Table 1.
Proposed definition of post-operative pancreatitis and post-operative pancreatic fistula
| Post-operative pancreatitis (POP) | Post-operative pancreatic fistula (POPF) | |
|---|---|---|
| Definition | ||
| Urinary TRP-2 >50 ug/L POD 1–2 | Yes | No |
| Elevation serum amylase/lipase > upper limit normal POD 0-1 | + (if U-TRP2 unknown) | No |
| Drain amylase >3x serum upper limit normal @ POD 3 | +/− | Yes |
| Predicted severity | ||
| CRP <180 mg/L POD 2 | Grade A | Grade A |
| CRP ≥180 mg/L POD 2 | CR-POP | CR-POPF |
| Actual severitya | Proposed | Modified |
| No symptoms, infectious signs or specific therapy | Grade A | Grade A |
| POP or POPF related symptoms or therapies including interventional | Grade B | Grade B |
| POP or POPF related reoperation or mortality without reoperation | Grade C | Grade C |
a
Based on modification of the grading of ISGPS definition of POPF.40