Akut parotit hastalarında parotis muayenesi ve masajın serum amilaz düzeylerine etkisi
Akut parotit hastalarında parotis muayenesi ve masajın serum amilaz düzeylerine etkisi
Objective: Acute infection of the parotid gland is common in the clinical practice of ear-nose-throat medicine. The present study aims to demonstrate the effect of parotid gland massage on serum amylase levels.Methods: The study included 30 patients with acute parotitis presenting to our clinic and 14 healthy volunteers. The correlation between the serum samples collected before and after parotid gland massage was compared.Results: A significant difference was observed in the amylase levels before and after massage in the acute parotitis group. Amylase levels did not differ significantly between measurements before and after massage in healthy subjects.Conclusion: Patients should be evaluated with consideration to the effect of parotid gland massage performed to determine suppuration of parotid gland on amylase levels.
___
- 1. Srivastava R, Fraser C, Gentleman D, Jamieson LA, Murphy MJ.
Hyperamylasemia: not the usual aspects. BMJ 2005;331:890–1.
- 2. Pieper-Bigelow C, Strocchi A, Levitt MD. Where does serum amylase
come from and where does it go? Gastroenterol Clin North
Am 1990;19:793–810.
- 3. Otsuki M. Usefulness of amylase isoenzyme determination for the
diagnosis of pancreatic diseases. [Article in Japanese] Nihon Rinsho
1995;53:1184–91.
- 4. Warshaw AL, Hawboldt MM. Puzzling persistent hyperamylasemia,
probably neither pancreatic nor pathologic. Am J Surg
1988;155:453–6.
- 5. Swensson EE, Maull KI. Clinical significance of elevated serum
and urine amylase levels in patients with appendicitis. Am J Surg
1981;142:667–70.
- 6. Ericson S, Sjöbäck I. Salivary factors in children with recurrent
parotitis. Part 2: Protein, albumin, amylase, IgA, lactoferrin
lysozyme and kallikrein concentrations. Swed Dent J 1996;20:
199–207.
- 7. Yuan JJ, Coplen DE, Petros JA, et al. Effects of rectal examination,
prostatic massage, ultrasonography and needle biopsy on serum
prostate specific antigen levels. J Urol 1992;147:810–4.
- 8. Ornstein DK, Rao GS, Smith DS, Ratliff TL, Basler JW, Catalona
WJ. Effect of digital rectal examination and needle biopsy on
serum total and percentage of free prostate specific antigen levels.
J Urol 1997;157:195–8.
- 9. Toros SZ, Ozel L, Yekrek MM, et al. Does thyroid gland examination
by palpation alter serum hormone levels? Laryngoscope
2010;120:1322–5.
- 10. Lever E, Refetoff S, Scherberg NH, Carr K. The influence of percutaneous
fine needle aspiration on serum thyroglobulin. J Clin
Endocrinol Metab 1983;56:26–9.
- 11. Luboshitzky R, Lavi I, Ishay A. Serum thyroglobulin levels after
fine-needle aspiration of thyroid nodules. Endocr Pract
2006;12:264–9.