Drainage fluid and serum amylase levels accurately predict development of postoperative pancreatic fistula

doi:10.3748/wjg.v23.i34.6357

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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

Randomized Clinical Trial

World J Gastroenterol. Sep 14, 2017; 23(34): 6357-6364
Published online Sep 14, 2017. doi: 10.3748/wjg.v23.i34.6357

Table 3 General risk factors for pancreatic leakage

Variable	POPF (n = 14)	Non-POPF (n = 26)	t/z/χ²	P value
Age in yr	54.18 ± 6.945	54.04 ± 10.447	0.065	0.948
Sex
Male	20 (71.4)	32 (58.2)	1.391	0.337¹
Female	8 (28.6)	23 (41.8)
Blood loss in mL	300 (200, 575)	200 (200, 600)	-1.266	0.205
Pancreatic duct diameter in mm
> 3	11 (39.3)	33 (60.0)	3.196	0.104¹
< 3	17 (60.7)	22 (40.0)
Preoperative low plasma protein
Yes	7 (25.0)	12 (21.8)	0.106	0.786¹
No	21 (75.0)	43 (78.2)
Preoperative relief of jaundice
Yes	4 (14.3)	4 (7.3)	1.048	0.433¹
No	24(85.7)	51 (92.7)
Preoperative jaundice
Yes	18 (64.3)	34 (61.8)	0.048	1.000
No	10 (35.7)	21 (38.2)
Surgical type
External drainage of PD	12 (42.9)	27 (49.1)	0.289	0.647¹
Internal drainage of PD	16 (57.1)	28 (50.9)
Diabetes
Yes	2 (7.1)	0 (0.0)	4.026	0.111¹
No	26 (92.9)	55 (100.0)
Duration of surgery in min	267.5 (240.0, 327.5)	280.0 (235.0, 335.0)	-0.082	0.935
Hospitalization period in days	15.00 (13.00, 18.00)	21.50 (18.00, 27.75)	-4.385	< 0.001
Drainage fluid amylase level on POD1 in U/L	6017.5 (2494.5, 11752.5)	890.0 (350.0, 1500.0)	-5.110	< 0.001
Serum amylase level in U/L
POD1	379.5 (157.5, 627.5)	124.0 (80.0, 165.0)	-4.091	< 0.001
POD4	30.0 (30.0, 50.0)	61.5 (45.5, 150.0)	-4.435	< 0.001
Serum albumin
POD1	29.5 (25.3, 34.3)	30.7 (26.6, 33.0)	-0.125	0.900
POD3	30.1 (25.7, 34.6)	30.4 (27.1, 33.2)	-0.111	0.912
POD5	30.8 (27.8, 34.4)	31.4 (28.4, 36.9)	-0.718	0.473
Choline
POD1	4957 (4022, 4957)	5242 (4048, 6715)	-0.876	0.381
POD3	3481 (2626, 4518)	4056 (3345, 5020)	-1.425	0.154
POD5	3268 (2696, 4537)	4024 (3248, 5069)	-1.580	0.114
WBC count
POD1	14.73 (10.84, 18.75)	15.49 (12.42, 18.41)	-0.751	0.452
POD3	14.90 (11.74, 18.64)	13.54 (10.34, 16.58)	-1.112	0.266
POD5	11.99 (9.65, 15.56)	11.24 (9.17, 14.79)	-0.510	0.610
Pathology examination result			2.445	0.485
Cholangiocarcinoma	12 (42.9)	29 (52.7)
Pancreatic carcinoma	3 (10.7)	8 (14.5)
Ampullary carcinoma	3 (10.7)	7 (12.7)
Other	10 (35.7)	11 (20.0)

Data are presented as n (%).

¹Fisher’s exact test. POPF: Postoperative pancreatic fistula; PD: Pancreaticoduodenectomy; WBC: White blood cell; POD: Postoperative day.

Citation: Jin S, Shi XJ, Wang SY, Zhang P, Lv GY, Du XH, Wang GY. Drainage fluid and serum amylase levels accurately predict development of postoperative pancreatic fistula. World J Gastroenterol 2017; 23(34): 6357-6364
URL: https://www.wjgnet.com/1007-9327/full/v23/i34/6357.htm
DOI: https://dx.doi.org/10.3748/wjg.v23.i34.6357