Forty-eight percent of patients with elevated AMY/LIP levels had no evidence of intraabdominal injury. Six of 8 with proven pancreatic injury underwent AMY/LIP testing 5 had elevated values. A total of 116 (23%) had elevated AMY/LIP levels. Serum amylase or lipase levels (AMY/LIP) were measured in 507 (28%) patients. One patient not operated on had a pseudocyst that required late drainage. Eight pancreatic injuries (4% of abdominal injuries) were identified 5 underwent surgery for pancreatic ductal injury. A total of 293 (16%) of these patients suffered trauma to the torso 195 (11%) of whom had confirmed intraabdominal injury. This study investigated utility and cost effectiveness of serum assessment of amylase and lipase.Ī retrospective study of 1,821 pediatric trauma patients over 64 months was conducted. Serum screening for pancreatic injury frequently is used but has not proven to correlate well with pancreatic injury. Identification of pancreatic injury relies on clinical, radiographic, and laboratory data. Injury to the pancreas is rare in pediatric trauma.
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