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Evaluation of Esophageal Anastomotic Integrity With Serial Pleural Amylase Levels

Tuesday, January 23, 2018

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Source Name: The Annals of Thoracic Surgery


Daniel L. Miller, Gerald A. Helms, William R. Mayfield

Miller and colleagues retrospectively compared anastomotic integrity with pleural amylase levels (PAL), measured daily from postoperative day 3-10 after an Ivor Lewis esophagectomy. Three of 45 patients had an anastomotic leak, each of which coincided with a large increase in their PAL. The authors conclude that measuring PALs is an accurate, safe, and inexpensive way to detect esophageal anastomotic leaks.

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