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Pancreatitis Following Operations on the Stomach

Ismail T. Abasov, MD
Arch Surg. 1968;96(6):909-914. doi:10.1001/archsurg.1968.01330240055012.
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A MAJORITY of the authors consider pancreatitis following gastric resection to be a rare and grave complication (Simons1—1.2%, Hasche2—1.3%, Burnett and associates3—1.7%, Scherbakova4—1.3%, etc) often with a fatal outcome. However, there are also reports pointing to a great frequency of pancreatitis following operations performed on the stomach (Millbourn5—9%, Maurer6—21%, etc). Thus, Perryman and Hoerr7 found a rise of amylase activity in the blood serum of 47% of the patients after gastric resection. A majority of the authors assess the rise of amylase activity in the blood serum or urine as a manifestation of postoperative pancreatitis. In some of the patients, Challis and associates8 noted a marked rise of amylase level in the blood serum following extra-abdominal operations not accompanied by injury of the pancreas, as well as in patients treated with adrenocorticotropic hormone. Therefore, these


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