Let's consider the basic analyzes at a pancreatitis and a cholecystitis. In medical practice, pancreatitis is most common in laboratory studies of diastase. In norm in 1 ml of blood the amount of diastase is 40-160 units, in 1 ml of urine - 32-64 units. Diastase is detected in freshly harvested urine. Diastasis is usually taken on an empty stomach. When the disease worsens, diastasis in the blood and urine is increased 4-5 times or more. In chronic pancreatitis, a blood test reveals eosinophils or anemia( with a prolonged course of the disease), in the urine - bilirubin and alpha-amylase.
In acute or exacerbation of chronic cholecystitis leukocytosis is observed with a shift in the leukocyte formula to the left, and also increases in ESR.In the analysis of urine appears bilirubin and bile pigments, urobilin increases. In the biochemistry of blood, there is an increased level of bilirubin, fibrinogen, haptoglobin, etc. In the case of chronic cholecystitis, an immunological blood test reveals a drop in the level of B-lymphocytes and T-lymphocytes and the level of immunoglobulin A.
Differential diagnosis of pancreatitis and cholecystitis
Acute pancreatitis should be differentiated with suchdiseases such as perforation of the stomach ulcer, destructive cholecystitis, acute occlusion of the arteries of the mesenteric basin, as well as myocardial infarction. Differential diagnosis of the chronic form of pancreatitis must be distinguished from breast cancer, which is often manifested in the chronic form of the disease. For clarification, ultrasound, angiography, computed tomography and a biopsy of the diseased organ are used.
The acute form of cholecystitis differentiates with such diseases as pancreatitis, appendicitis, intestinal obstruction, obstruction of the mesentery arteries, as well as with renal colic and perforated ulcer of the stomach and duodenum. Differential diagnosis of the chronic form of the disease is carried out with signs of duodenal ulcer and chronic duodenitis. Endoscopic examination of the stomach and duodenum is carried out for the accurate diagnosis.