Surgery · Gastroenterology
Pancreatic Fistula Risk Score calculator
Enter the published formula inputs below to calculate and interpret this score.
Clinical inputs
Allowed range: 0–20 mm
Round to the nearest millimeter. 5 mm or larger is 0, 4 mm is 1, 3 mm is 2, 2 mm is 3, and 1 mm is 4.
Allowed range: 0–5000 mL
400 mL or less is 0, through 700 mL is 1, through 1,000 mL is 2, and above 1,000 mL is 3.
Result
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Clinical inputs
- Gland texture
- Pathology
- Pancreatic duct diameter (mm)Accepted range: 0 to 20
- Intraoperative blood loss (mL)Accepted range: 0 to 5000
Primary source
Callery MP, Pratt WB, Kent TS, Chaikof EL, Vollmer CM Jr. A prospectively validated clinical risk score accurately predicts pancreatic fistula after pancreatoduodenectomy. J Am Coll Surg. DOI: 10.1016/j.jamcollsurg.2012.09.002. PMID: 23122535. Model III points from Table 2: firm gland 0, soft gland 2; pancreatic adenocarcinoma or pancreatitis 0, and ampullary, duodenal, cystic, or islet-cell pathology 1; duct diameter is rounded to the nearest millimeter, then 5 mm or larger is 0, 4 mm is 1, 3 mm is 2, 2 mm is 3, and 1 mm is 4; blood loss 400 mL or less 0, 401–700 mL 1, 701–1,000 mL 2, and more than 1,000 mL 3. Negligible risk is 0, low risk is 1–2, intermediate risk is 3–6, and high risk is 7–10. (2013)
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