Table 2.
International Study Group for Pancreatic Surgery grading of postoperative pancreatic fistula after pancreatic surgery
| Grade A | Grade B | Grade C | |
|---|---|---|---|
| Clinical conditions | Well | Often well | Appearing ill |
| Specific treatmenta | No | Yes/no | Yes |
| US/CT (if obtained) | Negative | Negative/positive | Positive |
| Persistent drainage (after 3 weeks)b | No | Usually yes | Yes |
| Re-operation | No | No | Yes |
| Death related to POPF | No | No | Possibly yes |
| Signs of infections | No | Yes | Yes |
| Sepsis | No | No | Yes |
| Readmission | No | Yes/no | Yes/no |
a
Partial (peripheral) or total parenteral nutrition, antibiotics, enteral nutrition, somatostatin analogue and/or minimal invasive drainage.
b
With or without a drain in situ.
US, ultrasonography; CT, computed tomography; POPF, postoperative pancreatic fistula.
Adopted from Bassi et al.36