The use of serum amylase and lipase in evaluating and managing blunt abdominal trauma

K. J. Buechter, M. Arnold, B. Steele, L. Martin, P. Byers, G. Gomez, R. Zeppa, J. Augenstein

Research output: Contribution to journalArticle

39 Scopus citations

Abstract

In order to determine the usefulness of serum amylase and lipase in the initial evaluation and subsequent management of blunt abdominal trauma (BAT) patients, we collected serum amylase and lipase on 85 consecutive BAT patients at admission, hospital day 1, hospital day 3, and hospital day 7. Only one patient had a pancreatic injury. A total of 45 patients (53%) had at least one enzyme abnormality during the study. There was no correlation between amylase or lipase values and age, sex, type of injury, diagnostic tests, operation, and outcome. In a control group of nonabdominal-trauma patients with admit studies only, all enzyme values were normal. We conclude that serum amylase and lipase are randomly elevated in patients with nonpancreatic-BAT both initially and during subsequent hospitalization and are not useful clinical tools in these patients.

Original languageEnglish (US)
Pages (from-to)204-208
Number of pages5
JournalAmerican Surgeon
Volume56
Issue number4
StatePublished - Jan 1 1990

ASJC Scopus subject areas

  • Surgery

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    Buechter, K. J., Arnold, M., Steele, B., Martin, L., Byers, P., Gomez, G., Zeppa, R., & Augenstein, J. (1990). The use of serum amylase and lipase in evaluating and managing blunt abdominal trauma. American Surgeon, 56(4), 204-208.