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Dear EMRAP Team!To start, thanks for the great work. I got invited by a colleague and I'm sold. Totally. Well, I did listen to the pancreatitis, loved it, especially the early feeding. But, but...We (NZ and even Sweden) still use Amylase. In the discussion the Amylase kind of seems to be a shitty test. I thought about taking it to my boss, but, I looked it up and found the Cochrane review. According to them, it does not make a difference . Should I convince my boss or not? She's a good boss by the way.Here is the review:http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD012010.pub2/full
Hey, guys thanks for the robust discussion. For years I have heard the occasional comment on a pt with chronic pancreatitis who present with acute pain flare with a normal lipase and the comment is, "they have burned out their lipase" and so to not expect it to be elevated. For good or bad, I never really dug in on this so see if it was a true physiologic response. In these cases by the way, the pt either had their GB out and had no other red-flags that would be concerning for pseudocyst, abscess or other pathology and/or may or may not have had another neg US or CT. Thoughts on that anyone?
What is an example of a low residue diet to recommend to the patient?
What you do matters.