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Published in:

01-07-2010

Amylase Concentration of the Drainage Fluid as a Risk Factor for Intra-abdominal Abscess Following Gastrectomy for Gastric Cancer

Authors: Naoki Iwata, Yasuhiro Kodera, Takehiko Eguchi, Norifumi Ohashi, Goro Nakayama, Masahiko Koike, Michitaka Fujiwara, Akimasa Nakao

Published in: World Journal of Surgery | Issue 7/2010

Abstract

Background

Insertion of drainage tubes at gastric cancer surgery could be useful for the prediction and management of postoperative complications. However, drains should be removed as soon as they are deemed unnecessary for various reasons. Amylase concentration of the drainage fluid following total gastrectomy for gastric cancer has been reported to be a useful risk factor for surgical complications.

Methods

Between January 2002 and December 2008, the authors measured amylase concentration of the drainage fluid on the first postoperative day for 372 patients who underwent gastrectomy with lymphadenectomy for gastric cancer at the Department of Surgery II, Nagoya University. Univariate and multivariate analyses were performed to evaluate the significance of various covariates as risk factors for the pancreas-related complications.

Results

Postoperative complications developed in 111 patients, of which 27 were pancreas-related. Amylase concentration was significantly higher in patients who underwent splenectomy, pancreaticosplenectomy, total/proximal gastrectomies, and extended lymphadenectomy and in those who eventually developed intra-abdominal abscess. Amylase concentration ≥1,000 IU/l on the first postoperative day, along with the body mass index, was an independent risk factor for pancreas-related intra-abdominal abscess.

Conclusions

With a negative predictive value of 97.7%, pancreas-related complications are highly unlikely to be observed when amylase concentration is less than 1,000 IU/l, and early removal of the drainage tube could be recommended for these patients.

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Title: Amylase Concentration of the Drainage Fluid as a Risk Factor for Intra-abdominal Abscess Following Gastrectomy for Gastric Cancer
Authors: Naoki Iwata
Yasuhiro Kodera
Takehiko Eguchi
Norifumi Ohashi
Goro Nakayama
Masahiko Koike
Michitaka Fujiwara
Akimasa Nakao
Publication date: 01-07-2010
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 7/2010
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-010-0516-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Amylase Concentration of the Drainage Fluid as a Risk Factor for Intra-abdominal Abscess Following Gastrectomy for Gastric Cancer

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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