PMID: 589222Nov 26, 1977

Early assessment of severity of acute pancreatitis using peritoneal lavage

British Medical Journal
I R PickfordM J McMahon

Abstract

Diagnostic peritoneal lavage using one litre of isotonic saline was performed on 27 patients with acute pancreatitis as soon as possible after diagnosis. There were no complications. Severe attacks (defined retrosepctively according to the progress of the attack) were characterised by the presence of free peritoneal fluid and by dark-coloured and often opalescent return fluid. The concentrations of albumin, aspartate aminotransferase (SGOT) and total protein in the return fluid provided good discrimination between severe and mild attacks, and there were also significant differences in the concentrations of amylase, urea, calcium, potassium, bilirubin, alkaline phosphatase, and the white cell count. Lavage successfully predicted severe disease in five patients whose condtion had been clinically assessed as mild.

References

Oct 1, 1974·Annals of Internal Medicine·M C GeokasR Weissman
Nov 1, 1950·A.M.A. Archives of Surgery·L M KEITHR S McCLEERY

Citations

Oct 1, 1985·Digestive Diseases and Sciences·C F SostreS Schenker
Feb 15, 1988·Clinica Chimica Acta; International Journal of Clinical Chemistry·J SchneiderH Kaffarnik
Oct 27, 2004·AJR. American Journal of Roentgenology·Koenraad J MorteleStuart G Silverman
May 1, 1979·American Journal of Surgery·C F Frey
Nov 1, 1990·European Journal of Radiology·A Alanen
Jun 1, 1981·The Australian and New Zealand Journal of Surgery·M ParoulakisC Mullany
Jun 1, 1980·Australian and New Zealand Journal of Medicine·S L Waller
Nov 1, 1993·The British Journal of Surgery·M E LucarottiD Alderson
Sep 1, 1985·American Journal of Surgery·C ChristophiE S Hughes
Jan 1, 1980·The British Journal of Surgery·M J McMahonI R Pickford
Apr 1, 1981·The British Journal of Surgery·J A BradleyM J McMahon
Oct 1, 1987·The British Journal of Surgery·T LeeseP R Bell
Jan 1, 1990·The British Journal of Surgery·G J Poston, R C Williamson
May 26, 1986·The Medical Journal of Australia·A M Bell, M G O'Rourke

Related Concepts

Acute Disease
Albumins
Peritoneal Fluid (Body Substance)
SGOT - Glutamate oxaloacetate transaminase
Douching Procedure
Pancreatitis
Visceral Peritoneum

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