Pancreatic fistula classification: Difference between revisions
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==Classification== | ==Classification== | ||
* External Pancreatic | ==[[Pancreatic fistula classification|Classification]]== | ||
* | [[Pancreatic]] [[fistula]] can be classified anatomically as; | ||
*[[Internal]] [[fistula]]: The [[pancreatic duct]] communicates with [[internal organs]] or [[body cavity]] such as [[Pleural cavity|pleural]] or [[peritoneal]] [[cavity]]. | |||
*External [[fistula]]: The [[pancreatic duct]] communicates with the [[skin]], otherwise known as pancreaticocutaneous [[fistula]].<ref name="pmid18053844">{{cite journal| author=Morgan KA, Adams DB| title=Management of internal and external pancreatic fistulas. | journal=Surg Clin North Am | year= 2007 | volume= 87 | issue= 6 | pages= 1503-13, x | pmid=18053844 | doi=10.1016/j.suc.2007.08.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18053844 }} </ref> | |||
Pancreatic fistula can also be classified based on the [[anatomy]] of the [[pancreatic duct]] and the location of [[injury]] as; | |||
*Type 1 [[pancreatic]] [[fistula]]: Involves [[injury]] to the [[pancreatic]] [[parenchyma]] with leakage from the [[distal]] part of the [[pancreatic duct]] or the side branches. | |||
*Type 2 [[pancreatic]] [[fistula]]: Involves [[injury]] to and leak from the main [[pancreatic duct]]. | |||
*Type 3 [[pancreatic]] [[fistula]]: Occurs as a result of [[proximal]] or [[distal]] [[pancreatectomy]].<ref name="pmid28780610">{{cite journal| author=Mutignani M, Dokas S, Tringali A, Forti E, Pugliese F, Cintolo M | display-authors=etal| title=Pancreatic Leaks and Fistulae: An Endoscopy-Oriented Classification. | journal=Dig Dis Sci | year= 2017 | volume= 62 | issue= 10 | pages= 2648-2657 | pmid=28780610 | doi=10.1007/s10620-017-4697-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28780610 }} </ref> | |||
[[Pancreatic]] [[fistula]] is classified into two categories on the basis of [[clinical]] manifestations, [[complications]] and severity by the ISGPF as; | |||
*[[Biochemical]] [[pancreatic]] [[fistula]]: This category includes fistula with no significant [[clinical]] [[symptoms]]. | |||
*Clinically relevant [[pancreatic]] [[fistula]]: This category includes [[fistulas]] under grade B and C, which shows significant clinical [[symptoms]] and require surgical [[interventions]], re-surgeries and can complicate into [[organ failure]] and death.<ref name="pmid31840199">{{cite journal| author=Jiang L, Ning D, Chen X| title=Prevention and treatment of pancreatic fistula after pancreatic body and tail resection: current status and future directions. | journal=Front Med | year= 2020 | volume= 14 | issue= 3 | pages= 251-261 | pmid=31840199 | doi=10.1007/s11684-019-0727-3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31840199 }} </ref> | |||
==References== | ==References== | ||
Revision as of 13:59, 23 March 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Classification
Classification
Pancreatic fistula can be classified anatomically as;
- Internal fistula: The pancreatic duct communicates with internal organs or body cavity such as pleural or peritoneal cavity.
- External fistula: The pancreatic duct communicates with the skin, otherwise known as pancreaticocutaneous fistula.[1]
Pancreatic fistula can also be classified based on the anatomy of the pancreatic duct and the location of injury as;
- Type 1 pancreatic fistula: Involves injury to the pancreatic parenchyma with leakage from the distal part of the pancreatic duct or the side branches.
- Type 2 pancreatic fistula: Involves injury to and leak from the main pancreatic duct.
- Type 3 pancreatic fistula: Occurs as a result of proximal or distal pancreatectomy.[2]
Pancreatic fistula is classified into two categories on the basis of clinical manifestations, complications and severity by the ISGPF as;
- Biochemical pancreatic fistula: This category includes fistula with no significant clinical symptoms.
- Clinically relevant pancreatic fistula: This category includes fistulas under grade B and C, which shows significant clinical symptoms and require surgical interventions, re-surgeries and can complicate into organ failure and death.[3]
References
- ↑ Morgan KA, Adams DB (2007). "Management of internal and external pancreatic fistulas". Surg Clin North Am. 87 (6): 1503–13, x. doi:10.1016/j.suc.2007.08.008. PMID 18053844.
- ↑ Mutignani M, Dokas S, Tringali A, Forti E, Pugliese F, Cintolo M; et al. (2017). "Pancreatic Leaks and Fistulae: An Endoscopy-Oriented Classification". Dig Dis Sci. 62 (10): 2648–2657. doi:10.1007/s10620-017-4697-5. PMID 28780610.
- ↑ Jiang L, Ning D, Chen X (2020). "Prevention and treatment of pancreatic fistula after pancreatic body and tail resection: current status and future directions". Front Med. 14 (3): 251–261. doi:10.1007/s11684-019-0727-3. PMID 31840199.