Diagnosis for Pancreatitis

Acute Pancreatitis

Following three tests are important for the diagnosis of pancreatitis :

• Elevated serum amylase
  Elevated urine amylase
  Elevated serum lipase 

Other tests that may show abnormal results are : 

• CBC shows an elevated WBC count. 
  A glucose test may show elevated blood glucose levels. 
  Serum calcium may be decreased. 

This disease may also alter the results of the following tests : 

• Trypsinogen
  Serum magnesium test
  Lactic (Lactate Dehydrogenase (LDH)
  LDH isoenzymes
  Faecal fat. 
  CEA ( Carcino Embryonic Antigen)
  Calcium (ionized)
  Aspartate Transaminase ( AST) 

Because laboratory tests do not always confirm a diagnosis of acute pancreatitis, investigations like ultrasound or CT Scan of the abdomen are required to examine pancreas and to check for gallstones, duct problem, or destruction of the gland. 

Chronic Pancreatitis

Diagnosing chronic pancreatitis can be challenging because tests may yield normal results. It can also be difficult to distinguish acute from chronic pancreatitis. Even so, certain tests can help rule out other problems and aid in the diagnosis. These include : 

1. Blood tests to identify abnormalities associated with chronic pancreatitis and help rule out acute inflammation.

2. Stool test to measure the fat content in the faeces. 

3. Ultrasound. Especially, endoscopic ultrasound as it may provide better images of the pancreas and bile and pancreatic ducts. 

4. ERCP ( Endoscopic retrograde cholangiopancreatography). As a dye is used to view the ducts, it provides good X-ray images of the ducts. 
   Pancreatic function tests measure the ability of the pancreas to secrete enzymes or other substances necessary for digestion. 

Pancreatitis
Causes of Pancreatitis
Chronic Pancreatitis
Diagnosis for Pancreatitis
Complications due to Acute Pancreataitis
Chronic Pancreatitis and Prevention