PubMed · 817525
[Postoperative pancreatitis].
Abstract
Incidence and extent of increased alpha-amylase concentration were examined in serum and urine following routine surgical intervention in the epigastrium. Only patients with non-specific clinical symptoms (n=49) and a control group who had undergone surgery for inguinal hernia (n=10) were included in the study. Patients previously subjected to gastric surgery (selective gastric vagotomy = 10, gastric resection according to Billroth I = 10) were significantly more often found to have results within a range usually considered pathological. Patients who had undergone surgery of the bile duct were markedly less affected. The diagnosis, based on the benefit of the hindsight, of a postoperative pancreatitis in cases where specific complaints and increased maylase concentration coincide does therefore not appear justified--particularly following gastric surgery. This becomes significant if a choice between various conservative treatments or relaparotomy is being considered.
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H P Eichfuss, R Reck, M Rehner, N Soehendra. 1975. [Postoperative pancreatitis].. https://pubmed.ncbi.nlm.nih.gov/817525/
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