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?
Gerold K. - January 22, 2018 11:23 AM
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
Cheers Gerold
Bill W. - February 9, 2018 1:31 PM
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?
John B. - September 5, 2019 10:46 AM
What is an example of a low residue diet to recommend to the patient?