Description

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

acute edematous pancreatitis

peripancreatic fluid collection (PPFC)

II

sterile necrosis

+/- PPFC

III

infected necrosis

+/- PPFC

IV

abscess

+/- PPFC

IV

NA

extension of necrosis into adjacent organs

V

 


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