| |  Online-Ressource |
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| Verfasst von: | Loos, Martin [VerfasserIn]  |
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| | Strobel, Oliver [VerfasserIn] |
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| | Mehrabi, Arianeb [VerfasserIn] |
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| | Mihaljevic, André Leopold [VerfasserIn] |
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| | Ramouz, Ali [VerfasserIn] |
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| | Dietrich, Maximilian [VerfasserIn] |
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| | Müller, Beat P. [VerfasserIn] |
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| | Diener, Markus K. [VerfasserIn] |
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| | Schneider, Martin [VerfasserIn] |
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| | Berchtold, Christoph [VerfasserIn] |
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| | Saeedi, Mohammed al [VerfasserIn] |
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| | Feißt, Manuel [VerfasserIn] |
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| | Hinz, Ulf [VerfasserIn] |
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| | Schwab, Constantin [VerfasserIn] |
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| | Winterfeld, Moritz von [VerfasserIn] |
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| | Mayer, Philipp [VerfasserIn] |
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| | Giannakis, Athanasios [VerfasserIn] |
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| | Weigand, Markus A. [VerfasserIn] |
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| | Hackert, Thilo [VerfasserIn] |
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| | Büchler, Markus W. [VerfasserIn] |
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| Titel: | Postoperative acute pancreatitis is a serious but rare complication after distal pancreatectomy |
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| Verf.angabe: | Martin Loos, Oliver Strobel, Arianeb Mehrabi, André L. Mihaljevic, Ali Ramouz, Maximilian Dietrich, Beat P. Müller-Stich, Markus K. Diener, Martin Schneider, Christoph Berchtold, Mohammed Al-Saeedi, Manuel Feisst, Ulf Hinz, Constantin Schwab, Moritz von Winterfeld, Philipp Mayer, Athanasios Giannakis, Markus A. Weigand, Thilo Hackert, Markus W. Büchler |
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| E-Jahr: | 2021 |
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| Jahr: | 13 January 2021 |
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| Umfang: | 10 S. |
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| Fussnoten: | Gesehen am 18.11.2021 |
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| Titel Quelle: | Enthalten in: HPB |
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| Ort Quelle: | [London] : Elsevier, 1999 |
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| Jahr Quelle: | 2021 |
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| Band/Heft Quelle: | 23(2021), 9 vom: Sept., Seite 1339-1348 |
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| ISSN Quelle: | 1477-2574 |
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| Abstract: | Background - The clinical relevance of hyperamylasemia after distal pancreatectomy (DP) remains unclear and no internationally accepted definition of postoperative acute pancreatitis (POAP) exists. The aim of this study was to characterize POAP after DP and to assess the role of serum amylase (SA) in POAP. - Methods - Outcomes of 641 patients who had undergone DP between 2015 and 2019 were analyzed. Postoperative SA was determined in all patients. POAP was defined based on contrast-enhanced computed tomography (CT) or intraoperative findings during relaparotomy. - Results - An elevation of SA on postoperative day 1 (hyperamylasemiaPOD1) was found in 398 patients (62.1%). Twelve patients (1.87%) were identified with POAP. Ten patients demonstrated radiologic criteria for POAP and in two patients POAP was diagnosed during relaparotomy. Outcome of POAP patients was worse than that of patients with hyperamylasemiaPOD1 alone and that with normal SAPOD1 without POAP evidence (postoperative pancreatic fistula 50% vs 30.6% vs 18.5%; length of hospital stay 26 days vs 12 vs 11, respectively). The overall 90-day mortality of all 641 patients was 0.6%. - Conclusion - POAP is a serious but rare complication after DP. HyperamylasemiaPOD1 is of prognostic relevance after DP, but it seems not sufficient as a single parameter to diagnose POAP. |
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| DOI: | doi:10.1016/j.hpb.2021.01.004 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1016/j.hpb.2021.01.004 |
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| | Volltext: https://www.sciencedirect.com/science/article/pii/S1365182X21000058 |
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| | DOI: https://doi.org/10.1016/j.hpb.2021.01.004 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| K10plus-PPN: | 177795147X |
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| Verknüpfungen: | → Zeitschrift |
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Postoperative acute pancreatitis is a serious but rare complication after distal pancreatectomy / Loos, Martin [VerfasserIn]; 13 January 2021 (Online-Ressource)
