marten A,Beales D,Elias E

doi

10.1136/gut.18.9.703

subject

Has Abstract

pub_date

1977-09-01 00:00:00

pages

703-8

issue

9

eissn

0017-5749

issn

1468-3288

journal_volume

18

pub_type

杂志文章

相关文献

GUT文献大全
  • Infliximab for the treatment of pyoderma gangrenosum: a randomised, double blind, placebo controlled trial.

    abstract:BACKGROUND:Pyoderma gangrenosum (PG) is a chronic ulcerating skin condition that often occurs in association with inflammatory bowel disease. There have been a number of reports of PG responding to infliximab, a monoclonal antibody against tumour necrosis factor alpha. AIM:In the first randomised placebo controlled tr...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/gut.2005.074815

    authors: Brooklyn TN,Dunnill MG,Shetty A,Bowden JJ,Williams JD,Griffiths CE,Forbes A,Greenwood R,Probert CS

    更新日期:2006-04-01 00:00:00

  • Antibodies to carbonic anhydrase and IgG4 levels in idiopathic chronic pancreatitis: relevance for diagnosis of autoimmune pancreatitis.

    abstract:BACKGROUND:Increased serum antibodies against carbonic anhydrase II (CA-II Ab) or IgG4 levels have been reported in cases of autoimmune chronic pancreatitis (ACP). AIM:To assess the relevance of serum CA-II Ab and IgG4 levels for the diagnosis of ACP in idiopathic CP (ICP) versus alcoholic CP and Sjogren's syndrome (S...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gut.2004.047142

    authors: Aparisi L,Farre A,Gomez-Cambronero L,Martinez J,De Las Heras G,Corts J,Navarro S,Mora J,Lopez-Hoyos M,Sabater L,Ferrandez A,Bautista D,Perez-Mateo M,Mery S,Sastre J

    更新日期:2005-05-01 00:00:00

  • Machine learning in GI endoscopy: practical guidance in how to interpret a novel field.

    abstract::There has been a vast increase in GI literature focused on the use of machine learning in endoscopy. The relative novelty of this field poses a challenge for reviewers and readers of GI journals. To appreciate scientific quality and novelty of machine learning studies, understanding of the technical basis and commonly...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gutjnl-2019-320466

    authors: van der Sommen F,de Groof J,Struyvenberg M,van der Putten J,Boers T,Fockens K,Schoon EJ,Curvers W,de With P,Mori Y,Byrne M,Bergman JJGHM

    更新日期:2020-11-01 00:00:00

  • Blocking VCAM-1 inhibits pancreatic tumour progression and cancer-associated thrombosis/thromboembolism.

    abstract:OBJECTIVE:Pancreatic ductal adenocarcinoma (PDAC) is the deadliest cancer. Cancer-associated thrombosis/thromboembolism (CAT), frequently observed in PDAC, is known as a poor prognostic factor. Here, we investigated the underlying mechanisms between PDAC and CAT, and performed a trial of therapeutic approach for PDAC u...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2020-320608

    authors: Sano M,Takahashi R,Ijichi H,Ishigaki K,Yamada T,Miyabayashi K,Kimura G,Mizuno S,Kato H,Fujiwara H,Nakatsuka T,Tanaka Y,Kim J,Masugi Y,Morishita Y,Tanaka M,Ushiku T,Nakai Y,Tateishi K,Ishii Y,Isayama H,Moses HL,

    更新日期:2020-10-21 00:00:00

  • Molecular characterisation of non-absorptive and absorptive enterocytes in human small intestine.

    abstract:BACKGROUND AND AIMS:Perturbation of differentiation of the crypt-villus axis of the human small intestine is associated with several intestinal disorders of clinical importance. At present, differentiation of small intestinal enterocytes in the crypt-villus axis is not well characterised. SUBJECTS AND METHODS:Expressi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2005.073262

    authors: Gassler N,Newrzella D,Böhm C,Lyer S,Li L,Sorgenfrei O,van Laer L,Sido B,Mollenhauer J,Poustka A,Schirmacher P,Gretz N

    更新日期:2006-08-01 00:00:00

  • Antimitochondrial antibody negative primary biliary cirrhosis: a distinct syndrome of autoimmune cholangitis.

    abstract::This study reports on a group of 20 patients with an initial diagnosis of primary biliary cirrhosis (PBC) whose serum tested negative for antimitochondrial antibodies by immunofluorescence. All had a clinical history compatible with primary biliary cirrhosis, and results of biochemical, histological, and radiological ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.2.260

    authors: Michieletti P,Wanless IR,Katz A,Scheuer PJ,Yeaman SJ,Bassendine MF,Palmer JM,Heathcote EJ

    更新日期:1994-02-01 00:00:00

  • No relation between body mass and gastro-oesophageal reflux symptoms in a Swedish population based study.

    abstract:BACKGROUND:There is a widespread notion that obesity leads to gastro-oesophageal reflux but scientific evidence of an association is limited and inconsistent. AIMS:To estimate the strength of the association between body mass and reflux symptoms, we performed a population based cross sectional interview study. SUBJEC...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.47.1.26

    authors: Lagergren J,Bergström R,Nyrén O

    更新日期:2000-07-01 00:00:00

  • Hydrogen peroxide induced adenosine diphosphate ribosyl transferase (ADPRT) response in patients with inflammatory bowel disease.

    abstract::The sample population in this initial case control study of the adenosine diphosphate ribosyl transferase (ADPRT) response of inflammatory bowel disease patients included: 23 patients with ulcerative colitis (UC)-active and inactive, 13 patients with Crohn's disease (CD)-active and inactive, 14 first degree relatives ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.29.12.1680

    authors: Markowitz MM,Rozen P,Pero RW,Tobi M,Miller DG

    更新日期:1988-12-01 00:00:00

  • Topical effects of 16,16 dimethyl prostaglandin E2 on gastric acid secretion and mucosal permeability to hydrogen ions in dogs.

    abstract::The effects of luminal instillation of 16,16 dimethyl PGE2 (dmPGE2) on gastric acid secretion and back diffusion of H+ were studied in anaesthetised dogs which were prepared with a segment of the greater curvature of the stomach mounted in a double lumen chamber. This model permitted simultaneous evaluation of two seg...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.19.9.775

    authors: Cheung LY,Lowry SF,Perry J,Larson K

    更新日期:1978-09-01 00:00:00

  • Duodenal adenomatosis in familial adenomatous polyposis.

    abstract:BACKGROUND:The prevalence of duodenal carcinoma is much higher in familial adenomatous polyposis (FAP) than in the background population, and duodenal adenomatosis is found in most polyposis patients. AIMS:To describe the long term natural history of duodenal adenomatosis in FAP and evaluate if cancer prophylactic sur...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gut.2003.027771

    authors: Bülow S,Björk J,Christensen IJ,Fausa O,Järvinen H,Moesgaard F,Vasen HF,DAF Study Group.

    更新日期:2004-03-01 00:00:00

  • DNA viruses in the pathogenesis of sporadic chronic idiopathic intestinal pseudo-obstruction.

    abstract:BACKGROUND:Hereditary forms of chronic idiopathic intestinal pseudo-obstruction (CIIP) are well described but the aetiology of most cases of sporadic CIIP is unknown. AIM:To determines whether herpes viruses can persist in the gastrointestinal tract, thereby implicating them in the pathogenesis of CIIP. METHODS:Twent...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.41.1.100

    authors: Debinski HS,Kamm MA,Talbot IC,Khan G,Kangro HO,Jeffries DJ

    更新日期:1997-07-01 00:00:00

  • Card15 gene overexpression in mononuclear and epithelial cells of the inflamed Crohn's disease colon.

    abstract:BACKGROUND:Crohn's disease is one of the principal human chronic inflammatory bowel diseases. Although its aetiology is still unknown, its complex pathogenesis has environmental, immunological, and genetic determinants. CARD15 is the first susceptibility gene implicated in the predisposition to Crohn's disease and is k...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.6.840

    authors: Berrebi D,Maudinas R,Hugot JP,Chamaillard M,Chareyre F,De Lagausie P,Yang C,Desreumaux P,Giovannini M,Cézard JP,Zouali H,Emilie D,Peuchmaur M

    更新日期:2003-06-01 00:00:00

  • Problems in diagnosing viral hepatitis.

    abstract::The most reliable method of making a specific aetiological diagnosis of chronic viral hepatitis would be to identify virus specific cytotoxic T lymphocytes responsible for the killing of virus infected hepatocytes in each patient's liver. Unfortunately, this can not be proposed for routine diagnosis and surrogate test...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.2_suppl.s36

    authors: Bonino F,Colloredo Mels G,Bellati G,Ideo G,Oliveri F,Colombatto P,Brunetto MR

    更新日期:1993-01-01 00:00:00

  • Papaverine stimulation of prostaglandin E2 production by cultured rabbit gastric mucosa.

    abstract::Prostaglandins (PGs) are synthesised by gastric mucosa, and have been shown to inhibit gastric acid secretion and ulcer formation in man and experimental animals. Recently exogenous PGs, mainly of the E group, have been used for the treatment of peptic ulcer disease. We therefore searched for a drug that would stimula...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.20.10.882

    authors: Ligumsky M,Rachmilewitz D,Zor U

    更新日期:1979-10-01 00:00:00

  • Iqgap3-Ras axis drives stem cell proliferation in the stomach corpus during homoeostasis and repair.

    abstract:OBJECTIVE:Tissue stem cells are central regulators of organ homoeostasis. We looked for a protein that is exclusively expressed and functionally involved in stem cell activity in rapidly proliferating isthmus stem cells in the stomach corpus. DESIGN:We uncovered the specific expression of Iqgap3 in proliferating isthm...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2020-322779

    authors: Matsuo J,Douchi D,Myint K,Mon NN,Yamamura A,Kohu K,Heng DL,Chen S,Mawan NA,Nuttonmanit N,Li Y,Srivastava S,Ho SWT,Lee NYS,Lee HK,Adachi M,Tamura A,Chen J,Yang H,Teh M,So JB,Yong WP,Tan P,Yeoh KG,Chuang LSH

    更新日期:2020-12-08 00:00:00

  • Comparison of the clinical prediction model PREMM(1,2,6) and molecular testing for the systematic identification of Lynch syndrome in colorectal cancer.

    abstract:BACKGROUND:Lynch syndrome is caused by germline mismatch repair (MMR) gene mutations. The PREMM(1,2,6) model predicts the likelihood of a MMR gene mutation based on personal and family cancer history. OBJECTIVE:To compare strategies using PREMM(1,2,6) and tumour testing (microsatellite instability (MSI) and/or immunoh...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gutjnl-2011-301265

    authors: Kastrinos F,Steyerberg EW,Balmaña J,Mercado R,Gallinger S,Haile R,Casey G,Hopper JL,LeMarchand L,Lindor NM,Newcomb PA,Thibodeau SN,Syngal S,Colon Cancer Family Registry.

    更新日期:2013-02-01 00:00:00

  • Action of gastrin on the lower oesophageal sphincter in man.

    abstract::Both hog gastrin and synthetic gastrin stimulate the cardiac sphincter to increase tone and augment the resistance to reflux. Endogenous gastrin has a similar effect, and gastrin also stimulates the secretion of acid which has also been found to increase the resistance of the sphincter, but the effect of gastrin appea...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.10.9.730

    authors: Giles GR,Mason MC,Humphries C,Clark CG

    更新日期:1969-09-01 00:00:00

  • A case of 'Crohn's carcinoma'.

    abstract::A case of adenocarcinoma of the ileum, occurring in an area concomitantly the site of Crohn's disease, is described. Examination of the literature suggests that there are certain characteristics of the small bowel carcinoma which arises in Crohn's disease. These include invisibility of the tumour on macroscopic inspec...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.16.7.533

    authors: Fleming KA,Pollock AC

    更新日期:1975-07-01 00:00:00

  • Integrin-linked kinase regulates cell proliferation and tumour growth in murine colitis-associated carcinogenesis.

    abstract:BACKGROUND:Integrins are transmembrane cell surface receptors that mediate cell-cell and cell-matrix contacts. Integrin-linked kinase (ILK) is the binding partner of beta1 and beta3 integrins, and has been ascribed essential roles in development, angiogenesis and tumourigenesis. However, in vivo evidence for the latter...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2007.142778

    authors: Assi K,Mills J,Owen D,Ong C,St Arnaud R,Dedhar S,Salh B

    更新日期:2008-07-01 00:00:00

  • Pentagastrin induced motility pattern in the human upper gastrointestinal tract is reversed by proglumide.

    abstract::The effects of pentagastrin and the putative gastrin antagonist proglumide on interdigestive motility of the upper small bowel were studied in a randomised double blind study in 10 healthy human volunteers. Intraluminal pressures were recorded manometrically in the duodenum and jejunum for five hours. Sixty minutes af...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.25.9.953

    authors: Erckenbrecht JF,Caspari J,Wienbeck M

    更新日期:1984-09-01 00:00:00

  • Non-steroidal anti-inflammatory drug (NSAID) therapy in patients with hypertension, cardiovascular, renal or gastrointestinal comorbidities: joint APAGE/APLAR/APSDE/APSH/APSN/PoA recommendations.

    abstract:BACKGROUND:Non-steroidal anti-inflammatory drugs (NSAIDs) are one of the most commonly prescribed medications, but they are associated with a number of serious adverse effects, including hypertension, cardiovascular disease, kidney injury and GI complications. OBJECTIVE:To develop a set of multidisciplinary recommenda...

    journal_title:Gut

    pub_type: 杂志文章,实务指引

    doi:10.1136/gutjnl-2019-319300

    authors: Szeto CC,Sugano K,Wang JG,Fujimoto K,Whittle S,Modi GK,Chen CH,Park JB,Tam LS,Vareesangthip K,Tsoi KKF,Chan FKL

    更新日期:2020-04-01 00:00:00

  • Prebiotic inulin-type fructans induce specific changes in the human gut microbiota.

    abstract:OBJECTIVE:Contrary to the long-standing prerequisite of inducing selective (ie, bifidogenic) effects, recent findings suggest that prebiotic interventions lead to ecosystem-wide microbiota shifts. Yet, a comprehensive characterisation of this process is still lacking. Here, we apply 16S rDNA microbiota profiling and ma...

    journal_title:Gut

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/gutjnl-2016-313271

    authors: Vandeputte D,Falony G,Vieira-Silva S,Wang J,Sailer M,Theis S,Verbeke K,Raes J

    更新日期:2017-11-01 00:00:00

  • Comparison of bismuth citrate and 5-aminosalicylic acid enemas in distal ulcerative colitis: a controlled trial.

    abstract::An enema that contained a complex of bismuth citrate and polyacrylate was compared with 5-aminosalicylic acid (5-ASA) enemas for treatment of distal ulcerative colitis. The multicentre trial involving 63 patients was randomised and double blind with enemas given over four weeks; clinical, sigmoidoscopic, and histologi...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1136/gut.34.5.676

    authors: Pullan RD,Ganesh S,Mani V,Morris J,Evans BK,Williams GT,Rhodes J

    更新日期:1993-05-01 00:00:00

  • Biliary bile acids in cholelithiasis and colon cancer.

    abstract::The role of biliary deoxycholate as an endogenous colon carcinogen and the possible association between cholelithiasis and/or cholecystectomy and the subsequent development of large bowel cancer is unclear. This paper describes biliary bile acids analysis performed on 13 patients undergoing cholecystectomy for gall st...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.6.860

    authors: Castleden WM,Detchon P,Misso NL

    更新日期:1989-06-01 00:00:00

  • Effects of supplemental oxygen on cardiac rhythm during upper gastrointestinal endoscopy: a randomised controlled double blind trial.

    abstract::To investigate the effects of supplemental oxygen on cardiac rhythm during gastroscopy, 103 patients aged over 60 were randomised to receive either supplemental oxygen or air at 2 litres/minute during the procedure. Pulse rate, blood pressure, oxygen saturation, and a Holter cardiac trace were monitored before, during...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.34.11.1492

    authors: Bowling TE,Hadjiminas CL,Polson RJ,Baron JH,Foale RA

    更新日期:1993-11-01 00:00:00

  • Jejunal bacterial overgrowth and intestinal permeability in children with immunodeficiency syndromes.

    abstract::Seventeen paediatric patients with immunodeficiency syndromes (10 with selective IgA deficiency, four with panhypogammaglobulinaemia, and three with selective T cell deficiency) were investigated for bacterial overgrowth of the small intestine and gut permeability to macromolecules. Five of 12 patients showed viable b...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.31.8.879

    authors: Pignata C,Budillon G,Monaco G,Nani E,Cuomo R,Parrilli G,Ciccimarra F

    更新日期:1990-08-01 00:00:00

  • Effects of single daily doses of a pyridil-2-tetrahydrothiophene derivative (40749 RP) on 24 hour H+ activity, nocturnal acid output, gastrin and pepsinogen I profiles in duodenal ulcer patients.

    abstract::40749 RP is a pyridil-2-tetrahydrothiophene derivative, belonging to a new class of gastric antisecretory drugs. We compared its effects on gastric secretion with cimetidine. Intragastric acidity, nocturnal acid output, gastrin and pepsinogen-I profiles were measured in patients with duodenal ulcer in clinical remissi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.4.423

    authors: Malè PJ,Griessen M,Cunningham MG,Frydman AM,Garoflid-Oprescu NA,De Peyer R,Loizeau E

    更新日期:1986-04-01 00:00:00

  • Small intestinal bacterial flora and folate status in gastrointestinal disease.

    abstract::Serumfolate folate levels and the bacteriology of the small intestine were studied in 13 patients with jejunal diverticulosis, 29 patients with partial gastrectomy, and five patients with ileal disease. The mean serum folate level in the patients with partial gastrectomy (7.2 mmug/ml) was similar to that of control su...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.12.1.27

    authors: Hoffbrand AV,Tabaqchali S,Booth CC,Mollin DL

    更新日期:1971-01-01 00:00:00

  • Arachidonic acid and docosahexaenoic acid are increased in human colorectal cancer.

    abstract::Increased arachidonic acid concentrations in experimental rodent colonic cancer have been described recently. In humans, a reduced erythrocyte stearic acid to oleic acid ratio has been reported in patients with colorectal cancer and it has been proposed that similar changes exist in the cancer tissue. The long chain f...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.3.278

    authors: Neoptolemos JP,Husband D,Imray C,Rowley S,Lawson N

    更新日期:1991-03-01 00:00:00

  • Caffeine protects against experimental acute pancreatitis by inhibition of inositol 1,4,5-trisphosphate receptor-mediated Ca2+ release.

    abstract:OBJECTIVE:Caffeine reduces toxic Ca2+ signals in pancreatic acinar cells via inhibition of inositol 1,4,5-trisphosphate receptor (IP3R)-mediated signalling, but effects of other xanthines have not been evaluated, nor effects of xanthines on experimental acute pancreatitis (AP). We have determined effects of caffeine an...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2015-309363

    authors: Huang W,Cane MC,Mukherjee R,Szatmary P,Zhang X,Elliott V,Ouyang Y,Chvanov M,Latawiec D,Wen L,Booth DM,Haynes AC,Petersen OH,Tepikin AV,Criddle DN,Sutton R

    更新日期:2017-02-01 00:00:00