OBJECTIVES: The purposes of this study were to validate the value of the International Study Group on Pancreatic Fistula (ISGPF) classification scheme for pancreatic fistula (PF) and to identify predictive factors for clinically significant PF. METHODS: From January 2000 to December 2007, 294 consecutive patients underwent pancreaticoduodenectomy in a single medical center. Pancreatic fistula was evaluated by the ISGPF criteria and Johns Hopkins Hospital's definition (JHH). Then, logistic regression analysis was performed to identify predictive factors for PF development. Our own management strategies with PF were also discussed. RESULTS: The overall incidence of PF was 19.4% (57/294) according to the ISGPF criteria, and 8.8% (26/294) using the JHH definition. Thirty-one patients with PF classified by the ISGPF were missed by the JHH definition. By logistic regression analysis, we found that besides the lack of cardiovascular disease and malignant diseases, our single-layer continuous circular invaginated pancreaticojejunostomy was another independent factor for the lowered incidence of PF. CONCLUSIONS: The ISGPF classification scheme was accurate for evaluating PF. Single-layer continuous circular invaginated pancreaticojejunostomy may be a promising method that may have been responsible for the lower incidence of PF in this study.
OBJECTIVES: The purposes of this study were to validate the value of the International Study Group on Pancreatic Fistula (ISGPF) classification scheme for pancreatic fistula (PF) and to identify predictive factors for clinically significant PF. METHODS: From January 2000 to December 2007, 294 consecutive patients underwent pancreaticoduodenectomy in a single medical center. Pancreatic fistula was evaluated by the ISGPF criteria and Johns Hopkins Hospital's definition (JHH). Then, logistic regression analysis was performed to identify predictive factors for PF development. Our own management strategies with PF were also discussed. RESULTS: The overall incidence of PF was 19.4% (57/294) according to the ISGPF criteria, and 8.8% (26/294) using the JHH definition. Thirty-one patients with PF classified by the ISGPF were missed by the JHH definition. By logistic regression analysis, we found that besides the lack of cardiovascular disease and malignant diseases, our single-layer continuous circular invaginated pancreaticojejunostomy was another independent factor for the lowered incidence of PF. CONCLUSIONS: The ISGPF classification scheme was accurate for evaluating PF. Single-layer continuous circular invaginated pancreaticojejunostomy may be a promising method that may have been responsible for the lower incidence of PF in this study.
Authors: Amer H Zureikat; A James Moser; Brian A Boone; David L Bartlett; Mazen Zenati; Herbert J Zeh Journal: Ann Surg Date: 2013-10 Impact factor: 12.969
Authors: Rong Liu; Guo-Dong Zhao; Wen-Bo Tang; Ke-di Zhang; Zhi-Ming Zhao; Yuan-Xing Gao; Ming-Gen Hu; Cheng-Gang Li; Xiang-Long Tan; Xuan Zhang Journal: Nan Fang Yi Ke Da Xue Xue Bao Date: 2018-02-20
Authors: Suzanne M Inchauste; Brock J Lanier; Steven K Libutti; Giao Q Phan; Naris Nilubol; Seth M Steinberg; Electron Kebebew; Marybeth S Hughes Journal: World J Surg Date: 2012-07 Impact factor: 3.352
Authors: Benjamin Müssle; Florian Oehme; Stephanie Schade; Marian Sommer; Andreas Bogner; Sebastian Hempel; Julius Pochhammer; Christoph Kahlert; Marius Distler; Jürgen Weitz; Thilo Welsch Journal: J Clin Med Date: 2019-12-19 Impact factor: 4.241