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Risk prediction for development of pancreatic fistula using the ISGPF classification scheme.

Published on Mar 1, 2008in World Journal of Surgery 2.77
· DOI :10.1007/s00268-007-9388-5
Wande B. Pratt17
Estimated H-index: 17
(BIDMC: Beth Israel Deaconess Medical Center),
Mark P. Callery46
Estimated H-index: 46
(BIDMC: Beth Israel Deaconess Medical Center),
Charles M. Vollmer38
Estimated H-index: 38
(BIDMC: Beth Israel Deaconess Medical Center)
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Abstract
Background: The International Study Group on Pancreatic Fistula (ISGPF) classification scheme has become a useful system for characterizing the clinical impact of pancreatic fistula. We sought to identify predictive factors that predispose patients to fistula, specifically those with clinical relevance (grades B/C), and to describe the clinical and economic significance of risk stratification within this framework.
  • References (32)
  • Citations (205)
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References32
Newest
Published on Apr 1, 2007in Journal of The American College of Surgeons 4.45
Tsafrir Vanounou6
Estimated H-index: 6
(BIDMC: Beth Israel Deaconess Medical Center),
Wande B. Pratt17
Estimated H-index: 17
(BIDMC: Beth Israel Deaconess Medical Center)
+ 2 AuthorsMark P. Callery46
Estimated H-index: 46
(BIDMC: Beth Israel Deaconess Medical Center)
Background Although clinical pathways were developed to streamline patient care cost efficiently, few have been put to rigorous financial test. This is important today, because payors demand clear solutions to the cost-quality puzzle. We describe a novel, objective, and versatile model that can evaluate and link the clinical and economic impacts of clinical pathways. Study Design Outcomes for 209 consecutive patients undergoing high-acuity surgery (pancreaticoduodenectomy), before and after path...
Published on Mar 1, 2007in Annals of Surgery 9.48
Wande B. Pratt17
Estimated H-index: 17
,
Shishir K. Maithel36
Estimated H-index: 36
+ 3 AuthorsCharles M. Vollmer38
Estimated H-index: 38
Pancreatic fistula is widely regarded as the most ominous of complications following pancreatic resection. Its clinical impact and sequelae have been previously described and shown to contribute to the development of other morbid complications and high rates of mortality.1–4 Despite refinements in operative technique and advancements in postoperative management, fistulas still occur with a frequency of 5% to 30%.5–12 Efforts to mitigate this problem have included technical considerations (modifi...
Published on Dec 1, 2006in Annals of Surgery 9.48
Michelle L. DeOliveira15
Estimated H-index: 15
(Johns Hopkins University),
Jordan M. Winter34
Estimated H-index: 34
(Johns Hopkins University)
+ 4 AuthorsP.-A. Clavien95
Estimated H-index: 95
(UZH: University of Zurich)
Mortality associated with pancreaticoduodenectomy (PD) has decreased dramatically to less than 5% over the past 2 decades in high-volume centers,1–6 but persistent high morbidity rates have remained an important concern for patients, healthcare providers, and payers. While mortality is an objective and easily quantifiable outcome parameter, morbidity is only poorly defined, and this shortcoming has severely hampered conclusive comparisons among centers and within the same institution over time.7...
Published on Nov 1, 2006in Journal of Gastrointestinal Surgery 2.69
Wande B. Pratt17
Estimated H-index: 17
(BIDMC: Beth Israel Deaconess Medical Center),
Shishir K. Maithel36
Estimated H-index: 36
(BIDMC: Beth Israel Deaconess Medical Center)
+ 2 AuthorsCharles M. Vollmer1
Estimated H-index: 1
(BIDMC: Beth Israel Deaconess Medical Center)
It is uncertain whether postoperative pancreatic fistulas after distal and central pancreatectomies behave similarly to those after pancreaticoduodenectomy. To date, this concept has not been validated either clinically or economically. Overall, 256 consecutive pancreatic resections from October 2001 to February 2006 (184 pancreaticoduodenectomies, 66 distal pancreatectomies, and 6 central pancreatectomies) were evaluated according to the International Study Group of Pancreatic Fistula classific...
Published on Jul 1, 2006in Annals of Surgery 9.48
John L. Cameron119
Estimated H-index: 119
(Johns Hopkins University),
Taylor S. Riall33
Estimated H-index: 33
(Johns Hopkins University)
+ 1 AuthorsKenneth A. Belcher1
Estimated H-index: 1
(Johns Hopkins University)
The first successful local resection of a periampullary tumor was performed by Dr. William Stewart Halsted in 1898.1 The patient was a 58-year-old woman with obstructive jaundice. Halsted resected a segment of the second portion of the duodenum, including the tumor, and anastomosed the duodenum end to end. He then reimplanted the bile and pancreatic ducts. The first successful regional resection for a periampullary tumor was performed by the German surgeon from Berlin, Kausch, in 1909, and repor...
Published on Jul 1, 2005in Surgery 3.48
Claudio Bassi79
Estimated H-index: 79
(University of Verona),
Christos Dervenis44
Estimated H-index: 44
+ 7 AuthorsMarkus W. Büchler125
Estimated H-index: 125
(University Hospital Heidelberg)
Background Postoperative pancreatic fistula (POPF) is still regarded as a major complication. The incidence of POPF varies greatly in different reports, depending on the definition applied at each surgical center. Our aim was to agree upon an objective and internationally accepted definition to allow comparison of different surgical experiences. Methods An international panel of pancreatic surgeons, working in well-known, high-volume centers, reviewed the literature on the topic and worked toget...
Published on Jan 1, 2005in World Journal of Gastroenterology 3.41
Yinmo Yang10
Estimated H-index: 10
,
Xiaodong Tian10
Estimated H-index: 10
+ 3 AuthorsYan-Ting Huang4
Estimated H-index: 4
AIM: To analyze the risk factors for pancreatic leakage after pancreaticoduodenectomy (PD) and to evaluate whether duct-to-mucosa pancreaticojejunostomy could reduce the risk of pancreatic leakage. METHODS: Sixty-two patients who underwent PD at our hospital between January 2000 and November 2003 were reviewed retrospectively. The primary diseases of the patients included pancreas cancer, ampullary cancer, bile duct cancer, islet cell cancer, duodenal cancer, chronic pancreatitis, pancreatic cys...
Published on Dec 1, 2004in Journal of Gastrointestinal Surgery 2.69
John W. Lin7
Estimated H-index: 7
(Johns Hopkins University),
John L. Cameron119
Estimated H-index: 119
(Johns Hopkins University)
+ 2 AuthorsKeith D. Lillemoe96
Estimated H-index: 96
(IU: Indiana University)
A significant fraction of patients undergoing pancreaticoduodenectomy develop a postoperative pancreaticocutaneous fistula. To identify risk factors for this complication and to delineate its impact on patient outcomes, we conducted a retrospective review of 1891 patients undergoing pancreaticoduodenectomy between 1981 and 2002. Overall, 216 patients (11.4%) developed a postoperative pancreaticocutaneous fistula. In univariate analysis, gender, coronary disease, diabetes mellitus, operative time...
Published on Aug 1, 2004in Annals of Surgery 9.48
Daniel Dindo21
Estimated H-index: 21
,
Nicolas Demartines42
Estimated H-index: 42
,
P.-A. Clavien95
Estimated H-index: 95
Growing demand for health care, rising costs, constrained resources, and evidence of variations in clinical practice have triggered interest in measuring and improving the quality of health care delivery. For a valuable quality assessment, relevant data on outcome must be obtained in a standardized and reproducible manner to allow comparison among different centers, between different therapies and within a center over time.1–3 Objective and reliable outcome data are increasingly requested by pat...
Published on Jan 1, 2004in Digestive Surgery 1.88
Claudio Bassi79
Estimated H-index: 79
(University of Verona),
Giovanni Butturini35
Estimated H-index: 35
(University of Verona)
+ 5 AuthorsPaolo Pederzoli66
Estimated H-index: 66
(University of Verona)
Background: Pancreatic fistula (PF) is still regarded as a serious complication both in terms of frequency and sequelae. The incidence varies greatly in different reports because of
Cited By205
Newest
Published on May 6, 2019in World Journal of Surgery 2.77
Ann Falor Callahan1
Estimated H-index: 1
,
Philip H. G. Ituarte28
Estimated H-index: 28
+ 5 AuthorsLaleh G. Melstrom16
Estimated H-index: 16
Background Pancreatectomy for malignancy is associated with improved outcomes when performed at high-volume centers. The goal of this study was to assess pancreatectomy outcomes for premalignant cystic lesions as a function of hospital volume.
Published on Nov 26, 2018in Journal of Gastrointestinal Surgery 2.69
Ozgur Akgul2
Estimated H-index: 2
(The Ohio State University Wexner Medical Center),
Katiuscha Merath5
Estimated H-index: 5
(The Ohio State University Wexner Medical Center)
+ 8 AuthorsJordan M. Cloyd7
Estimated H-index: 7
(The Ohio State University Wexner Medical Center)
Background Postoperative pancreatic fistula (POPF) remains a major cause of morbidity following pancreaticoduodenectomy (PD). We sought to develop and validate a risk score system that utilized preoperative computed tomography (CT) measurements, laboratory values, and intraoperative pancreatic texture to estimate risk of developing POPF after PD.
Published in JAMA Surgery 10.67
Thomas P. Hank (Harvard University), Marta Sandini2
Estimated H-index: 2
(Harvard University)
+ -3 AuthorsCarlos Fernandez-del Castillo81
Estimated H-index: 81
(Harvard University)
Importance In the past decade, the use of neoadjuvant therapy (NAT) has increased for patients with borderline and locally advanced pancreatic ductal adenocarcinoma (PDAC). Data on pancreatic fistula and related overall survival (OS) in this setting are limited. Objective To compare postoperative complications in patients undergoing either upfront resection or pancreatectomy following NAT, focusing on clinically relevant postoperative pancreatic fistula (CR-POPF) and potential associations with ...
Published on Jul 12, 2019in Expert Review of Gastroenterology & Hepatology 2.99
Yien Xiang1
Estimated H-index: 1
(JLU: Jilin University),
Jiacheng Wu (JLU: Jilin University)+ 5 AuthorsXuewen Zhang6
Estimated H-index: 6
(JLU: Jilin University)
Sanket Srinivasa , Rowan W. Parks36
Estimated H-index: 36
(Edin.: University of Edinburgh)
Abstract Pancreatic ductal adenocarcinoma is characterised by poor oncological outcomes with curative treatment only possible for a minority. Symptoms are dependent on the stage of the disease and location within the pancreas with constitutional decline often prominent. Patients require biochemical investigations and accurate imaging with CT to determine stage of disease and local resectability. CT-PET and endoscopic ultrasound are increasingly used preoperatively. Surgery remains the cornerston...
Published on May 24, 2019in Journal of Hepato-biliary-pancreatic Sciences 2.35
Y. Ryu (SMC: Samsung Medical Center), Y. Ryu (SMC: Samsung Medical Center)+ 4 AuthorsIn Woong Han3
Estimated H-index: 3
(SMC: Samsung Medical Center)
Published on Jun 1, 2019in Hpb 3.05
Katsuhisa Ohgi3
Estimated H-index: 3
,
Yukiyasu Okamura19
Estimated H-index: 19
+ 5 AuthorsKatsuhiko Uesaka36
Estimated H-index: 36
Abstract Background Some parameters using preoperative computed tomography (CT) have been evaluated to predict the development of pancreatic fistula (PF) after pancreaticoduodenectomy (PD). The present retrospective study evaluated the predictive value of pancreatic attenuation for PF after PD. Methods A retrospective review was conducted of the patients who underwent PD between January 2010 and December 2014. The pancreatic attenuation was measured in unenhanced preoperative CT images. Pre- and...
Published on Apr 1, 2019in Asian Journal of Surgery 1.56
S Chikhladze4
Estimated H-index: 4
,
Frank Makowiec26
Estimated H-index: 26
+ 5 AuthorsU.A. Wittel
Summary Background Many techniques have been developed to prevent postoperative pancreatic fistula (POPF) after distal pancreatectomy, but POPF rates remain high. The aim of our study was to analyze POPF occurrence after closure of the pancreatic remnant by different operative techniques. Methods Between 2006 and 2017, 284 patients underwent distal pancreatectomy in our institution. For subgroup analysis the patients were divided into hand-sewn (n = 201) and stapler closure (n = 52) groups. The ...
Published on Mar 31, 2019in Scandinavian Journal of Surgery 1.53
Ahmad Zaghal2
Estimated H-index: 2
(AUB: American University of Beirut),
Hani Tamim13
Estimated H-index: 13
(AUB: American University of Beirut)
+ 5 AuthorsWalid Faraj12
Estimated H-index: 12
(AUB: American University of Beirut)
Background and aims:There is no consensus regarding the routine placement of intra-abdominal drains after pancreaticoduodenectomy. We aim to determine the effects of intraperitoneal drain placement during pancreaticoduodenectomy on 30-day postoperative morbidity and mortality.Methods:Patients who underwent pancreaticoduodenectomy for pancreatic tumors were identified from the 2014–2015 American College of Surgeons—National Surgical Quality Improvement Program Database. Univariate and multivariat...
Published on Mar 18, 2019in Journal of Gastrointestinal Surgery 2.69
Lisbi Rivas1
Estimated H-index: 1
(WashU: Washington University in St. Louis),
Lisbi Rivas (WashU: Washington University in St. Louis)+ 4 AuthorsPaul P. Lin5
Estimated H-index: 5
(WashU: Washington University in St. Louis)
Introduction A soft pancreas has been associated with an increased risk of post-operative pancreatic fistula formation. Few studies have evaluated the effect of anastomotic technique (duct to mucosa vs invagination) on fistula formation. This study aims to compare the effect of anastomotic technique on fistula formation among patients with a soft pancreas in a large multiinstitutional database.