The American Association for the Surgery on Trauma (AAST) reported a severity grading system for emergency general surgery. This can be applied to an emergency involving acute pancreatitis.
Patient selection: acute pancreatitis
Parameters:
(1) edematous pancreatitis
(2) phlegmon
(3) peripancreatic fluid collection (PPFC
(4) hemorrhage
(5) necrosis
(6) abscess
(7) extrapancreatic necrosis involving adjacent organs (EHN)
Pancreas
Extrapancreatic
Grade
acute edematous pancreatitis
none
I
phlegmon OR hemorrhage
+/- PPFC
II
peripancreatic fluid collection (PPFC)
sterile necrosis
III
infected necrosis
IV
abscess
NA
extension of necrosis into adjacent organs
V
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Specialty: Gastroenterology, Surgery, general, Emergency Medicine