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Definition and classification of chyle leak after pancreatic operation: A consensus statement by the International Study Group on Pancreatic Surgery

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Definition and classification of chyle leak after pancreatic operation: A consensus statement by the International Study Group on Pancreatic Surgery. / Besselink, Marc G; van Rijssen, L Bengt; Bassi, Claudio; Dervenis, Christos; Montorsi, Marco; Adham, Mustapha; Asbun, Horacio J; Bockhorn, Maximilian; Strobel, Oliver; Büchler, Markus W; Busch, Olivier R; Charnley, Richard M; Conlon, Kevin C; Fernández-Cruz, Laureano; Fingerhut, Abe; Friess, Helmut; Izbicki, Jakob R; Lillemoe, Keith D; Neoptolemos, John P; Sarr, Michael G; Shrikhande, Shailesh V; Sitarz, Robert; Vollmer, Charles M; Yeo, Charles J; Hartwig, Werner; Wolfgang, Christopher L; Gouma, Dirk J; International Study Group on Pancreatic Surgery (ISGPS).

In: SURGERY, Vol. 161, No. 2, 28.09.2016, p. 365-372.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Besselink, MG, van Rijssen, LB, Bassi, C, Dervenis, C, Montorsi, M, Adham, M, Asbun, HJ, Bockhorn, M, Strobel, O, Büchler, MW, Busch, OR, Charnley, RM, Conlon, KC, Fernández-Cruz, L, Fingerhut, A, Friess, H, Izbicki, JR, Lillemoe, KD, Neoptolemos, JP, Sarr, MG, Shrikhande, SV, Sitarz, R, Vollmer, CM, Yeo, CJ, Hartwig, W, Wolfgang, CL, Gouma, DJ & International Study Group on Pancreatic Surgery (ISGPS) 2016, 'Definition and classification of chyle leak after pancreatic operation: A consensus statement by the International Study Group on Pancreatic Surgery', SURGERY, vol. 161, no. 2, pp. 365-372. https://doi.org/10.1016/j.surg.2016.06.058

APA

Besselink, M. G., van Rijssen, L. B., Bassi, C., Dervenis, C., Montorsi, M., Adham, M., Asbun, H. J., Bockhorn, M., Strobel, O., Büchler, M. W., Busch, O. R., Charnley, R. M., Conlon, K. C., Fernández-Cruz, L., Fingerhut, A., Friess, H., Izbicki, J. R., Lillemoe, K. D., Neoptolemos, J. P., ... International Study Group on Pancreatic Surgery (ISGPS) (2016). Definition and classification of chyle leak after pancreatic operation: A consensus statement by the International Study Group on Pancreatic Surgery. SURGERY, 161(2), 365-372. https://doi.org/10.1016/j.surg.2016.06.058

Vancouver

Besselink MG, van Rijssen LB, Bassi C, Dervenis C, Montorsi M, Adham M et al. Definition and classification of chyle leak after pancreatic operation: A consensus statement by the International Study Group on Pancreatic Surgery. SURGERY. 2016 Sep 28;161(2):365-372. https://doi.org/10.1016/j.surg.2016.06.058

Bibtex

@article{7676b409f6a541e0812f0d851d22adfe,
title = "Definition and classification of chyle leak after pancreatic operation: A consensus statement by the International Study Group on Pancreatic Surgery",
abstract = "BACKGROUND: Recent literature suggests that chyle leak may complicate up to 10% of pancreatic resections. Treatment depends on its severity, which may include chylous ascites. No international consensus definition or grading system of chyle leak currently is available.METHODS: The International Study Group on Pancreatic Surgery, an international panel of pancreatic surgeons working in well-known, high-volume centers, reviewed the literature and worked together to establish a consensus on the definition and classification of chyle leak after pancreatic operation.RESULTS: Chyle leak was defined as output of milky-colored fluid from a drain, drain site, or wound on or after postoperative day 3, with a triglyceride content ≥110 mg/dL (≥1.2 mmol/L). Three different grades of severity were defined according to the management needed: grade A, no specific intervention other than oral dietary restrictions; grade B, prolongation of hospital stay, nasoenteral nutrition with dietary restriction, total parenteral nutrition, octreotide, maintenance of surgical drains, or placement of new percutaneous drains; and grade C, need for other more invasive in-hospital treatment, intensive care unit admission, or mortality.CONCLUSION: This classification and grading system for chyle leak after pancreatic resection allows for comparison of outcomes between series. As with the other the International Study Group on Pancreatic Surgery consensus statements, this classification should facilitate communication and evaluation of different approaches to the prevention and treatment of this complication.",
author = "Besselink, {Marc G} and {van Rijssen}, {L Bengt} and Claudio Bassi and Christos Dervenis and Marco Montorsi and Mustapha Adham and Asbun, {Horacio J} and Maximilian Bockhorn and Oliver Strobel and B{\"u}chler, {Markus W} and Busch, {Olivier R} and Charnley, {Richard M} and Conlon, {Kevin C} and Laureano Fern{\'a}ndez-Cruz and Abe Fingerhut and Helmut Friess and Izbicki, {Jakob R} and Lillemoe, {Keith D} and Neoptolemos, {John P} and Sarr, {Michael G} and Shrikhande, {Shailesh V} and Robert Sitarz and Vollmer, {Charles M} and Yeo, {Charles J} and Werner Hartwig and Wolfgang, {Christopher L} and Gouma, {Dirk J} and {International Study Group on Pancreatic Surgery (ISGPS)}",
note = "Copyright {\textcopyright} 2016 Elsevier Inc. All rights reserved.",
year = "2016",
month = sep,
day = "28",
doi = "10.1016/j.surg.2016.06.058",
language = "English",
volume = "161",
pages = "365--372",
journal = "SURGERY",
issn = "0039-6060",
publisher = "Mosby Inc.",
number = "2",

}

RIS

TY - JOUR

T1 - Definition and classification of chyle leak after pancreatic operation: A consensus statement by the International Study Group on Pancreatic Surgery

AU - Besselink, Marc G

AU - van Rijssen, L Bengt

AU - Bassi, Claudio

AU - Dervenis, Christos

AU - Montorsi, Marco

AU - Adham, Mustapha

AU - Asbun, Horacio J

AU - Bockhorn, Maximilian

AU - Strobel, Oliver

AU - Büchler, Markus W

AU - Busch, Olivier R

AU - Charnley, Richard M

AU - Conlon, Kevin C

AU - Fernández-Cruz, Laureano

AU - Fingerhut, Abe

AU - Friess, Helmut

AU - Izbicki, Jakob R

AU - Lillemoe, Keith D

AU - Neoptolemos, John P

AU - Sarr, Michael G

AU - Shrikhande, Shailesh V

AU - Sitarz, Robert

AU - Vollmer, Charles M

AU - Yeo, Charles J

AU - Hartwig, Werner

AU - Wolfgang, Christopher L

AU - Gouma, Dirk J

AU - International Study Group on Pancreatic Surgery (ISGPS)

N1 - Copyright © 2016 Elsevier Inc. All rights reserved.

PY - 2016/9/28

Y1 - 2016/9/28

N2 - BACKGROUND: Recent literature suggests that chyle leak may complicate up to 10% of pancreatic resections. Treatment depends on its severity, which may include chylous ascites. No international consensus definition or grading system of chyle leak currently is available.METHODS: The International Study Group on Pancreatic Surgery, an international panel of pancreatic surgeons working in well-known, high-volume centers, reviewed the literature and worked together to establish a consensus on the definition and classification of chyle leak after pancreatic operation.RESULTS: Chyle leak was defined as output of milky-colored fluid from a drain, drain site, or wound on or after postoperative day 3, with a triglyceride content ≥110 mg/dL (≥1.2 mmol/L). Three different grades of severity were defined according to the management needed: grade A, no specific intervention other than oral dietary restrictions; grade B, prolongation of hospital stay, nasoenteral nutrition with dietary restriction, total parenteral nutrition, octreotide, maintenance of surgical drains, or placement of new percutaneous drains; and grade C, need for other more invasive in-hospital treatment, intensive care unit admission, or mortality.CONCLUSION: This classification and grading system for chyle leak after pancreatic resection allows for comparison of outcomes between series. As with the other the International Study Group on Pancreatic Surgery consensus statements, this classification should facilitate communication and evaluation of different approaches to the prevention and treatment of this complication.

AB - BACKGROUND: Recent literature suggests that chyle leak may complicate up to 10% of pancreatic resections. Treatment depends on its severity, which may include chylous ascites. No international consensus definition or grading system of chyle leak currently is available.METHODS: The International Study Group on Pancreatic Surgery, an international panel of pancreatic surgeons working in well-known, high-volume centers, reviewed the literature and worked together to establish a consensus on the definition and classification of chyle leak after pancreatic operation.RESULTS: Chyle leak was defined as output of milky-colored fluid from a drain, drain site, or wound on or after postoperative day 3, with a triglyceride content ≥110 mg/dL (≥1.2 mmol/L). Three different grades of severity were defined according to the management needed: grade A, no specific intervention other than oral dietary restrictions; grade B, prolongation of hospital stay, nasoenteral nutrition with dietary restriction, total parenteral nutrition, octreotide, maintenance of surgical drains, or placement of new percutaneous drains; and grade C, need for other more invasive in-hospital treatment, intensive care unit admission, or mortality.CONCLUSION: This classification and grading system for chyle leak after pancreatic resection allows for comparison of outcomes between series. As with the other the International Study Group on Pancreatic Surgery consensus statements, this classification should facilitate communication and evaluation of different approaches to the prevention and treatment of this complication.

U2 - 10.1016/j.surg.2016.06.058

DO - 10.1016/j.surg.2016.06.058

M3 - SCORING: Journal article

C2 - 27692778

VL - 161

SP - 365

EP - 372

JO - SURGERY

JF - SURGERY

SN - 0039-6060

IS - 2

ER -