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What Do Elevated Enzymes In The Pancreas Indicate?
Brief Answer:
Pancreatic enzyme not helpful.
Detailed Answer:
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
Please see that usually first enzymes to be tested in suspected pancreatic pathology are serum amylase and serm lipase .
Level of amylase is 25 to 85 units per litre and lipase is 10 to 160 units per litre .
You have given level as 90 and if it is amylase it is slightly raised but if it is lipase it is within normal range ( You did not mention lipase or amylase ) .
Now i would say amylase is non specific enzyme also raised in non pancreatic conditions as gall stone , gall bladder diseases , gut perfortation or ischemia or any gut disease , parotid diseases or some procedures as ERCP.
Now as level is not much elevated i donot think it is pancreatic cancer.
It is most probably acute or chronic pancreatitis. Abdominal ultrasound is not a good modality for pancreas .
Better are CT scan , MRI scan , ERCP , PET and transesophageal ultrasound .
So relax and let the results come.
Hope I have answered your query.
Take care
Dr. Varinder Joshi , General & Family Physician
Pancreatic enzyme not helpful.
Detailed Answer:
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
Please see that usually first enzymes to be tested in suspected pancreatic pathology are serum amylase and serm lipase .
Level of amylase is 25 to 85 units per litre and lipase is 10 to 160 units per litre .
You have given level as 90 and if it is amylase it is slightly raised but if it is lipase it is within normal range ( You did not mention lipase or amylase ) .
Now i would say amylase is non specific enzyme also raised in non pancreatic conditions as gall stone , gall bladder diseases , gut perfortation or ischemia or any gut disease , parotid diseases or some procedures as ERCP.
Now as level is not much elevated i donot think it is pancreatic cancer.
It is most probably acute or chronic pancreatitis. Abdominal ultrasound is not a good modality for pancreas .
Better are CT scan , MRI scan , ERCP , PET and transesophageal ultrasound .
So relax and let the results come.
Hope I have answered your query.
Take care
Dr. Varinder Joshi , General & Family Physician
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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