ToolsCalculators
Pancreatic Fistula Risk Score
Predicts clinically relevant postoperative pancreatic fistula after pancreatoduodenectomy.
Pancreatic Fistula Risk Score
Pancreatic gland texture
Pathology
Pancreatic duct diameter
Intraoperative estimated blood loss
Result0 points
Negligible risk of clinically relevant postoperative pancreatic fistula (CR-POPF).
- Risk category
- Negligible risk
When to use
- Intraoperative/postoperative estimation of clinically relevant pancreatic fistula risk after pancreatoduodenectomy, to guide drain management and perioperative decisions.
Formula
Sum of: gland texture (hard 0, soft 2) + pathology (adenocarcinoma/pancreatitis 0, other 1) + duct diameter (≥5mm 0 to ≤1mm 4) + blood loss (≤400mL 0 to >1000mL 3). Range 0-10; negligible 0, low 1-2, moderate 3-6, high 7-10.
Pearls and pitfalls
- Blood loss and gland texture were not confirmed as independent predictors in every external validation, prompting alternative scores (e.g. a-FRS) that omit blood loss.