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Critical appraisal of the International Study Group of Pancreatic Surgery (ISGPS) consensus definition of postoperative hemorrhage after pancreatoduodenectomy

Published on Aug 1, 2011in Langenbeck's Archives of Surgery 2.09
· DOI :10.1007/s00423-011-0811-x
Thilo Welsch5
Estimated H-index: 5
(University Hospital Heidelberg),
Hanna Eisele1
Estimated H-index: 1
(University Hospital Heidelberg)
+ 3 AuthorsMoritz N. Wente4
Estimated H-index: 4
(University Hospital Heidelberg)
Cite
Abstract
Purpose Postpancreatectomy hemorrhage (PPH) is one of the most serious complications after pancreatoduodenectomy (PD). This study analyzed and validated the International Study Group of Pancreatic Surgery (ISGPS) definition of PPH and aimed to identify risk factors for early (<24 h) and late PPH.
  • References (32)
  • Citations (43)
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References32
Newest
Thilo Hackert34
Estimated H-index: 34
(Heidelberg University),
Jens Werner44
Estimated H-index: 44
(Heidelberg University),
Markus W. Büchler125
Estimated H-index: 125
(Heidelberg University)
Abstract Postoperative pancreatic fistula is an important complication after pancreatic resection. The frequency of its incidence varies between 3% after pancreatic head resections and up to 30% following distal pancreatectomy. In recent years, the international definition of pancreatic fistula has been standardised according to the approach of the International Study Group on Pancreatic Fistula (ISGPF). Consequently, results from different studies have become comparable and the historically rep...
Published on Jun 1, 2011in Langenbeck's Archives of Surgery 2.09
Markus K. Diener31
Estimated H-index: 31
(Heidelberg University),
Keyvan Tadjalli‐Mehr2
Estimated H-index: 2
(Heidelberg University)
+ 3 AuthorsChristoph M. Seiler35
Estimated H-index: 35
(Heidelberg University)
Background This systematic review aims to analyse the risk–benefit association of (1) prophylactic drains and/or (2) the time of their removal after pancreatic resection.
Published on Mar 1, 2011in Langenbeck's Archives of Surgery 2.09
Pierluigi Di Sebastiano24
Estimated H-index: 24
(Casa Sollievo della Sofferenza),
Leonardina Festa2
Estimated H-index: 2
(Casa Sollievo della Sofferenza)
+ 4 AuthorsF. Francesco di Mola3
Estimated H-index: 3
(Casa Sollievo della Sofferenza)
Objective The objective of this study is to evaluate the impact of a fast-track protocol in a high-volume center for patients with pancreatic disorders.
Published on Mar 1, 2011in Langenbeck's Archives of Surgery 2.09
Thilo Welsch23
Estimated H-index: 23
(Heidelberg University),
Luca Degrate2
Estimated H-index: 2
(Heidelberg University)
+ 3 AuthorsJan Schmidt67
Estimated H-index: 67
(Heidelberg University)
Purpose Pancreaticoduodenectomy (PD) is standard for patients with resectable pancreatic ductal adenocarcinoma (PDAC) in the pancreatic head, neck, and uncinate process, but it is associated with a relatively high morbidity. This study aimed to identify risk factors for extended postoperative intensive care unit (ICU) admission and assess the impact of ICU treatment on patient survival.
Published on Nov 1, 2010in Journal of Gastrointestinal Surgery 2.69
Minna K. Lee8
Estimated H-index: 8
(Columbia University),
Joseph DiNorcia8
Estimated H-index: 8
(Columbia University)
+ 6 AuthorsJohn D. Allendorf32
Estimated H-index: 32
(Columbia University)
Background Surgery offers the only chance for cure in patients with pancreatic cancer, and a growing number of elderly patients are being offered resection. We examined outcomes after pancreaticoduodenectomy in patients 80 years and older.
Published on Nov 1, 2010in Journal of Gastrointestinal Surgery 2.69
Saboor Khan7
Estimated H-index: 7
(Mayo Clinic),
Guido M. Sclabas10
Estimated H-index: 10
(Mayo Clinic)
+ 6 AuthorsMichael B. Farnell63
Estimated H-index: 63
(Mayo Clinic)
Background The outcomes of complex major surgery in the elderly are being scrutinized because of the demands on surgical services by an aging population and the concern whether such endeavors are justified. Pancreatoduodenectomy (PD) for pancreatic adenocarcinoma presents special challenges because of the high morbidity of the procedure, dismal prognosis of the disease, and the increasing incidence of pancreatic cancer with age.
Published on Nov 1, 2010in Langenbeck's Archives of Surgery 2.09
Thilo Hackert34
Estimated H-index: 34
(Heidelberg University),
Jens Werner44
Estimated H-index: 44
(Heidelberg University)
+ 2 AuthorsMarkus W. Büchler125
Estimated H-index: 125
(Heidelberg University)
Purpose Partial pancreatico-duodenectomy is the standard treatment for malignancies of the pancreatic head. We describe a technical modification with a retrograde dissection of the pancreatic head as a novel surgical approach.
Published on Oct 1, 2009in Journal of Gastrointestinal Surgery 2.69
Jessica P. Simons21
Estimated H-index: 21
(UMMS: University of Massachusetts Medical School),
Shimul A. Shah35
Estimated H-index: 35
(UMMS: University of Massachusetts Medical School)
+ 2 AuthorsJennifer F. Tseng36
Estimated H-index: 36
(UMMS: University of Massachusetts Medical School)
Introduction National studies on in-hospital pancreatic outcomes have focused on mortality. Non-fatal morbidity affects a greater proportion of patients.
Published on Jul 1, 2009in Annals of Surgery 9.48
Werner Hartwig34
Estimated H-index: 34
,
Thilo Hackert34
Estimated H-index: 34
+ 4 AuthorsJens Werner44
Estimated H-index: 44
Objective:To evaluate the safety and outcome of multivisceral pancreatic resections for primary pancreatic malignancies.Background:Curative resection is the only potential cure for patients with pancreatic cancer, but some patients present with advanced tumors that are not resectable by a standard p
Published on May 1, 2009in Journal of Gastrointestinal Surgery 2.69
Laura Beyer3
Estimated H-index: 3
,
Rémi Bonmardion1
Estimated H-index: 1
+ 10 AuthorsMarc Barthet34
Estimated H-index: 34
Introduction Hemorrhage after pancreaticoduodenectomy is a life-threatening complication, which occurs in 4% to 16% of cases, even in experienced centers. Many diagnostic and therapeutic options exist but no one has yet established management guidelines. This study aimed to determine the role of conservative management in delayed hemorrhage.
Cited By43
Newest
Published on Apr 1, 2019in Journal of surgical case reports
A Tashkandi (URCA: University of Reims Champagne-Ardenne), Rami Rhaiem1
Estimated H-index: 1
(URCA: University of Reims Champagne-Ardenne)
+ 4 AuthorsTullio Piardi14
Estimated H-index: 14
(URCA: University of Reims Champagne-Ardenne)
Published on Feb 1, 2019in World Journal of Surgery 2.77
Minako Nagai8
Estimated H-index: 8
(Nara Medical University),
Masayuki Sho1
Estimated H-index: 1
(Nara Medical University)
+ 7 AuthorsNaoya Ikeda19
Estimated H-index: 19
(Nara Medical University)
Background Late-onset gastrointestinal hemorrhage after pancreatoduodenectomy (PD) occasionally occurs repeatedly or leads to a serious condition. This retrospective study aimed to clarify its frequency and pathogenesis.
Published on Dec 1, 2018in Trials 1.98
Benjamin Müssle4
Estimated H-index: 4
(TUD: Dresden University of Technology),
Leonie Zühlke1
Estimated H-index: 1
(TUD: Dresden University of Technology)
+ 6 AuthorsThilo Welsch23
Estimated H-index: 23
(TUD: Dresden University of Technology)
The purpose of this study is to evaluate whether wrapping of the pedicled falciform ligamentum flap around the gastroduodenal artery (GDA) stump/hepatic artery can significantly decrease the incidence of erosion hemorrhage after pancreatoduodenectomy (PD). This is a randomized controlled multicenter trial involving 400 patients undergoing PD. Patients will be randomized into two groups. The intervention group consists of 200 patients with a prophylactic wrapping of the GDA stump using the pedicl...
Published on May 1, 2018in International Journal of Surgery
Jiqiao Zhu3
Estimated H-index: 3
(Capital Medical University),
Xian-Liang Li3
Estimated H-index: 3
(Capital Medical University)
+ 5 AuthorsQiang He6
Estimated H-index: 6
(Capital Medical University)
Abstract Background Patients with pancreatic head cancer involving the superior mesenteric-portal vein can benefit from vascular resection and reconstruction. We aimed to propose our vascular classification and assess its effect in this study. Material and methods Data of consecutive patients, who were diagnosed with pancreatic head cancer, and underwent radical pancreaticoduodenectomy combined with superior mesenteric-portal vein resection and reconstruction at our institute between October 201...
Bin Li7
Estimated H-index: 7
,
Chang Xu1
Estimated H-index: 1
+ 4 AuthorsJIANGXiaoqing17
Estimated H-index: 17
Abstract Background Postoperative pancreatic fistula (POPF) is a severe complication of the pancreaticoduodenectomy (PD). Recently, we introduced a method of suspender pancreaticojejunostomy (PJ) to the PD. In this study, we retrospectively analyzed various risk factors for complications after PD. We also introduced and assessed the suspender PJ to demonstrate its advantages. Methods Data from 335 patients with various periampullary lesions, who underwent the Whipple procedure (classic Whipple p...
Published on Feb 1, 2018in Abdominal Radiology 2.15
Annabelle L. Fonseca1
Estimated H-index: 1
(University of Texas MD Anderson Cancer Center),
Jason B. Fleming1
Estimated H-index: 1
Pancreatic cancer is the fourth leading cause of cancer-related deaths in the United States, with an estimated 53,670 new cases diagnosed and an estimated 43,090 deaths in 2017. This high mortality rate is in part due to the small percentage of patients diagnosed with local disease, as well as the biologically aggressive nature of the disease. While only 10–20% of patients will present with surgically resectable disease, this is the only possible curative therapy. Five-year survival of resected ...
Published on Feb 1, 2018in Hpb 3.05
Alvaro Andres Duarte Garces1
Estimated H-index: 1
(University of Verona),
Stefano Andrianello6
Estimated H-index: 6
(University of Verona)
+ 6 AuthorsClaudio Bassi79
Estimated H-index: 79
(University of Verona)
Abstract Background Post-pancreatectomy hemorrhage (PPH) remains a major complication. The aim of this study was to reappraise the International Study Group of Pancreatic Surgery (ISGPS) classification. Methods The clinical utility of the ISGPS classification was tested on consecutive pancreatic resections performed at the Pancreas Institute of the University of Verona Hospital. Results PPH occurred in 65 of the 2429 patients (6.8%) undergoing pancreatic resection. Outcome of patients without PP...
Published on Aug 1, 2017in Journal of Hepato-biliary-pancreatic Sciences 2.35
Yasuro Futagawa11
Estimated H-index: 11
(Jikei University School of Medicine),
Masaru Kanehira2
Estimated H-index: 2
(Jikei University School of Medicine)
+ 6 AuthorsK. Yanaga32
Estimated H-index: 32
(Jikei University School of Medicine)
Background Delayed gastric emptying (DGE), a common postoperative complication of pancreaticoduodenectomy, is not considered a life-threatening complication. In the present study, we analyzed the risk factors for DGE and its impact on long-term prognosis. Methods We analyzed 383 patients who underwent pancreaticoduodenectomy between 2003 and 2010, dividing them into two groups according to DGE grade as defined by the International Study Group of Pancreatic Surgery: 243 without DGE (non-DGE group...
Published on Mar 1, 2017in Scandinavian Journal of Surgery 1.53
Daniel Ansari19
Estimated H-index: 19
(Lund University),
Bobby Tingstedt18
Estimated H-index: 18
(Lund University)
+ 2 AuthorsRoland Andersson53
Estimated H-index: 53
(Lund University)
Background and Aims:Hemorrhage is a rare but dreaded complication after pancreatic surgery. The aim of this study was to examine the incidence, risk factors, management, and outcome of postpancreatectomy hemorrhage in a tertiary care center.Materials and Methods:A retrospective observational study was conducted on 500 consecutive patients undergoing major pancreatic resections at our institution. Postpancreatectomy hemorrhage was defined according to the International Study Group of Pancreatic S...