Journal of hepato-biliary-pancreatic sciences
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J Hepatobiliary Pancreat Sci · Dec 2020
A case-control emergency department-based analysis of acute pancreatitis in Covid-19: Results of the UMC-19-S6.
We investigated the incidence, risk factors, clinical characteristics and outcomes of acute pancreatitis (AP) in patients with COVID-19 attending the emergency department (ED), before hospitalization. ⋯ Acute pancreatitis as presenting form of COVID-19 in the ED is unusual (<1‰ cases). Some clinically distinctive characteristics are present compared to the remaining COVID patients and can help to identify this unusual manifestation. In-hospital mortality of COVID-AP does not differ from COVID-non-AP but is higher than non-COVID-AP, and the higher severity of AP in COVID patients could partially contribute to this increment.
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J Hepatobiliary Pancreat Sci · Dec 2020
Prophylactic drain management after pancreaticoduodenectomy without focusing on the drain fluid amylase level: A prospective validation study regarding criteria for early drain removal that do not include the drain fluid amylase level.
Early drain removal (EDR) based on drain fluid amylase level (DFA) after pancreaticoduodenectomy excluded 15%-40% patients from EDR because of inappropriate DFA. ⋯ Our new criteria for EDR, without DFA, enabled ≥ 90% applicability of EDR and reduced CR-POPF.