Drain amylase value as an early predictor of pancreatic fistula after cephalic duodenopancreatectomy

doi:10.3748/wjg.v20.i26.8691

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Jul 14, 2014; 20(26): 8691-8699
Published online Jul 14, 2014. doi: 10.3748/wjg.v20.i26.8691

Table 1 Clinical, intraoperative and postoperative characteristics in relation to the occurrence and stage of pancreatic fistula-univariate analysis n (%)

Parameter	Pancreatic fistula			Pvalue
Parameter	No₁	BPF₂	CRPF₃	P₁₂	P₁₃	P₂₃
Gender (M/F)	137/101	50/37	44/13¹
Age	61.1 ± 10.6	60.0 ± 10.4	61.4 ± 8.2	0.518	0.855	0.407
PF	238 (62.3)	87 (22.8)	57 (14.9)	0.011¹	0.011¹	0.126
Pancreas texture-soft	9 (10.7)	32 (38.0)	43 (51.2)	0.001¹	0.001¹	0.225
MPD diameter ≤ 3 mm	45 (23.4)	74 (38.5)	73 (38.1)	0.036¹	0.059	0.910
Soft/MPD ≤ 3 mm	7/9 (77.8)	31/32 (96.9)	40/43 (93.0)
Surgical procedure
PPDP	133 (46.0)	74 (25.6)	82 (28.4)	0.002¹	0.007¹	0.653
Whipple	31 (33.6)	35 (38.0)	26 (28.4)	0.739	0.590	0.384
Pathology
Pancreatic ductal adeno Ca	87 (60.0)	33 (22.8)	25 (17.2)	0.001¹	0.001¹	0.169
Papila Vateri Ca	28 (26.9)	35 (33.6)	41 (39.5)	0.493	0.250	0.639
Common bile duct/duodenal Ca	16 (30.8)	21 (40.4)	15 (28.8)	0.444	0.719	0.572
Other
Blood transfusion (pt’s)	147/238(61.8)	46/87 (52.9)	33/57 (57.9)	0.015¹	0.066	0.610
Blood transfusion (mL)	540.0 ± 345.4	560.7 ± 189.0	504.1 ± 340.4	0.759	0.634	0.416
Hospital stay	14.1 ± 9.0	17.7 ± 6.8	34.1 ± 16.3	0.013¹	0.001¹	0.001¹
Mortality	-	2/87 (2.3)	14/57 (24.6)	-	-	0.001¹

¹Significant P < 0.05, n/n, mean ± SD. MPD: Main pancreatic duct; PPDP: Pylorus-preserving duodenopancreatectomy.

Citation: Dugalic VD, Knezevic DM, Obradovic VN, Gojnic-Dugalic MG, Matic SV, Pavlovic-Markovic AR, Dugalic PD, Knezevic SM. Drain amylase value as an early predictor of pancreatic fistula after cephalic duodenopancreatectomy. World J Gastroenterol 2014; 20(26): 8691-8699
URL: https://www.wjgnet.com/1007-9327/full/v20/i26/8691.htm
DOI: https://dx.doi.org/10.3748/wjg.v20.i26.8691