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Intensive Care Medicine

, Volume 33, Issue 9, pp 1633–1636 | Cite as

Is hyperlipasemia in critically ill patients of clinical importance? An observational CT study

  • Christof Denz
  • Leonie Siegel
  • Karl-Jürgen Lehmann
  • Jean-Charles Dagorn
  • Fritz Fiedler
Brief Report

Abstract

Objective

To assess morphological alterations of the pancreas by contrast-enhanced computed tomography (cCT) and subclinical cellular damage of the pancreas by measuring pancreatitis-associated protein (PAP) in critically ill patients without prior pancreatic disorder who presented with raised serum lipase levels.

Design

Prospective, observational study

Setting

Mixed surgical/neurosurgical intensive care unit of a German university hospital.

Patients

One hundred and thirty consecutive critically ill patients without prior damage or disease of the pancreas and an expected length of stay of more than 5 days.

Interventions

Daily serum lipase measurements and daily serum PAP measurements. Contrast-enhanced upper abdominal cCT study in patients with triple increase of serum lipase.

Measurements and results

Thirty-eight patients showed raised serum lipase levels and qualified for the cCT scan study. In 20 patients cCT scans were performed. Morphological alterations of the pancreas were found in 7 out these 20 patients while serum PAP levels were raised in all patients.

Conclusion

Hyperlipasemia is a common finding in critically ill patients without prior pancreatic disorder. While elevated serum PAP levels indicate pancreatic cellular stress morphological alterations of the pancreas are rare and of little clinical importance.

Keywords

Pancreatitis Hyperlipasemia Pancreatitis-associated protein Intensive care unit Critical illness 

Notes

Acknowledgements

The authors thank Anna Fiedler for reviewing the English.

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Christof Denz
    • 1
  • Leonie Siegel
    • 1
    • 2
  • Karl-Jürgen Lehmann
    • 3
  • Jean-Charles Dagorn
    • 4
  • Fritz Fiedler
    • 1
    • 5
  1. 1.Clinic of Anesthesiology and Intensive Care Medicine, University Hospital Mannheim, Faculty of Clinical Medicine MannheimUniversity of HeidelbergMannheimGermany
  2. 2.Department of Anesthesiology and Intensive Care MedicineCharité–University HospitalBerlinGermany
  3. 3.Clinic of Diagnostic and Interventional RadiologySt. Vincentius HospitalKarlsruheGermany
  4. 4.Institut National de la Santé et de la Recherche MédicaleMarseilleFrance
  5. 5.Clinic of Anesthesiology and Intensive Care MedicineSt. Elisabeth HospitalKöln-Hohenlind, CologneGermany

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