An ongoing dispute in the management of severe pancreatic fistula: Pancreatospleenectomy or not?

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Nov 27, 2010 (publication date) through Oct 3, 2024

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Nov 27, 2010; 2(11): 381-384
Published online Nov 27, 2010. doi: 10.4240/wjgs.v2.i11.381

Table 1 Classification of pancreatic fistula (from Bassi et al[1])

	Grade A	Grade B	Grade C
Clinical conditions	Well	Often well	Ill, appearing bad
Specific treatment¹	No	Yes/no	Yes
US/CT	Negative	Negative/positive	Positive
Persistent drainage after 3 wk²	No	No	Yes
Re-operation	No	No	Yes
Death related to PF	No	No	Possibly yes
Sings of infection	No	Yes	Yes
Sepsis	No	No	Yes
Readmission	No	Yes/no	Yes/no

¹Partial or total parenteral nutrition, antibiotics, enteral nutrition, somatostatin analogue, and/or minimal invasive drainage;

²With or without a drain in situ. PF: Pancreatic fistula; US: Ultrasonography; CT: Computed tomography scan.

Citation: Dellaportas D, Tympa A, Nastos C, Psychogiou V, Karakatsanis A, Polydorou A, Fragulidis G, Vassiliou I, Smyrniotis V. An ongoing dispute in the management of severe pancreatic fistula: Pancreatospleenectomy or not? World J Gastrointest Surg 2010; 2(11): 381-384
URL: https://www.wjgnet.com/1948-9366/full/v2/i11/381.htm
DOI: https://dx.doi.org/10.4240/wjgs.v2.i11.381