Twelve patients met criteria for severe CP, 14 for moderate CP,

28 formed an abdominal pain group (non-CP). Peak bicarbonate concentrations could distinguish click here between severe CP, moderate and non-CP. (p < 0.001, p = 0.026), whereas f-elastase-1 and enzymes, individually could not distinguish between moderate CP and non-CP. Duodenal lipase and amylase separated well between severe and moderate CP (p = 0.001 and p = 0.022). The non-CP group showed values equal to healthy controls without pancreatic exocrine insufficiency. Conclusion: Conclusions: Measuring bicarbonate and enzymes in duodenal juice during an upper endoscopy after secretin stimulation was able to grade patients and distinguish patients with and without CP. Lipase and amylase differentiated moderate from severe CP, whereas bicarbonate separated patients with and without CP. Key Word(s): 1. selleckchem chronicpancreatitis; 2. endoscopic; 3. secretin; 4. bicarbonate; Presenting Author: CUI CHEN Corresponding

Author: CUI CHEN Affiliations: Second Military Medical University Objective: To evaluate the clinical efficiency of a novel double-lumen gastric tube in acute pancreatitis (AP) patients. Methods: Fifty AP patients on gastrointestinal decompression treatment were randomly divided into two groups. The observation group was given the double-lumen gastric tube indwelling decompression and the control group using ordinary gastric tube. Parameters such as serum amylase, gastric tube drainage patency, abdominal distension and bowel movements recovery 上海皓元 time were observed and statistically processed. Results: The drainage effectiveness of the double-lumen gastric tube was better than ordinary tube. At the same time, the double-lumen tube can significantly reduce abdominal distension, and promote the recovery of pancreatitis.

Conclusion: The double-lumen gastric tube has significantly better indwelling effect than ordinary tube, and it might be worthy of promotion and application in patients with acute pancreatitis. Key Word(s): 1. Acute pancreatitis; 2. Double-lumen; 3. Gastric tube; 4. Decompression; Presenting Author: PHONTHEP ANGSUWATCHARAKON Additional Authors: VEERANUCH ROJYINDEELERT, SOMBAT TREEPRASERTSUK, RAPAT PITTAYANON, RUNGSUN RERKNIMITR Corresponding Author: PHONTHEP ANGSUWATCHARAKON Affiliations: Division of Gastroenterology, Department of Medicine, Chulalongkorn University Objective: The prediction of severity is important to guide for management and to predict prognosis in acute pancreatitis. Bedside Index for Severity of Acute Pancreatitis (BISAP) is simple and can be completed in 24 hours. We aimed to compare BISAP, Acute Physiologic and Chronic Health Examination (APAHCE)-II, Ranson score and CT severity index (CTSI) in predicting severity and mortality. Methods: Medical records of patients’ diagnosed with acute pancreatitis during 2001–2012 were extensively reviewed. The BISAP and APACHE-II were calculated by using data within 24 hours of admission.