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The 2016 update of ...
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Bassi, ClaudioUniversity Hospital Verona
(author)
The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula : 11 Years After
- Article/chapterEnglish2017
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LIBRIS-ID:oai:lup.lub.lu.se:c7ca318d-99da-4dbe-a38b-82c73feaa7a5
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https://lup.lub.lu.se/record/c7ca318d-99da-4dbe-a38b-82c73feaa7a5URI
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https://doi.org/10.1016/j.surg.2016.11.014DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:135456442URI
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Language:English
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Summary in:English
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Subject category:art swepub-publicationtype
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Subject category:ref swepub-contenttype
Notes
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Background: In 2005, the International Study Group of Pancreatic Fistula developed a definition and grading of postoperative pancreatic fistula that has been accepted universally. Eleven years later, because postoperative pancreatic fistula remains one of the most relevant and harmful complications of pancreatic operation, the International Study Group of Pancreatic Fistula classification has become the gold standard in defining postoperative pancreatic fistula in clinical practice. The aim of the present report is to verify the value of the International Study Group of Pancreatic Fistula definition and grading of postoperative pancreatic fistula and to update the International Study Group of Pancreatic Fistula classification in light of recent evidence that has emerged, as well as to address the lingering controversies about the original definition and grading of postoperative pancreatic fistula. Methods: The International Study Group of Pancreatic Fistula reconvened as the International Study Group in Pancreatic Surgery in order to perform a review of the recent literature and consequently to update and revise the grading system of postoperative pancreatic fistula. Results: Based on the literature since 2005 investigating the validity and clinical use of the original International Study Group of Pancreatic Fistula classification, a clinically relevant postoperative pancreatic fistula is now redefined as a drain output of any measurable volume of fluid with an amylase level >3 times the upper limit of institutional normal serum amylase activity, associated with a clinically relevant development/condition related directly to the postoperative pancreatic fistula. Consequently, the former "grade A postoperative pancreatic fistula" is now redefined and called a "biochemical leak," because it has no clinical importance and is no longer referred to a true pancreatic fistula. Postoperative pancreatic fistula grades B and C are confirmed but defined more strictly. In particular, grade B requires a change in the postoperative management; drains are either left in place >3 weeks or repositioned through endoscopic or percutaneous procedures. Grade C postoperative pancreatic fistula refers to those postoperative pancreatic fistula that require reoperation or lead to single or multiple organ failure and/or mortality attributable to the pancreatic fistula. Conclusion: This new definition and grading system of postoperative pancreatic fistula should lead to a more universally consistent evaluation of operative outcomes after pancreatic operation and will allow for a better comparison of techniques used to mitigate the rate and clinical impact of a pancreatic fistula. Use of this updated classification will also allow for more precise comparisons of surgical quality between surgeons and units who perform pancreatic surgery.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Marchegiani, GiovanniUniversity Hospital Verona
(author)
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Dervenis, ChristosAgia Olga Hospital
(author)
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Sarr, MichealMayo Clinic Minnesota
(author)
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Abu Hilal, MohammadSouthampton General Hospital
(author)
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Adam, MustaphaLyon Civil Hospital / Hospices Civils de Lyon
(author)
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Allen, Peter J.Memorial Sloan-Kettering Cancer Center
(author)
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Andersson, RolandLund University,Lunds universitet,Kirurgi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Lever-, pankreas- och gallvägskirurgi,Forskargrupper vid Lunds universitet,Surgery (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Hepato-Pancreato-Biliary Surgery,Lund University Research Groups(Swepub:lu)kir-ran
(author)
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Asbun, Horacio J.Mayo Clinic Florida
(author)
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Besselink, Marc G.Academic Medical Center of University of Amsterdam (AMC)
(author)
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Conlon, KevinTrinity College Dublin
(author)
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Del Chiaro, MarcoKarolinska Institutet
(author)
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Falconi, MassimoVita-Salute San Raffaele University
(author)
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Fernandez-Cruz, LaureanoUniversity of Barcelona
(author)
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Fernandez-del Castillo, CarlosMassachusetts General Hospital
(author)
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Fingerhut, AbeMedical University of Graz
(author)
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Friess, HelmutKlinikum rechts der Isar
(author)
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Gouma, Dirk J.Academic Medical Center of University of Amsterdam (AMC)
(author)
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Hackert, ThiloHeidelberg University
(author)
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Izbicki, JakobUniversity Medical Center Hamburg-Eppendorf
(author)
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Lillemoe, Keith D.Massachusetts General Hospital
(author)
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Neoptolemos, John P.University of Liverpool
(author)
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Olah, AttilaPetz Aladar Hospital
(author)
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Schulick, RichardUniversity of Colorado
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Shrikhande, Shailesh V.Tata Memorial Hospital
(author)
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Takada, TadahiroTeikyo University School of Medicine
(author)
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Takaori, KyoichiKyoto University
(author)
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Traverso, WilliamSt. Luke's
(author)
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Vollmer, Charles R.Cochin Hospital
(author)
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Wolfgang, Christopher L.Johns Hopkins University
(author)
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Yeo, Charles J.Thomas Jefferson University
(author)
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Salvia, RobertoUniversity Hospital Verona
(author)
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Buchler, MarcusHeidelberg University
(author)
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University Hospital VeronaAgia Olga Hospital
(creator_code:org_t)
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In:Surgery: Elsevier BV161:3, s. 584-5910039-60601532-7361
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Marchegiani, Gio ...
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Sarr, Micheal
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Abu Hilal, Moham ...
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Adam, Mustapha
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Allen, Peter J.
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Andersson, Rolan ...
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Asbun, Horacio J ...
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Besselink, Marc ...
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Conlon, Kevin
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Del Chiaro, Marc ...
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Falconi, Massimo
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Fernandez-Cruz, ...
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Fernandez-del Ca ...
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Fingerhut, Abe
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Friess, Helmut
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Gouma, Dirk J.
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Hackert, Thilo
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Izbicki, Jakob
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Lillemoe, Keith ...
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Neoptolemos, Joh ...
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Olah, Attila
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Schulick, Richar ...
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Shrikhande, Shai ...
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Takada, Tadahiro
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Takaori, Kyoichi
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Traverso, Willia ...
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Vollmer, Charles ...
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Yeo, Charles J.
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Salvia, Roberto
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Buchler, Marcus
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