SERIAL CHANGES IN PLASMA γ-GTP, LAP AND ALP AFTER PANCREATECTOMIES

Kazuhiro IWASE; Masahiko MIYATA; Yasuhiro TANAKA; Masaaki IZUKURA; Wataru KAMIIKE; Tsukuru HASHIMOTO; Kenzo OKUMURA; Hiroyuki NAKABA; Tateyoshi YUMIBA; Tohru KITAGAWA; Tetsuto TAKAO; Kazuyasu NAKAO; Yasunaru KAWASHIMA

doi:10.3919/ringe1963.51.1426

Kazuhiro IWASE, Masahiko MIYATA, Yasuhiro TANAKA, Masaaki IZUKURA, Wataru KAMIIKE, Tsukuru HASHIMOTO, Kenzo OKUMURA, Hiroyuki NAKABA, Tateyoshi YUMIBA, Tohru KITAGAWA, Tetsuto TAKAO, Kazuyasu NAKAO, Yasunaru KAWASHIMA

Author information

Kazuhiro IWASE
First Department of Surgery, Osaka University, Medical School
Masahiko MIYATA
First Department of Surgery, Osaka University, Medical School
Yasuhiro TANAKA
First Department of Surgery, Osaka University, Medical School
Masaaki IZUKURA
First Department of Surgery, Osaka University, Medical School
Wataru KAMIIKE
First Department of Surgery, Osaka University, Medical School
Tsukuru HASHIMOTO
First Department of Surgery, Osaka University, Medical School
Kenzo OKUMURA
First Department of Surgery, Osaka University, Medical School
Hiroyuki NAKABA
First Department of Surgery, Osaka University, Medical School
Tateyoshi YUMIBA
First Department of Surgery, Osaka University, Medical School
Tohru KITAGAWA
First Department of Surgery, Osaka University, Medical School
Tetsuto TAKAO
First Department of Surgery, Osaka University, Medical School
Kazuyasu NAKAO
First Department of Surgery, Osaka University, Medical School
Yasunaru KAWASHIMA
First Department of Surgery, Osaka University, Medical School

JOURNAL FREE ACCESS

1990 Volume 51 Issue 7 Pages 1426-1430

DOI https://doi.org/10.3919/ringe1963.51.1426

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Abstract

Forty-six patients after pancreatoduodenectomy or total pancreatectomy were measured for serial changes in postoperative plasma levels of ALP, γ-GTP, and LAP, in which preoperative existing of choledochal dilatation was assessed to be contributory to the changes or not. ALP, γGTP and LAP returned to the normal levels 3 months after the operation in patients in whom choledochal dilatation was noted preoperatively. In patients without preoperative choledochal dilatation, γ-GTP and LAP also returned to the normal levels 3 months after the operation, while ALP remained elevated. In this group of patients, biliary stasis was suspected. These results suggest that small stoma of the choledochojejunostomy may play a causative role in biliary stasis.

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