What's wrong with high urine amylase?

Amylase mainly comes from pancreas and parotid gland. The indications of amylase detection include detection and exclusion of chronic pancreatitis, pancreatic duct obstruction, abdominal discomfort, surgery, anorexia and excessive appetite, as well as follow-up after retrograde cholangiopancreatography and parotitis. Urine amylase can be used for the diagnosis of acute pancreatitis and acute abdomen differential diagnosis, the same blood amylase can also be used for the diagnosis of pancreatitis, when the pancreas or parotid gland lesions occur, blood amylase increased earlier, short duration, and urine amylase increased late, long duration, but clinically blood amylase changes as the main diagnostic basis, urine amylase changes only for reference, in the urine amylase increased, often seen in pancreatitis, Pancreatic cancer and non-pancreatic diseases, so when showing elevated urinary amylase, it is necessary to combine blood amylase, clinical symptoms and corresponding imaging examination for differential diagnosis. Simple elevated urinary amylase may not be significant.