Litmus paper helps detect potential pancreatoenterostomy leakage

Koji Yamaguchi, Kazuo Chijiiwa, Shuji Shimizu, Kazunori Yokohata, Masao Tanaka

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)

Abstract

BACKGROUND: Leakage of pencreatoenterostomy remains as a serious and fatal complication after pancreatectomy. Several risk factors have been reported, ie, normal pancreatic parenchyma, small pancreatic duct, a large amount of intraoperative blood loss, management of the cut surface of the pancreas, and the presence of preoperative jaundice. Transected pancreatic ductules on the cut surface of the pancreas that are not drained into the main pancreatic duct after pancreatectomy are one of the risks. The pancreatic juice is alkaline and turns red litmus to blue. METHODS: In order to detect the transected pancreatic ductules on the cut surface of the pancreas, red litmus paper is applied to the cutting surface of the pancreas after stimulation of secretin. RESULTS: Nondrained, transected pancreatic ductules on the cut surface of the pancreas can be detected as blue spots on the red litmus paper. The corresponding areas to the blue spots can be transfixed with sutures to close the nondrained and transected pancreatic ductules. CONCLUSION: Litmus paper can be expected to detect pancreatoenterostomy leakage after pancreatectomy.

Original languageEnglish
Pages (from-to)227-228
Number of pages2
JournalAmerican Journal of Surgery
Volume175
Issue number3
DOIs
Publication statusPublished - Mar 1 1998

All Science Journal Classification (ASJC) codes

  • Surgery

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