Abstract:
:To evaluate pancreatic exocrine function in uremia, 25 patients undergoing regular hemodialysis without clinical evidence of pancreatic disease and 25 healthy control subjects were studied by fecal elastase 1 and chymotrypsin. Abdominal ultrasonography and measurement of serum lipase, calcium, phosphate, and parathormone were also carried out. Fecal elastase was significantly lower (P < 0.001) in patients than in controls. Abnormally low values were found in 12/25 patients of whom six had values <100 microg/g. Fecal chymotrypsin was significantly lower (P < 0.05) in patients than in controls, with lower than normal values found in 10/25 patients. Fecal elastase was not related to the serum calcium, phosphate, or parathormone levels or to the period of dialysis. In patients serum lipase was normal or slightly elevated (<300 units/liter), and there was no evidence of pancreatic disease at ultrasound examination. The results lend further support to the existence of pancreatic function impairment in a significant number of patients with renal failure despite the absence of clinical and morphological evidence of pancreatic disease.
journal_name
Dig Dis Scijournal_title
Digestive diseases and sciencesauthors
Ventrucci M,Cipolla A,Middonno M,Racchini C,Simoni P,Afandi K,Grammatico F,Campieri Cdoi
10.1023/a:1026487807555subject
Has Abstractpub_date
2000-11-01 00:00:00pages
2265-9issue
11eissn
0163-2116issn
1573-2568journal_volume
45pub_type
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