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Table 5 ISGPF classification for pancreatic fistula

From: The measurement of amylase in drain fluid for the detection of pancreatic fistula after gastric cancer surgery: an interim analysis

No fistula

Drainage amylase on or after postoperative day 3 is not three times than upper normal serum amylase value

Grade A

No specific treatment was required even though drainage amylase on or after postoperative day 3 is three times than upper normal serum amylase value

Grade B

Requires a change management or adjustment of clinical pathway (antibiotics, total parenteral nutrition, or repositioning of drainage tubes)

Grade C

Requires major charge in the clinical pathway; clinical intervention is aggressive and often in the ICU setting