title: Litmus paper helps detect potential pancreatoenterostomy leakage.
abstract: BACKGROUND
  Leakage of pancreatoenterostomy remains as a serious and fatal complication after pancreatectomy. Several risk factors have been reported, ie, normal pancreatic parenchyma, small pancreatic duct, a large amount of intraoperative blood loss, management of the cut surface of the pancreas, and the presence of preoperative jaundice. Transected pancreatic ductules on the cut surface of the pancreas that are not drained into the main pancreatic duct after pancreatectomy are one of the risks. The pancreatic juice is alkaline and turns red litmus to blue.
  
  
  METHODS
  In order to detect the transected pancreatic ductules on the cut surface of the pancreas, red litmus paper is applied to the cutting surface of the pancreas after stimulation of secretin.
  
  
  RESULTS
  Nondrained, transected pancreatic ductules on the cut surface of the pancreas can be detected as blue spots on the red litmus paper. The corresponding areas to the blue spots can be transfixed with sutures to close the nondrained and transected pancreatic ductules.
  
  
  CONCLUSIONS
  Litmus paper can be expected to detect pancreatoenterostomy leakage after pancreatectomy.
authors.affiliation: Department of Surgery I, Kyushu University Faculty of Medicine, Fukuoka, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Yamaguchi
authors.forename: K
authors.initials: K
authors.lastname: Chijiwa
authors.forename: S
authors.initials: S
authors.lastname: Shimizu
authors.forename: K
authors.initials: K
authors.lastname: Yokohata
authors.forename: M
authors.initials: M
authors.lastname: Tanaka
mesh_terms: D006801:Humans; D006863:Hydrogen-Ion Concentration; D010189:Pancreatic Juice / Q000737:chemistry; D010193:Pancreaticojejunostomy; D011183:Postoperative Complications / Q000175:diagnosis*; D013536:Suture Techniques