[Analysis of the drainage fluid after cephalic duodenopancreatectomy: a reliable clinical criterion].
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.
Burdy
G
G
Service de Chirurgie Générale et Digestive, Centre Médico-Chirurgical Foch, Suresnes.
Attal
E
E
Frileux
P
P
Dalban-Sillas
B
B
Safar
M H
MH
Voinchet
O
O
Roullet-Audy
J C
JC
Guivarc'h
M
M
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
D000681:Amylases