Trauma Monthly

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Positive Predictive Value of Alkaline Phosphatase in Diagnostic Peritoneal Lavage (DPL) for the Need of Further Surgery in Patients with Torso Trauma

Khosro Ayazi 1 , Gholam Hossein Hayatollah 1 , Farbod Emami Yeganeh 1 , Elham Mirzaian 2 and Behzad Nemati Honar 1 , *
Authors Information
1 Department of General Surgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Pathology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
Article information
  • Trauma Monthly: November 2018, 23 (6); e62104
  • Published Online: July 18, 2018
  • Article Type: Research Article
  • Received: September 23, 2017
  • Revised: December 23, 2017
  • Accepted: March 13, 2018
  • DOI: 10.5812/traumamon.62104

To Cite: Ayazi K, Hayatollah G H, Emami Yeganeh F, Mirzaian E, Nemati Honar B. Positive Predictive Value of Alkaline Phosphatase in Diagnostic Peritoneal Lavage (DPL) for the Need of Further Surgery in Patients with Torso Trauma, Trauma Mon. 2018 ; 23(6):e62104. doi: 10.5812/traumamon.62104.

Copyright © 2018, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Sato T, Hirose Y, Saito H, Yamamoto M, Katayanagi N, Otani T, et al. Diagnostic peritoneal lavage for diagnosing blunt hollow visceral injury: the accuracy of two different criteria and their combination. Surg Today. 2005;35(11):935-9. doi: 10.1007/s00595-005-3065-9. [PubMed: 16249847].
  • 2. Shanmuganathan K, Mirvis SE, Chiu WC, Killeen KL, Scalea TM. Triple-contrast helical CT in penetrating torso trauma: a prospective study to determine peritoneal violation and the need for laparotomy. AJR Am J Roentgenol. 2001;177(6):1247-56. doi: 10.2214/ajr.177.6.1771247. [PubMed: 11717058].
  • 3. Morrison JJ, Clasper JC, Gibb I, Midwinter M. Management of penetrating abdominal trauma in the conflict environment: the role of computed tomography scanning. World J Surg. 2011;35(1):27-33. doi: 10.1007/s00268-010-0782-z. [PubMed: 20845038].
  • 4. Frame SB, Browder IW, Lang EK, McSwain NE Jr. Computed tomography versus diagnostic peritoneal lavage: usefulness in immediate diagnosis of blunt abdominal trauma. Ann Emerg Med. 1989;18(5):513-6. doi: 10.1016/S0196-0644(89)80835-2. [PubMed: 2655507].
  • 5. Wang YC, Hsieh CH, Fu CY, Yeh CC, Wu SC, Chen RJ. Hollow organ perforation in blunt abdominal trauma: the role of diagnostic peritoneal lavage. Am J Emerg Med. 2012;30(4):570-3. doi: 10.1016/j.ajem.2011.02.014. [PubMed: 21570237].
  • 6. Hayatollah GH. Evaluating The Positive predictive value of Alkaline phosphatase in Diagnostic Peritoneal Lavage (DPL) for the need of further surgery in patients with torso traumas. 2012. Available from:
  • 7. Cothren CC, Brunicardi FC. Trauma. Schwartz’s principles of surgery. 9th ed. McGrow Hill; 2010. 115 p.
  • 8. Pham TN, Heinberg E, Cuschieri J, Bulger EM, O'Keefe GE, Gross JA, et al. The evolution of the diagnostic work-up for stab wounds to the back and flank. Injury. 2009;40(1):48-53. doi: 10.1016/j.injury.2008.09.014. [PubMed: 19117560].
  • 9. Cothren CC, Moore EE, Warren FA, Kashuk JL, Biffl WL, Johnson JL. Local wound exploration remains a valuable triage tool for the evaluation of anterior abdominal stab wounds. Am J Surg. 2009;198(2):223-6. doi: 10.1016/j.amjsurg.2008.11.024. [PubMed: 19285297].
  • 10. Hashemzadeh S, Mameghani K, Fouladi RF, Ansari E. Diagnostic peritoneal lavage in hemodynamically stable patients with lower chest or anterior abdominal stab wounds. Ulus Travma Acil Cerrahi Derg. 2012;18(1):37-42. doi: 10.5505/tjtes.2011.89137. [PubMed: 22290048].
  • 11. Salimi J, Motamedi M. Detection of intra-abdominal injury in trauma patients: our experience with diagnostic peritoneal lavage. Acta Med Iran. 2004;42(2):122-4.
  • 12. Zareh M, Kargar S, Amoie AH. [Evaluation of the diagnostic value of peritoneal lavage test in intra abdominal injuries due to abdominal trauma and comparison with laparotomy and conservative treatment]. SSU_Journals J Shahid Sadoughi Univ Med Sci. 2004;12(1):23-8. Persian.
  • 13. Megison SM, Weigelt JA. The value of alkaline phosphatase in peritoneal lavage. Ann Emerg Med. 1990;19(5):503-5. doi: 10.1016/S0196-0644(05)82176-6. [PubMed: 2331092].
  • 14. Marx JA, Moore EE, Bar-Or D. Peritoneal lavage in penetrating injuries of the small bowel and colon: value of enzyme determinations. Ann Emerg Med. 1983;12(2):68-70. [PubMed: 6186167].
  • 15. Jaffin JH, Ochsner MG, Cole FJ, Rozycki GS, Kass M, Champion HR. Alkaline phosphatase levels in diagnostic peritoneal lavage fluid as a predictor of hollow visceral injury. J Trauma. 1993;34(6):829-33. [PubMed: 8315678].
  • 16. Kopiszka K, Lipinski J, Lasek J, Bialko M. [Enzymatic markers in peritoneal lavage fluid for diagnosis of blunt abdominal trauma]. Wiad Lek. 1997;50 Suppl 1 Pt 2:186-9. Polish. [PubMed: 9424871].
  • 17. McAnena OJ, Marx JA, Moore EE. Peritoneal lavage enzyme determinations following blunt and penetrating abdominal trauma. J Trauma. 1991;31(8):1161-4. doi: 10.1097/00005373-199108000-00017. [PubMed: 1714966].

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