ArticleSurgical endoscopy2016
Predictive value of drain amylase content for peripancreatic inflammatory fluid collections after laparoscopic (assisted) distal gastrectomy.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 21 citations in OpenAlex.
- Somatostatin-analog effect on pancreatic fistula after radical gastrectomy: a pilot randomized controlled trial.Journal of cancer research and clinical oncology · 2023Trial
- Risk factors as criteria for drain use in gastrectomy: A prospective study.Molecular and clinical oncology · 2025Article
- Predictive model for pancreatic fistula in minimally invasive surgery for gastric cancer.Surgical endoscopy · 2025Article
- Drain Amylase Concentrations at 3 h After Gastrectomy Enhance Early Prediction of Postoperative Peripancreatic Inflammatory Fluid Collection.World journal of surgery · 2022Article
- The impact of pancreas compression time during minimally invasive gastrectomy on the postoperative complications in gastric cancer.Annals of gastroenterological surgery · 2021Article
- A non-linear ensemble model-based surgical risk calculator for mixed data from multiple surgical fields.BMC medical informatics and decision making · 2021Article
- Postoperative pancreatic fistula after gastrectomy for gastric cancer.Annals of gastroenterological surgery · 2020Review
- Comparison of prognostic impact of anatomic location of the pancreas on postoperative pancreatic fistula in laparoscopic and open gastrectomy.BMC gastroenterology · 2020Article
- Is the measurement of drain amylase content useful for predicting pancreas-related complications after gastrectomy with systematic lymphadenectomy?World journal of gastroenterology · 2020Review
- Preoperative predictors of postoperative complications after gastric cancer resection.Surgery today · 2020Review
- Multi-institutional analysis of the prognostic significance of postoperative complications after curative resection for gastric cancer.Cancer medicine · 2019Article
- Current status of the "enhanced recovery after surgery" program in gastric cancer surgery.Annals of gastroenterological surgery · 2019Review
- Two-point measurement of amylase in drainage fluid predicts severe postoperative pancreatic fistula after gastric cancer surgery.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2018Article
- Impact of anatomical position of the pancreas on postoperative complications and drain amylase concentrations after laparoscopic distal gastrectomy for gastric cancer.Surgical endoscopy · 2018Article
- ＜Editors' Choice＞ Efficacy of enteral nutrients containing β-hydroxy-β-methylbutyrate, glutamine, and arginine for the patients with anastomotic leakage after gastrectomy: study protocol of a multicenter phase II clinical trial.Nagoya journal of medical science · 2018Article
- Usefulness of preoperative estimated glomerular filtration rate to predict complications after curative gastrectomy in patients with clinical T2-4 gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2017Article
- Clinical and surgical factors associated with organ/space surgical site infection after laparoscopic gastrectomy for gastric cancer.Surgical endoscopy · 2017Article
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic (assisted) distal gastrectomy (LDG) with radical lymphadenectomy for gastric cancer has been widely conducted, particularly in the Far East. Peripancreatic inflammatory fluid collection (PIFC) is a serious and frequent postoperative complication after LDG for gastric cancer. The aim of this study was to evaluate the diagnostic performance of drain amylase content (D-AMY) for clinically relevant PIFC after LDG.
methodsTwo hundred and sixty-four patients who underwent LDG with prophylactic drains were enrolled. The predictive value of D-AMY on postoperative day (POD) 1 and POD 3 in the diagnosis of PIFC was evaluated.
resultsTwenty (7.6 %) patients experienced postoperative PIFC. Area under the curve in terms of receiver operating characteristics curve analysis of D-AMY on POD 1 was 0.801, and the optimal cutoff value for prediction of PIFC was 904 IU/l, with 98.2 % negative predictive value. Another cutoff was proposed as 4078 IU/l, with 92.2 % specificity. Multivariable analyses identified D-AMY on POD 1 ≥900 and ≥4000 IU/l as independent diagnostic factors for PIFC. Among patients at high risk of PIFC (D-AMY on POD 1 ≥900 IU/l), those who on POD 3 retained D-AMY value in excess of 31.2 % of the D-AMY value on POD 1 were more likely to experience PIFC compared with those with a pronounced decrease in D-AMY.
conclusionsD-AMY on POD 1 serves as a predictive factor for clinically relevant PIFC after LDG. Time-dependent changes in D-AMY can also be used for determining management of drains in patients at high risk of PIFC.
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