title: [Analysis of the drainage fluid after cephalic duodenopancreatectomy: a reliable clinical criterion].
abstract: The authors have retrospectively analysed the drainage fluid of 39 patients undergoing Whipple's operation over a 18-year period. The aim of the study was to assess whether the volume and amylase concentration of the drainage fluid were good criteria of healing of the pancreatico-jejunal anastomosis. The patients have been divided into two groups: Group I (30 patients) with no complications at the pancreatico-jejunostomy--Group II (9 patients) with a pancreatic leak. The analysis of the volume, amylase concentration and amylase index (Log of the amylase concentration x volume) showed that the groups had clearly different profiles: in group I all three criteria were rapidly decreasing, while they remained abnormally high in group II. Those criteria may help the clinician in the monitoring of individual patients; they also may prove useful in prospective studies evaluating new means of prevention of this anastomosis.
authors.affiliation: Service de Chirurgie Générale et Digestive, Centre Médico-Chirurgical Foch, Suresnes.
authors.forename: G
authors.initials: G
authors.lastname: Burdy
authors.forename: E
authors.initials: E
authors.lastname: Attal
authors.forename: P
authors.initials: P
authors.lastname: Frileux
authors.forename: B
authors.initials: B
authors.lastname: Dalban-Sillas
authors.forename: M H
authors.initials: MH
authors.lastname: Safar
authors.forename: O
authors.initials: O
authors.lastname: Voinchet
authors.forename: J C
authors.initials: JC
authors.lastname: Roullet-Audy
authors.forename: M
authors.initials: M
authors.lastname: Guivarc'h
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D000681:Amylases / Q000032:analysis*; D003627:Data Interpretation, Statistical; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000175:diagnosis / Q000209:etiology; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects; D010195:Pancreatitis / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology; D011379:Prognosis; D012189:Retrospective Studies
chemical_list: D000681:Amylases