Hyperamylasemia after hepatic resection.
OBJECTIVE
Hyperamylasemia often occurs after hepatectomy, but the detailed mechanism of this phenomenon remains unclear. The aim of this study was to analyze factors that may be associated with the development of hyperamylasemia following hepatic resection.


METHODS
The Pringle maneuver was performed in 12 patients (Pringle group), the hemihepatic vascular occlusion technique in 11 patients (Hemihepatic group).


RESULTS
In the Pringle group, postoperative serum amylase levels were elevated significantly in comparison with the preoperative levels, but were not elevated in the hemihepatic group.


CONCLUSIONS
It is suggested that portal congestion by portal triad interruption carries a potential risk of serum amylase elevation and pancreatitis after hepatectomy.
Second Department of Surgery, Kinki University School of Medicine, 377-2, Ohno-Higashi, Osaka-Sayama, Osaka 589-8511, Japan. naoki@med.kindai.ac.jp
Naoki
N
Hashimoto
Seiji
S
Haji
Hideaki
H
Nomura
Harumasa
H
Ohyanagi
D000328:Adult; D000368:Aged; D003404:Creatinine / Q000097:blood; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D034321:Hyperamylasemia / Q000209:etiology*; D008297:Male; D008875:Middle Aged
D003404:Creatinine