Zusammenfassung
In der Praxis ist die Serumlipase der wesentliche Laborparameter zur Diagnose der akuten Pankreatitis. Zur ätiologischen Klärung und Differenzialdiagnose sollten bei Aufnahme Transaminasen und Cholestaseparameter, Blutbild, CRP, Creatinkinase und Troponin sowie Glukose und Blutgasanalyse abgenommen werden. In Einzelfällen sind β-HCG und Porphyrine im Urin erforderlich. Der abdominelle Ultraschall stellt im klinischen Alltag die bildgebende Basisuntersuchung bei Hinweisen auf eine akute Pankreatitis dar, die jedoch zahlreichen Limitierungen unterliegt. Die kontrastmittelverstärkte Computertomographie ist die wichtigste Methode bei der Bildgebung des Schweregrades und der Komplikationen der akuten Pankreatitis. Der endoskopische Ultraschall und die Magnetresonanztomographie werden zur ätiologischen Abklärung bei Hinweisen auf eine biläre Genese eingesetzt.
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Pfützer, R., Schneider, A. (2013). Evidenzbasierte Labor- und bildgebende Diagnostik der akuten Pankreatitis. In: Beger, H., et al. Erkrankungen des Pankreas. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37964-2_4
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