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acute pancreatitis, including necrosis and haemorrhage, chronic pan
creatitis and cancer of the pancreas). In all cases the diagnosis was
verified through operation or post mortem examination.
The contents of diastase in the urine was abnormal in all the
cases of acute pancreatitis that were examined before 3 days had
passed since the onset of the disease.
In some few patients the primary increase in diastase in the urine
only lasted for one or two days, wherefore the importance of an
early examination is emphasized.
In several patients periods with increased values of diastase were
demonstrated later in the disease, besides the primary increase;
therefore the importance of systematic, daily determinations of
diastase in patients who are admitted so late that the primary in
crease may have subsided, is pointed out.
In chronic pancreatitis increase in diastase was only found, if the
disease was complicated by acute pancreatitis, the passing of gall
stones, or other special conditions.
This also holds good for carcinoma of the pancreas. In this disease
pathologic values of diastase were only demonstrated in patients
who simultaneously suffered from acute pancreatitis or stones in the
choledochus.
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