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Published on: August 8, 2016
Screening for macroamylase in a community hospital
Abstract:
We evaluated the polyethylene glycol precipitation test (Gastroenterology 83: 378-382, 1982), looking for macroamylase in the serum of 66 patients whose values for serum amylase were above normal. Three patients (4.5%) were identified by this method as having macroamylase , and this was confirmed by gel-filtration chromatography and electrophoresis. We find this to be the test of choice as a screening procedure for macroamylasemia because of its speed, simplicity, and apparent reliability. Diagnosis of macroamylasemia is important in preventing needless treatment and investigation for pancreatitis.
Insights
The polyethylene glycol precipitation test effectively screens for macroamylasemia, a condition where macroamylase is present in serum. This simple test helps avoid unnecessary investigations for pancreatitis.
Area of Science:
- Clinical Chemistry
- Biochemistry
Background:
- Elevated serum amylase levels can be caused by macroamylasemia.
- Accurate diagnosis of macroamylasemia is crucial to prevent unnecessary medical interventions for pancreatitis.
Purpose of the Study:
- To evaluate the efficacy of the polyethylene glycol precipitation test for detecting macroamylase in patients with elevated serum amylase.
- To establish a reliable screening method for macroamylasemia.
Main Methods:
- Serum samples from 66 patients with above-normal serum amylase were tested using the polyethylene glycol precipitation test.
- Positive results were confirmed using gel-filtration chromatography and electrophoresis.
Main Results:
- The polyethylene glycol precipitation test identified macroamylasemia in 3 out of 66 patients (4.5%).
- Confirmation by gel-filtration chromatography and electrophoresis validated the test's findings.
Conclusions:
- The polyethylene glycol precipitation test is a fast, simple, and reliable screening procedure for macroamylasemia.
- Early diagnosis of macroamylasemia can prevent needless investigations and treatment for pancreatitis.

