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©The Author(s) 2017.
World J Gastrointest Surg. Mar 27, 2017; 9(3): 82-91
Published online Mar 27, 2017. doi: 10.4240/wjgs.v9.i3.82
Published online Mar 27, 2017. doi: 10.4240/wjgs.v9.i3.82
Table 3 Accordion Severity Grade in 130 patients
| Accordion Severity Grade | Mild | Moderate | Severe: Invasive/no GA | Severe: Invasive/GA | Severe: Organ failure | Death | Total |
| 1 | 2 | 3 | 4 | 5 | 6 | n = 130 | |
| Surgical complications | |||||||
| Pancreatic | |||||||
| Fistula | 1 | 11 | 6 | 6a | -- | -- | 24 (18.5%) |
| Peri-pancreatic collection | -- | 3 | 4 | 1 | -- | -- | 8 (6.6%) |
| Pseudocyst | -- | -- | 1 | 1 | -- | -- | 2 (1.5%) |
| Pancreatic necrosis | 2 | 2 (1.5%) | |||||
| Intra-abdominal | |||||||
| Postoperative ileus | 2 | -- | -- | -- | -- | -- | 2 (1.5%) |
| Intra-abdominal infection | -- | 9 | 17 | 16 | -- | -- | 42 (32.3%) |
| Biliary fistula | -- | 1 | -- | 1 | -- | -- | 2 (1.5%) |
| Small bowel obstruction | -- | 1 | -- | 7 | -- | -- | 8 (6.6%) |
| Enterocutaneous fistula | -- | 9 | -- | -- | -- | -- | 9 (6.9%) |
| Anastomotic leak | -- | -- | -- | 3 | -- | -- | 3 (2.3%) |
| Abdominal compartment syndrome | -- | -- | -- | 3 | -- | -- | 3 (2.3%) |
| Wound | |||||||
| Wound infection | -- | 7 | -- | 2b | -- | -- | 9 (6.9%) |
| Wound dehiscence | -- | 1 | -- | 1 | -- | -- | 2 (1.5%) |
| Bleeding | |||||||
| Intra-abdominal | -- | 4 | -- | 6 | -- | 1 | 11 (8.5%) |
| DIC | -- | 7 | -- | -- | 6 | 5 | 18 (13.8%) |
| Non-surgical complications | |||||||
| Respiratory | |||||||
| Pleural effusion | 9 | 2 | -- | -- | -- | -- | 11 (8.5%) |
| Atelectasis | 2 | -- | -- | -- | -- | 2 (1.5%) | |
| Pneumonia | -- | 14 | -- | -- | -- | -- | 14 (10.7%) |
| Respiratory failure | -- | -- | -- | 10 | 6 | 9 | 25 (19.2%) |
| Renal | |||||||
| Renal failure | -- | -- | -- | 8 | 10 | 1 | 19 (14.6%) |
| Intra-abdominal urine leak | -- | -- | -- | 1 | -- | -- | 1 (0.8%) |
| Systemic sepsis | -- | 12 | -- | -- | 4 | 3 | 19 (14.6%) |
| Other | 1c | 1d | -- | -- | -- | -- | 2 (1.5%) |
| Total | 15 (6.3%) | 82 (34.5%) | 28 (11.8%) | 68 (28.6%) | 26 (10.9%) | 19 (8.0%) | 238 |
- Citation: Krige JE, Jonas E, Thomson SR, Kotze UK, Setshedi M, Navsaria PH, Nicol AJ. Resection of complex pancreatic injuries: Benchmarking postoperative complications using the Accordion classification. World J Gastrointest Surg 2017; 9(3): 82-91
- URL: https://www.wjgnet.com/1948-9366/full/v9/i3/82.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v9.i3.82