[Analysis of the drainage fluid after cephalic duodenopancreatectomy: a reliable clinical criterion]

Ann Chir. 1999;53(3):191-200.
[Article in French]

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.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Adenocarcinoma / surgery*
  • Adult
  • Aged
  • Amylases / analysis*
  • Data Interpretation, Statistical
  • Drainage*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pancreatic Fistula / diagnosis
  • Pancreatic Fistula / etiology
  • Pancreatic Neoplasms / surgery*
  • Pancreaticoduodenectomy* / adverse effects
  • Pancreatitis / surgery
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology
  • Prognosis
  • Retrospective Studies

Substances

  • Amylases