{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T07:18:17Z","timestamp":1794035897752,"version":"4.8.0"},"reference-count":26,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","theclinics.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgical Clinics of North America"],"published-print":{"date-parts":[[2024,10]]},"DOI":"10.1016\/j.suc.2024.03.001","type":"journal-article","created":{"date-parts":[[2024,4,6]],"date-time":"2024-04-06T23:58:53Z","timestamp":1712447933000},"page":"1113-1120","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Grade C Pancreatic Fistula"],"prefix":"10.1016","volume":"104","author":[{"given":"Stephen W.","family":"Behrman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.suc.2024.03.001_bib1","unstructured":"Zyromski N. \u201cPancreas fistula blues\u201d. What\u2019s Next?. REPO recording, 2018. CD."},{"issue":"3","key":"10.1016\/j.suc.2024.03.001_bib2","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.surg.2016.11.014","article-title":"The 2016 update of the International Study Group (ISGPF) definition and grading of postoperative pancreatic fistula: 11 years after","volume":"161","author":"Bassi","year":"2017","journal-title":"Surgery"},{"key":"10.1016\/j.suc.2024.03.001_bib3","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1111\/j.1477-2574.2012.00486.x","article-title":"Toward defining grade C pancreatic fistula following pancreatoduodenectomy: incidence, risk factors, management and outcome","volume":"14","author":"Denbo","year":"2012","journal-title":"HPB"},{"key":"10.1016\/j.suc.2024.03.001_bib4","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1007\/s11605-015-2884-2","article-title":"The characterization and prediction of ISGPF grade C fistulas following pancreatoduodenectomy","volume":"20","author":"McMillan","year":"2016","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.suc.2024.03.001_bib5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jamcollsurg.2012.09.002","article-title":"A\u00a0prospectively validated clinical risk score accurately predicts pancreatic fistula after pancreatoduodenectomy","volume":"216","author":"Callery","year":"2013","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.suc.2024.03.001_bib6","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1097\/SLA.0000000000002620","article-title":"Alternative fistula risk score for pancreatoduodenectomy (a0FRS): design and international external validation","volume":"269","author":"Mungroop","year":"2019","journal-title":"Ann Surg"},{"issue":"3","key":"10.1016\/j.suc.2024.03.001_bib7","doi-asserted-by":"crossref","first-page":"1898","DOI":"10.1245\/s10434-023-14564-3","article-title":"Simple preoperative imaging measurements predict postoperative pancreatic fistula after pancreatoduodenectomy","volume":"31","author":"Sok","year":"2023","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.suc.2024.03.001_bib8","first-page":"5005","article-title":"A\u00a0novel postoperative inflammatory score predicts postoperative pancreatic fistula after pancreatic resection","volume":"33","author":"Fujiwara","year":"2013","journal-title":"Anticancer Res"},{"key":"10.1016\/j.suc.2024.03.001_bib9","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1007\/s11605-015-2884-2","article-title":"The value of drains as a fistula mitigation strategy for pancreatoduodenectomy: something for everyone? Results of a randomized prospective multi-institutional study","volume":"20","author":"McMillan","year":"2016","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.suc.2024.03.001_bib10","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1097\/SLA.0000000000002327","article-title":"Characterization and optimal management of high-risk pancreatic anastomoses during pancreatoduodenectomy","volume":"267","author":"Ecker","year":"2018","journal-title":"Ann Surg"},{"key":"10.1016\/j.suc.2024.03.001_bib11","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1097\/SLA.0000000000001832","article-title":"Multicenter, prospective trial of selective drain management for pancreatoduodenectomy using risk stratification","volume":"265","author":"McMillan","year":"2017","journal-title":"Ann Surg"},{"key":"10.1016\/j.suc.2024.03.001_bib12","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.hpb.2022.10.003","article-title":"Pancreaticogastrostomy as a fistula mitigation strategy for a high-risk pancreatic anastomosis following pancreaticoduodenectomy","volume":"25","author":"Kazantsev","year":"2023","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.suc.2024.03.001_bib13","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1001\/jamasurg.2019.6035","article-title":"Pancreaticojejunostomy with externalized stent vs pancreaticogastrostomy with externalized stent for patients with high-risk pancreatic anastomosis: a single-center, phase 3, randomized clinical trial","volume":"155","author":"Andrianello","year":"2020","journal-title":"JAMA Surg"},{"key":"10.1016\/j.suc.2024.03.001_bib14","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1016\/j.gassur.2004.06.011","article-title":"Does fibrin glue sealant decrease the rate of pancreatic fistula after pacreaticoduodenectomy? Results of a prospective randomized trial","volume":"8","author":"Lillemoe","year":"2004","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.suc.2024.03.001_bib15","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.pan.2022.03.006","article-title":"Somatostatin analogues for the prevention of pancreatic fistula after open pancreatoduodenectomy: a nationwide analysis","volume":"22","author":"Bootsma","year":"2022","journal-title":"Pancreatology"},{"key":"10.1016\/j.suc.2024.03.001_bib16","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1177\/000313480807400702","article-title":"Intra-abdominal sepsis following pancreatic resection: incidence, risk factors, diagnosis, microbiology, management, and outcome","volume":"74","author":"Behrman","year":"2008","journal-title":"Am Surg"},{"key":"10.1016\/j.suc.2024.03.001_bib17","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1001\/archsurg.2011.85","article-title":"The microbiology of secondary and postoperative pancreatic infections. Implications for antimicrobial management","volume":"146","author":"Behrman","year":"2011","journal-title":"Arch Surg"},{"key":"10.1016\/j.suc.2024.03.001_bib18","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1016\/j.surg.2021.02.064","article-title":"Decision points in pancreatoduodenectomy: insights from the contemporary experts on prevention, mitigation, and management of postoperative pancreatic fistula","volume":"179","author":"Casciani","year":"2021","journal-title":"Surgery"},{"key":"10.1016\/j.suc.2024.03.001_bib19","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.hpb.2017.08.036","article-title":"Completion pancreatectomy in the acute management of pancreatic fistula after pancreaticoduodenectomy: a systemic review and qualitative synthesis of the literature","volume":"20","author":"Bressan","year":"2018","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.suc.2024.03.001_bib20","doi-asserted-by":"crossref","first-page":"3467","DOI":"10.1007\/s00423-022-02708-0","article-title":"Surgical management of severe pancreatic fistula after pancreatoduodenectomy: a comparison of early versus late rescue pancreatectomy","volume":"407","author":"Stoop","year":"2022","journal-title":"Langenbeck's Arch Surg"},{"key":"10.1016\/j.suc.2024.03.001_bib21","doi-asserted-by":"crossref","first-page":"1550","DOI":"10.1007\/s00268-015-2969-9","article-title":"Salvage completion pancreatectomies as damage control for post-pancreatic surgery complications: a single-center retrospective analysis","volume":"39","author":"Nentwich","year":"2015","journal-title":"World J Surg"},{"key":"10.1016\/j.suc.2024.03.001_bib22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.hpb.2019.07.005","article-title":"Early recognition of clinically relevant postoperative pancreatic fistula: a systematic review","volume":"22","author":"Smits","year":"2022","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.suc.2024.03.001_bib23","doi-asserted-by":"crossref","first-page":"1867","DOI":"10.1016\/S0140-6736(22)00182-9","article-title":"Algorithm-based versus usual care for the early recognition and management of complications after pancreatic resection in the Netherlands: an open-label, nationwide, stepped-wedge cluster-randomised trial","volume":"399","author":"Smits","year":"2022","journal-title":"Lancet"},{"key":"10.1016\/j.suc.2024.03.001_bib24","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.jamcollsurg.2018.06.009","article-title":"Taking theory to practice: quality improvement for pancreaticoduodenectomy and development and integration of the fistula risk score","volume":"227","author":"Ecker","year":"2018","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.suc.2024.03.001_bib25","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1016\/j.surg.2020.11.022","article-title":"Surgeon experience contributes to improved outcomes in pancreatoduodenectomies at high risk for fistula development","volume":"169","author":"Casciani","year":"2021","journal-title":"Surgery"},{"key":"10.1016\/j.suc.2024.03.001_bib26","doi-asserted-by":"crossref","first-page":"1849","DOI":"10.1016\/j.hpb.2021.04.022","article-title":"Mentorship and formal robotic proficiency skills curriculum improve subsequent generations\u2019 learning curve for the robotic distal pancreatectomy","volume":"23","author":"Al Abbas","year":"2021","journal-title":"HPB (Oxford)"}],"container-title":["Surgical Clinics of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039610924000367?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039610924000367?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T08:08:05Z","timestamp":1725437285000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039610924000367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":26,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["S0039610924000367"],"URL":"https:\/\/doi.org\/10.1016\/j.suc.2024.03.001","relation":{},"ISSN":["0039-6109"],"issn-type":[{"value":"0039-6109","type":"print"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Grade C Pancreatic Fistula","name":"articletitle","label":"Article Title"},{"value":"Surgical Clinics of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.suc.2024.03.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}