Eichfuss H P, Reck R, Rehner M, Soehendra N
Z Gastroenterol. 1975 Oct;13(6):577-82.
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.
在对上腹部进行常规外科手术后，检测了血清和尿液中α-淀粉酶浓度升高的发生率和程度。该研究仅纳入了有非特异性临床症状的患者（n = 49）和接受腹股沟疝手术的对照组（n = 10）。先前接受过胃部手术的患者（选择性胃迷走神经切断术 = 10例，毕罗Ⅰ式胃切除术 = 10例）的检测结果明显更常处于通常被认为是病理性的范围内。接受胆管手术的患者受影响明显较小。因此，基于事后诸葛亮的判断，在出现特定症状且淀粉酶浓度升高的情况下诊断为术后胰腺炎似乎并不合理——尤其是在胃部手术后。如果正在考虑在各种保守治疗或再次剖腹手术之间做出选择，这一点就变得很重要。
