Assessment of the amylase--creatinine clearance ratio in postoperative patients.

Abstract:

:The value of the amylase--creatinine clearance ratio (ACCR) in the diagnosis of postoperative pancreatitis was prospectively assessed. In 77 patients undergoing operations known to have a significant incidence of postoperative pancreatitis (gastric, biliary or pancreatic) i.e. "high risk" group, the ACCR was abnormally elevated postoperatively in 36 patients (47%). However, overt clinical pancreatitis occurred in only eight patients (10%). In 60 other patients undergoing nonabdominal operations (orthiipedic, head and neck, varicose vein surgery etc.) i.e. "low risk" group, the ACCR was abnormally elevated postoperatively in 23 patients (38%). No patient in this group developed clinical pancreatitis. We conclude, therefore, the ACCR is often abnormally elevated nonspecifically following any type of surgery, and cannot be used as evidence of postoperative pancreatitis. These data do suggest, however, that a normal ACCR, especially on successive daily determinations, might help to exclude the diagnosis of postoperative pancreatitis.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Leckie PA,Ferreira P,Debas HT

doi

10.1097/00000658-198008000-00011

subject

Has Abstract

pub_date

1980-08-01 00:00:00

pages

195-8

issue

2

eissn

0003-4932

issn

1528-1140

journal_volume

192

pub_type

杂志文章
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    abstract:OBJECTIVE:To quantitate disease-specific hospital-based medical costs in 34 patients with chronic pancreatitis before and after treatment by either duodenal-preserving pancreatic head resection (DPPHR) or pylorus-preserving pancreaticoduodenectomy (PPPD). SUMMARY BACKGROUND DATA:Pancreatic head resection in selected p...

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    pub_type: 杂志文章

    doi:10.1097/00000658-200111000-00012

    authors: Howard TJ,Jones JW,Sherman S,Fogel E,Lehman GA

    更新日期:2001-11-01 00:00:00

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    authors: Chiu CG,Masoudi H,Leung S,Voduc DK,Gilks B,Huntsman DG,Wiseman SM

    更新日期:2010-06-01 00:00:00

  • Bronchopulmonary foregut malformations. The spectrum of anomalies.

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    doi:10.1097/00000658-198605000-00011

    authors: Rodgers BM,Harman PK,Johnson AM

    更新日期:1986-05-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00000658-199507000-00010

    authors: Luiten EJ,Hop WC,Lange JF,Bruining HA

    更新日期:1995-07-01 00:00:00

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    authors: Harris CA,Banerjee T,Cramer M,Manz S,Ward ST,Dimick J,Telem DA

    更新日期:2019-03-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000004058

    authors: Kudose Y,Shida D,Ahiko Y,Nakamura Y,Sakamoto R,Moritani K,Tsukamoto S,Kanemitsu Y

    更新日期:2020-06-11 00:00:00

  • Protective effects of ischemic preconditioning for liver resection performed under inflow occlusion in humans.

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    pub_type: 杂志文章

    doi:10.1097/00000658-200008000-00001

    authors: Clavien PA,Yadav S,Sindram D,Bentley RC

    更新日期:2000-08-01 00:00:00

  • Use of Prophylactic Mesh When Creating a Colostomy Does Not Prevent Parastomal Hernia: A Randomized Controlled Trial-STOMAMESH.

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    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/SLA.0000000000002542

    authors: Odensten C,Strigård K,Rutegård J,Dahlberg M,Ståhle U,Gunnarsson U,Näsvall P

    更新日期:2019-03-01 00:00:00

  • Surgery for caustic injuries of the upper gastrointestinal tract.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3182583fb2

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    更新日期:2012-12-01 00:00:00

  • Neutrophils dysfunction during the course of intra-abdominal infection.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198107000-00003

    authors: Solomkin JS,Bauman MP,Nelson RD,Simmons RL

    更新日期:1981-07-01 00:00:00

  • Combined preoperative mechanical bowel preparation with oral antibiotics significantly reduces surgical site infection, anastomotic leak, and ileus after colorectal surgery.

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    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001416

    authors: Kiran RP,Murray AC,Chiuzan C,Estrada D,Forde K

    更新日期:2015-09-01 00:00:00

  • Maintenance of cardiodynamics with aspirin during abdominal aortic aneurysmectomy (AAA).

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    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00000658-198111000-00008

    authors: Utsunomiya T,Krausz MM,Dunham B,Mannick JA,Allen PD,Shepro D,Hechtman HB

    更新日期:1981-11-01 00:00:00

  • Prophylactic Mesh Placement During Formation of an End-colostomy Reduces the Rate of Parastomal Hernia: Short-term Results of the Dutch PREVENT-trial.

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    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SLA.0000000000001903

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    更新日期:2017-04-01 00:00:00

  • Detrimental effects of removing end-expiratory pressure prior to endotracheal extubation.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198005000-00004

    authors: Annest SJ,Gottlieb M,Paloski WH,Stratton H,Newell JC,Dutton R,Powers SR Jr

    更新日期:1980-05-01 00:00:00

  • Increased cardiac endocrine activity after common bile duct ligation in the rabbit. Atrial endocrine cells in obstructive jaundice.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199401000-00012

    authors: Pereira JA,Torregrosa MA,Martínez-Ródenas F,Clària J,Pallarés L,Gubern JM,Ruano-Gil D,Sitges-Serra A

    更新日期:1994-01-01 00:00:00

  • Metastatic Potential and Survival of Duodenal and Pancreatic Tumors in Multiple Endocrine Neoplasia Type 1: A GTE and AFCE Cohort Study (Groupe d'étude des Tumeurs Endocrines and Association Francophone de Chirurgie Endocrinienne).

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    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000003162

    authors: Vinault S,Mariet AS,Le Bras M,Mirallié E,Cardot-Bauters C,Pattou F,Ruszniewski P,Sauvanet A,Chanson P,Baudin E,Elias D,Menegaux F,Gaujoux S,Borson-Chazot F,Lifante JC,Caron P,Carrère N,Tabarin A,Laurent C,Klein M,

    更新日期:2020-12-01 00:00:00

  • Abdominal aneurysm and horseshoe kidney: a review.

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    journal_title:Annals of surgery

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    doi:10.1097/00000658-197503000-00015

    authors: Bietz DS,Merendino KA

    更新日期:1975-03-01 00:00:00

  • Pancreatectomy in multiple endocrine neoplasia type 1-related gastrinomas and pancreatic endocrine neoplasias.

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    更新日期:2006-07-01 00:00:00

  • Fontan operation in the current era: a 15-year single institution experience.

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    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181858286

    authors: Hirsch JC,Goldberg C,Bove EL,Salehian S,Lee T,Ohye RG,Devaney EJ

    更新日期:2008-09-01 00:00:00

  • The Primary Aldosteronism Surgical Outcome Score for the Prediction of Clinical Outcomes After Adrenalectomy for Unilateral Primary Aldosteronism.

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    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000003200

    authors: Burrello J,Burrello A,Stowasser M,Nishikawa T,Quinkler M,Prejbisz A,Lenders JWM,Satoh F,Mulatero P,Reincke M,Williams TA

    更新日期:2020-12-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2006-01-01 00:00:00

  • Soft tissue sarcomas.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197506000-00007

    authors: Gerner RE,Moore GE,Pickren JW

    更新日期:1975-06-01 00:00:00

  • The use of transcutaneous oxygen tension measurements in the diagnosis of peripheral vascular insufficiency.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198408000-00007

    authors: Byrne P,Provan JL,Ameli FM,Jones DP

    更新日期:1984-08-01 00:00:00

  • A single-arm, nonrandomized phase II trial of neoadjuvant gemcitabine and oxaliplatin in patients with resectable pancreas adenocarcinoma.

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    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/SLA.0000000000000251

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    更新日期:2014-07-01 00:00:00

  • What Promotes Surgeon Practice Change? A Scoping Review of Innovation Adoption in Surgical Practice.

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    doi:10.1097/SLA.0000000000004355

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    更新日期:2004-01-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00000658-199007000-00004

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    更新日期:1990-07-01 00:00:00

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    pub_type: 传,历史文章,杂志文章

    doi:10.1097/SLA.0b013e3181e77bdc

    authors: Rutkow E,Rutkow I

    更新日期:2010-07-01 00:00:00

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    pub_type: 临床试验,杂志文章

    doi:10.1097/00000658-199411000-00015

    authors: Durham RM,Zuckerman D,Wolverson M,Heiberg E,Luchtefeld WB,Herr DJ,Shapiro MJ,Mazuski JE,Salimi Z,Sundaram M

    更新日期:1994-11-01 00:00:00

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    pub_type: 杂志文章,评审

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    authors: Kuerer HM,Julian TB,Strom EA,Lyerly HK,Giuliano AE,Mamounas EP,Vicini FA

    更新日期:2004-03-01 00:00:00