Study of serum lipase level in pregnant woman presenting with nausea and vomiting

Background: Hyperemesis gravidarum is a complex condition characterized by excessive nausea and vomiting during pregnancy. It presents with various symptoms which include disturbed nutrition, electrolyte imbalance, ketosis and extreme weight loss. The objective of this study is to compare serum lipa...

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Main Authors: Arun Dhungana, Pratigyan Gautam, Rosina Manandhar, Chanda Karki
Format: Article
Language:English
Published: Association of Clinical Pathologists of Nepal 2019-03-01
Series:Journal of Pathology of Nepal
Subjects:
Online Access:https://www.nepjol.info/index.php/JPN/article/view/23374
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author Arun Dhungana
Pratigyan Gautam
Rosina Manandhar
Chanda Karki
author_facet Arun Dhungana
Pratigyan Gautam
Rosina Manandhar
Chanda Karki
author_sort Arun Dhungana
collection DOAJ
description Background: Hyperemesis gravidarum is a complex condition characterized by excessive nausea and vomiting during pregnancy. It presents with various symptoms which include disturbed nutrition, electrolyte imbalance, ketosis and extreme weight loss. The objective of this study is to compare serum lipase, amylase and glucose in Hyperemesis gravidarum with non-pregnant women. Materials and methods: A total of 100 subjects among which 50 were nonpregnant women as controls and 50 were women with hyperemesis gravidarum as cases were enrolled in the study. Serum lipase, amylase and glucose levels were estimated in all the subjects. Results: The levels of mean serum lipase were lesser in cases (23.55 ± 4.91U/L) compared to that in controls (25.45 ± 5.97U/L) with p=0.086. However, the levels of mean serum amylase were higher in cases (76.40 ± 33.86 U/L) compared to that in controls (69.66 ± 16.45U/L) with p= 0.210. Serum amylase activity was raised in 8% of the patients whereas the activity of pancreatic lipase was within normal range. Serum glucose levels were lower in cases (84.72 ± 11.28 mg/dl) than that in controls (87.04 ± 10.65 mg/dl) with p=0.293. Conclusions: From this study we conclude that lipase activity was statistically insignificant in hyperemesis gravidarum. Therefore, pancreatic activities were less affected by hyperemesis gravidarum. So, this condition needs further exploration regarding biochemical basis to minimize the risk associated with it.
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spelling doaj.art-43008bb305774be7aa40bac2850e47b32022-12-21T19:10:43ZengAssociation of Clinical Pathologists of NepalJournal of Pathology of Nepal2091-07972091-09082019-03-01911480148410.3126/jpn.v9i1.2337423374Study of serum lipase level in pregnant woman presenting with nausea and vomitingArun Dhungana0Pratigyan Gautam1Rosina Manandhar2Chanda Karki3Kathmandu Medical College Teaching HospitalKathmandu Medical College Teaching HospitalKathmandu Medical College Teaching HospitalKathmandu Medical College Teaching HospitalBackground: Hyperemesis gravidarum is a complex condition characterized by excessive nausea and vomiting during pregnancy. It presents with various symptoms which include disturbed nutrition, electrolyte imbalance, ketosis and extreme weight loss. The objective of this study is to compare serum lipase, amylase and glucose in Hyperemesis gravidarum with non-pregnant women. Materials and methods: A total of 100 subjects among which 50 were nonpregnant women as controls and 50 were women with hyperemesis gravidarum as cases were enrolled in the study. Serum lipase, amylase and glucose levels were estimated in all the subjects. Results: The levels of mean serum lipase were lesser in cases (23.55 ± 4.91U/L) compared to that in controls (25.45 ± 5.97U/L) with p=0.086. However, the levels of mean serum amylase were higher in cases (76.40 ± 33.86 U/L) compared to that in controls (69.66 ± 16.45U/L) with p= 0.210. Serum amylase activity was raised in 8% of the patients whereas the activity of pancreatic lipase was within normal range. Serum glucose levels were lower in cases (84.72 ± 11.28 mg/dl) than that in controls (87.04 ± 10.65 mg/dl) with p=0.293. Conclusions: From this study we conclude that lipase activity was statistically insignificant in hyperemesis gravidarum. Therefore, pancreatic activities were less affected by hyperemesis gravidarum. So, this condition needs further exploration regarding biochemical basis to minimize the risk associated with it.https://www.nepjol.info/index.php/JPN/article/view/23374Acetone; Amylase; Gravidarum; Hyperemesis; Lipase
spellingShingle Arun Dhungana
Pratigyan Gautam
Rosina Manandhar
Chanda Karki
Study of serum lipase level in pregnant woman presenting with nausea and vomiting
Journal of Pathology of Nepal
Acetone; Amylase; Gravidarum; Hyperemesis; Lipase
title Study of serum lipase level in pregnant woman presenting with nausea and vomiting
title_full Study of serum lipase level in pregnant woman presenting with nausea and vomiting
title_fullStr Study of serum lipase level in pregnant woman presenting with nausea and vomiting
title_full_unstemmed Study of serum lipase level in pregnant woman presenting with nausea and vomiting
title_short Study of serum lipase level in pregnant woman presenting with nausea and vomiting
title_sort study of serum lipase level in pregnant woman presenting with nausea and vomiting
topic Acetone; Amylase; Gravidarum; Hyperemesis; Lipase
url https://www.nepjol.info/index.php/JPN/article/view/23374
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AT rosinamanandhar studyofserumlipaselevelinpregnantwomanpresentingwithnauseaandvomiting
AT chandakarki studyofserumlipaselevelinpregnantwomanpresentingwithnauseaandvomiting