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Lipases, such as lipoprotein lipase and endothelial lipase, are enzymes that breakdown circulating triglycerides (tg). Specifically, lipases degrade tg rich lipoproteins including chylomicrons, very low density lipoprotein (vldl) and remnant particles produced by breakdown of chylomicron and vldl particles. Decreased lipase function leads to accumulation of ...Read more
It can: gastrin actually a stimulant to the acid patient with high gastrin level has many ulcers and they could have some thing we called ZOLLINGER-ELLISON SYNDROME. whic hard to treat and could be associated with a tumor in the pancreas, and could be associated with MEN stand for multiple endocrine neoplasm. to answer your question. yes it can effect the gastric motility, and might delay gastric emptying ...Read moreSee 2 more doctor answers
What could cause gastritis, duodenitis, & esophagitis? Have had nissen & lap chole for acalculous cholecystitis.
H. pylori: The most common cause of gastritis and duodenitis is a bacterium called helicobacter pylori. When large amounts of the bacteria invade your stomach or small intestine, inflammation can occur. Curing helicobacter pylori (h. Pylori) infection may provoke reflux esophagitis. ...Read moreSee 1 more doctor answer
I have elevated liver enzyme ast(sgot)412 ALT (sgpt) 317 GGT 186 dilation of the common bile duct 1 CM no gallbladder?
Liver issue: Enzymes ast and alt are inside liver cells. When liver is injured by disease or medication, enzymes leak out, resulting in elevation. Can be due to many reasons, including medications like statins. An elevated GGT suggest biliary problems, but is not that specific. The normal common bile duct measures less than 0.8 cm, but after the gb is removed, can be 1cm. Complete history needed for this. ...Read moreSee 1 more doctor answer
Abnormal esophagus: "metaplasia" describes transformation of one tissue type to another. In the lower esophagus, which is lined by squamous epithelium, abnormal exposure to gastric acid juices from reflux can lead the epithelium to convert itself to the kind of glandular lining seen in the stomach. This can be a pre-cancerous change. ...Read more
Chronic gastritis; chronic duodenitis, hyperemic gastric mucosa; positive helicob. Pylori stool test. Do i need treatment for helicobacter pylori?
Are pancreatic enzymes (amylase and lipase) always elevated if pancreatic cancer is present?? What about insulin blood level?
Necrotiz pancreat led to chronic pancreas 5 yrs. EUS shows markedly atrophic pancreas. taking pancreaze 10500 units x 12/day w/food. Extreme fatigue!
Talk to your doctor!: You have a complicated health history and should be following closely with a GI physician. Talk to them! Your symptoms can't be properly evaluated in an anonymous question format and you owe it to yourself to be completely open with your physicians about how you are feeling and your concerns. They can't evaluate an issue that you don't share with them. ...Read more
Gastric body-type mucosa with mild chronic, non-specific gastritis with intestinal metaplasia, negative forhelicobacter pylori.Have 5cm hitas hernia, ulc?
Might be Barrett's: Intestinal metaplasia typically refers to changes in the esophageal mucosa, and is associated with a disease called "barrett's esophagus." this is a precancerous condition, and you need to be followed by either a general surgeon who does endoscopy, or a gastroenterologist. ...Read more
Can normal CT scan, stool and blood tests, colonoscopy, gallblader us and hida scan, upper endoscopy (gerd, gastritis) rule out pancreatic cancer?
I have gerd, 4 small gastric ulcers, & gastritis. Lipase enzymes mildly over limit, amylase levels are fine. What could this be from?
Excessive acid: There could be a medical condition causing too much acidity (zollinger-ellison) syndrome, or it could be from an h. Pylorii infection. Please discuss further with your GI doc since further testing is available to figure this out. Best wishes. ...Read more
Epigastric pain, neg H pylori but pos FOBT. Colonoscopy normal but endoscopy showed gastritis. Cause of gastritis?
Causes of gastritis: The suffix "itis" means "inflammation". The prefix "gastro" means "stomach." the term "gastritis" thus means an "inflamed stomach." The term is often used imprecisely to mean stomach upset, which can derive from both acid & non-acid causes, slow emptying of the stomach, H.pylori infection, atrophic & hypersecretory problems. Start with acid blockers, diet modification, avoid alcohol/tobacco. ...Read more
Unlikely: It is unlikely that fatty liver by itself cause stomach bloating. I don't know of an actual link between the two problems. Are you taking any pain medications that may slow down the stomach? Rarely fatty liver can be large enough to compress on the stomach and cause it to slow down. ...Read more
Sometimes but not: Often. Egd examines esophagus, stomach, duodenum (technically small intestine, but only the very first part), and sometimes the first portion of jejunum, which is the true small intestine. The small intestine is about 30 feet long. Then there is the large intestine, or colon, for which you need colonoscopy. The middle 29+ feet is not accessble via endocsopy. ...Read more
CBC, CMP, lipase, amylase,upper endoscopy, abdominal US all NML- upper right abdominal painWhat are chances cancer w/All NML tests?
Not ccommon: Most of the tests are of no value in defining disease. Some will suggest pancreatic inflammation. With US and upper endoscopy normal probably not gall stones but occasionally inflammation in the GB can cause the pain you have. An abdominal CAT scan should define any inflammatory or even neoplastic process. ...Read more
Trypsin: Protease is a general term of any enzyme that breaks down proteins and includes, trypsin, and chymotrypsin. ...Read more