Post-pankreatektomi fistüllerinde yeni bir belirteç; hipofosfatemi

Abstract

Aim: Postoperative hypophosphatemia is associated with morbidity after many gastrointestinal surgeries. In this study, we aimed to investigate the relationship between hypophosphatemia and POPF, which is one of the morbidities after pancreatectomy. Material and Methods: All adult patients who underwent pancreatectomy in our surgical oncology clinic from 2010 to 2020 were included in the patient data recording system to the Faculty of Medicine of Ankara University, Surgical Oncology clinic. Exclusions were made for those under 18, without postoperative Jackson-Pratt (jp) amylase levels, and with previous pancreatic surgery. Results: Examination of a total of 185 patients showed that fistula occurred in 20% of cases. Statistical analysis revealed that postoperative 2nd and 3rd-day phosphorus levels are markers for pancreatic leak. Conclusion: Decreased phosphate values after pancreatic surgery may be an indicator for pancreatic fistula, especially significant on the 2nd and 3rd postoperative days