ISGPS Severity Calculator for DGE and Fistula

This web page will calculate the severity grades according to the ISGPS leak definition for pancreatic fistula and delayed gastric emptying (DGE).

**Criteria:**
Days until unlimited oral intake:
NG tube removed on postoperative day:	(leave blank if not applicable)
NG tube reinserted on postoperative day:	(leave blank if not applicable)
Intra-abdominal abscess?	No Yes
Was amylase > 3x institution limit after post-op day n?	No Yes
Radiographic documentation of periasastomotic extravasation or drain sinogram connection?	No Yes
Was there persistent drainage > 3 weeks?	No Yes
Was there any specific treatment for POPF?	No Yes
Intra-abdominal hemorrhage ± pseudoaneurysm in the presence of amylase-rich drainage?	No Yes
Was there a readmission for POPF?	No Yes
Was percutaneous drainage required for POPF?	No Yes
Was there a reoperation due to POPF?	No Yes
Sepsis and / or organ dysfunction due to POPF?	No Yes
Death related to POPF?	No Yes

Reference

The Pancreas Club wishes to thank
Yasushi Hashimoto, M.D., Wande Pratt, M.D.,
and George Maupin
for their efforts in developing
this severity calculator.

Back to Pancreas Club site