Postoperative pancreatic fistula: a review of traditional.
Pancreatic duct leaks can occur as a result of both acute and chronic pancreatitis or in the setting of pancreatic trauma. Manifestations of leaks include pseudocysts, pancreatic ascites, high amylase pleural effusions, disconnected duct syndrome, and internal and external pancreatic fistulas.
According to the International Study Group on Pancreatic Fistula (ISGPF), a postoperative pancreatic fistula is a result of the failure of the pancreatic-enteric anastomosis to heal or a parenchymal leak not related to the anastomosis. 50 A pancreatic fistula is typically diagnosed by measuring the amylase content of fluid from the peripancreatic drain; a drain amylase content greater than.
Objective: The aim of this study was to describe characteristics and management approaches for grade B pancreatic fistula (B-POPF) and investigate whether it segregates into distinct subclasses. Background: The 2016 ISGPS refined definition of B-POPF is predicated on various postoperative management approaches, ranging from prolonged drainage to interventional procedures, but the spectrum of.
ISGPF type A fistula was seen in 65 patients (24%), type B in 110 (39%) and type C in 101 (37%). While 101 patients (37%) required reoperation, 175 (63%) were managed conservatively. Univariate analysis identified underlying disease, type of operation, and high levels of serum amylase or bilirubin on the day of onset to be prognostic parameters for reoperation.
Objectives: The purposes of this study were to validate the value of the International Study Group on Pancreatic Fistula (ISGPF) classification scheme for pancreatic fistula (PF) and to identify predictive factors for clinically significant PF. Methods: From January 2000 to December 2007, 294 co.
Introduction. Postoperative pancreatic fistula (POPF) remains the main source of major morbidity and mortality after pancreatic resection, affecting between 13% and 41% of patients. 1,2 POPF is associated with morbid sequelae including intra-abdominal sepsis and hemorrhage, carrying a mortality risk of 1% for all patients with POPF and 25% for patients with grade C POPF. 3 The development of a.
Pancreatic fistula is defined according to the ISGPF classification scheme. Logistic regression analysis was performed to identify risk factors for pancreatic fistula development. These features were then analyzed to determine whether additive risk severity equates to worsening clinical and economic impact.Results:Fistulas of any extent occurred in 60 patients, but only 31 (14%) were.