We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Clinical Notes |

Urinary Amylase vs Serum Amylase in Patients With Pancreatic Carcinoma

Earl E. Gambill, MD; Harold L. Mason, PhD
JAMA. 1964;188(9):824-826. doi:10.1001/jama.1964.03060350050017.
Text Size: A A A
Published online


IN A RECENT publication we presented data indicating that in the presence of pancreatitis the one-hour value for urinary amylase exceeded normal more often, in a larger number of patients, and frequently for a longer period of time, than did the values for serum amylase and serum lipase.1 The encouraging results of those observations and of those made previously by Saxon and co-workers2 led us to study the relative abnormality of the results obtained with these tests for these enzymes in pancreatic carcinoma.

Material and Method  The data on tests for serum amylase and lipase and urinary amylase were obtained from the records of 192 patients with pancreatic carcinoma proved by surgical exploration. Review of the case records included a search for evidence of concomitant or ancient pancreatitis as well as pancreatic carcinoma.The urinary excretion of amylase was measured by a modification of the method of Huggins


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.