Evaluación de escalas de predicción de fistula pancreática postoperatoria basado en resonancia magnética: estudio de prueba diagnóstica

La fístula pancreática posoperatoria (POPF) es una de las complicaciones más temidas y frecuentes tras las pancreatoduodenectomías. Este trabajo tiene como objetivo evaluar el rendimiento de las diferentes escalas para predecir POPF, en donde la escala de Birmingham fue la escala con mayor rendimien...

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Fecha de publicación:
2023
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Universidad del Rosario
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Repositorio EdocUR - U. Rosario
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spa
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oai:repository.urosario.edu.co:10336/40255
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https://doi.org/10.48713/10336_40255
https://repository.urosario.edu.co/handle/10336/40255
Palabra clave:
Páncreas, fístula pancreática, pancreaticoduodenectomia, escalas de riesgo, predicción preoperatoria, complicaciones
Pancreas, pancreatic fistula, pancreaticoduodenectomy, risk scales, preoperative prediction, complications
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id EDOCUR2_dba9cb3a318ee206090596311f06ca36
oai_identifier_str oai:repository.urosario.edu.co:10336/40255
network_acronym_str EDOCUR2
network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
dc.title.none.fl_str_mv Evaluación de escalas de predicción de fistula pancreática postoperatoria basado en resonancia magnética: estudio de prueba diagnóstica
dc.title.TranslatedTitle.none.fl_str_mv Evaluation of postoperative pancreatic fistula prediction scales based on magnetic resonance imaging: A diagnostic test study
title Evaluación de escalas de predicción de fistula pancreática postoperatoria basado en resonancia magnética: estudio de prueba diagnóstica
spellingShingle Evaluación de escalas de predicción de fistula pancreática postoperatoria basado en resonancia magnética: estudio de prueba diagnóstica
Páncreas, fístula pancreática, pancreaticoduodenectomia, escalas de riesgo, predicción preoperatoria, complicaciones
Pancreas, pancreatic fistula, pancreaticoduodenectomy, risk scales, preoperative prediction, complications
title_short Evaluación de escalas de predicción de fistula pancreática postoperatoria basado en resonancia magnética: estudio de prueba diagnóstica
title_full Evaluación de escalas de predicción de fistula pancreática postoperatoria basado en resonancia magnética: estudio de prueba diagnóstica
title_fullStr Evaluación de escalas de predicción de fistula pancreática postoperatoria basado en resonancia magnética: estudio de prueba diagnóstica
title_full_unstemmed Evaluación de escalas de predicción de fistula pancreática postoperatoria basado en resonancia magnética: estudio de prueba diagnóstica
title_sort Evaluación de escalas de predicción de fistula pancreática postoperatoria basado en resonancia magnética: estudio de prueba diagnóstica
dc.contributor.advisor.none.fl_str_mv Ramírez Giraldo, Camilo
Sabogal Olarte, Juan Carlos
dc.contributor.gruplac.none.fl_str_mv Méderi
dc.subject.none.fl_str_mv Páncreas, fístula pancreática, pancreaticoduodenectomia, escalas de riesgo, predicción preoperatoria, complicaciones
topic Páncreas, fístula pancreática, pancreaticoduodenectomia, escalas de riesgo, predicción preoperatoria, complicaciones
Pancreas, pancreatic fistula, pancreaticoduodenectomy, risk scales, preoperative prediction, complications
dc.subject.keyword.none.fl_str_mv Pancreas, pancreatic fistula, pancreaticoduodenectomy, risk scales, preoperative prediction, complications
description La fístula pancreática posoperatoria (POPF) es una de las complicaciones más temidas y frecuentes tras las pancreatoduodenectomías. Este trabajo tiene como objetivo evaluar el rendimiento de las diferentes escalas para predecir POPF, en donde la escala de Birmingham fue la escala con mayor rendimiento predictivo de POPF, es una escala sencilla con únicamente dos variables las cuales se pueden obtener en el preoperatorio con ayuda de la MRI.
publishDate 2023
dc.date.accessioned.none.fl_str_mv 2023-07-31T15:39:08Z
dc.date.available.none.fl_str_mv 2023-07-31T15:39:08Z
dc.date.created.none.fl_str_mv 2023-07-27
dc.date.embargoEnd.none.fl_str_mv info:eu-repo/date/embargoEnd/2025-07-31
dc.type.none.fl_str_mv bachelorThesis
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.document.none.fl_str_mv Trabajo de grado
dc.type.spa.none.fl_str_mv Trabajo de grado
dc.identifier.doi.none.fl_str_mv https://doi.org/10.48713/10336_40255
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/40255
url https://doi.org/10.48713/10336_40255
https://repository.urosario.edu.co/handle/10336/40255
dc.language.iso.none.fl_str_mv spa
language spa
dc.rights.*.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_f1cf
dc.rights.acceso.none.fl_str_mv Restringido (Temporalmente bloqueado)
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
Restringido (Temporalmente bloqueado)
http://creativecommons.org/licenses/by-nc-nd/4.0/
http://purl.org/coar/access_right/c_f1cf
dc.format.extent.none.fl_str_mv 51
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidad del Rosario
dc.publisher.department.none.fl_str_mv Escuela de Medicina y Ciencias de la Salud
dc.publisher.program.none.fl_str_mv Especialización en Cirugía General
publisher.none.fl_str_mv Universidad del Rosario
institution Universidad del Rosario
dc.source.bibliographicCitation.none.fl_str_mv Malgras B, Dokmak S, Aussilhou B, Pocard M, Sauvanet A. Management of postoperative pancreatic fistula after pancreaticoduodenectomy. J Visc Surg [Internet]. 2023;160(1):39–51. Disponible en: https://doi.org/10.1016/j.jviscsurg.2023.01.002
Søreide K, Healey AJ, Mole DJ, Parks RW. Pre-, peri- and post-operative factors for the development of pancreatic fistula after pancreatic surgery. Hpb. 2019;21(12):1621–31. Disponible en: https://doi.org/10.1016/j.hpb.2019.06.004
Pande R, Halle-Smith JM, Phelan L, Thorne T, Panikkar M, Hodson J, et al. External validation of postoperative pancreatic fistula prediction scores in pancreatoduodenectomy: a systematic review and meta-analysis. Hpb. 2022;24(3):287–98.
Eshmuminov D, Schneider MA, Tschuor C, Raptis DA, Kambakamba P, Muller X, et al. Systematic review and meta-analysis of postoperative pancreatic fistula rates using the updated 2016 International Study Group Pancreatic Fistula definition in patients undergoing pancreatic resection with soft and hard pancreatic texture. Hpb. 2018;20(11):992–1003.
Hong TH, Choi J Il, Park MY, Rha SE, Lee YJ, You YK, et al. Pancreatic hardness: Correlation of surgeon’s palpation, durometer measurement and preoperative magnetic resonance imaging features. World J Gastroenterol. 2017;23(11):2044–51
Marchegiani G, Ballarin R, Malleo G, Andrianello S, Allegrini V, Pulvirenti A, et al. Quantitative Assessment of Pancreatic Texture Using a Durometer: A New Tool to Predict the Risk of Developing a Postoperative Fistula. World J Surg. 2017;41(11):2876–83
Belyaev O, Rosenkranz S, Munding J, Herzog T, Chromik AM, Tannapfel A, et al. Quantitative assessment and determinants of suture-holding capacity of human pancreas. J Surg Res [Internet]. 2013;184(2):807–12. Disponible en: http://dx.doi.org/10.1016/j.jss.2013.04.017
Bossuyt PM, Reitsma JB, Bruns DE, Bruns DE, Glasziou PP, Irwig L, et al. STARD 2015: An updated list of essential items for reporting diagnostic accuracy studies1. Radiology. 2015;277(3):826–32.
Tabchouri N, Bouquot M, Hermand H, Benoit O, Loiseau JC, Dokmak S, et al. A Novel Pancreatic Fistula Risk Score Including Preoperative Radiation Therapy in Pancreatic Cancer Patients. J Gastrointest Surg. 2021;25(4):991–1000.
Yamamoto Y, Sakamoto Y, Nara S, Esaki M, Shimada K, Kosuge T. A preoperative predictive scoring system for postoperative pancreatic fistula after pancreaticoduodenectomy. World J Surg. 2011;35(12):2747–55.
Roberts KJ, Hodson J, Mehrzad H, Marudanayagam R, Sutcliffe RP, Muiesan P, et al. A preoperative predictive score of pancreatic fistula following pancreatoduodenectomy. Hpb. 2014;16(7):620–8
Callery MP, Pratt WB, Kent TS, Chaikof EL, Vollmer CM. A prospectively validated clinical risk score accurately predicts pancreatic fistula after pancreatoduodenectomy. J Am Coll Surg [Internet]. 2013;216(1):1–14. Disponible en: http://dx.doi.org/10.1016/j.jamcollsurg.2012.09.002
Kantor O, Talamonti MS, Pitt HA, Vollmer CM, Riall TS, Hall BL, et al. Using the NSQIP Pancreatic Demonstration Project to Derive a Modified Fistula Risk Score for Preoperative Risk Stratification in Patients Undergoing Pancreaticoduodenectomy. J Am Coll Surg [Internet]. 2017;224(5):816–25. Disponible en: http://dx.doi.org/10.1016/j.jamcollsurg.2017.01.054
Mungroop TH, Van Rijssen LB, Van Klaveren D, Smits FJ, Van Woerden V, Linnemann RJ, et al. Alternative Fistula Risk Score for Pancreatoduodenectomy (a-FRS): Design and International External Validation. Ann Surg. 2019;269(5):937–43.
Mungroop TH, Klompmaker S, Wellner UF, Steyerberg EW, Coratti A, D’Hondt M, et al. Updated Alternative Fistula Risk Score (ua-FRS) to Include Minimally Invasive Pancreatoduodenectomy: Pan-European Validation. Ann Surg. 2021;273(2):334–40.
Watanabe H, Kanematsu M, Tanaka K, Osada S, Tomita H, Hara A, et al. Fibrosis and postoperative fistula of the pancreas: Correlation with mr imaging findings-preliminary results. Radiology. 2014;270(3):791–9
Bassi C, Marchegiani G, Dervenis C, Sarr M, Abu Hilal M, Adham M, et al. The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 Years After. Surg (United States) [Internet]. 2017;161(3):584–91. Disponible en: http://dx.doi.org/10.1016/j.surg.2016.11.014
Pulvirenti A, Ramera M, Bassi C. Modifications in the International Study Group for Pancreatic Surgery (ISGPS) definition of postoperative pancreatic fistula. Transl Gastroenterol Hepatol. 2017;2(DEC).
Hu BY, Wan T, Zhang WZ, Dong JH. Risk factors for postoperative pancreatic fistula: Analysis of 539 successive cases of pancreaticoduodenectomy. World J Gastroenterol. 2016;22(34):7797–805
Kamarajah SK, Bundred JR, Lin A, Halle-Smith J, Pande R, Sutcliffe R, et al. Systematic review and meta-analysis of factors associated with post-operative pancreatic fistula following pancreatoduodenectomy. ANZ J Surg. 2021;91(5):810–21.
Tajima Y, Kawabata Y, Hirahara N. Preoperative imaging evaluation of pancreatic pathologies for the objective prediction of pancreatic fistula after pancreaticoduodenectomy. Surg Today. 2018;48(2):140–50
Gaujoux S, Cortes A, Couvelard A, Noullet S, Clavel L, Rebours V, et al. Fatty pancreas and increased body mass index are risk factors of pancreatic fistula after pancreaticoduodenectomy. Surgery. 2010;148(1):15–23.
Belyaev O, Munding J, Herzog T, Suelberg D, Tannapfel A, Schmidt WE, et al. Histomorphological features of the pancreatic remnant as independent risk factors for postoperative pancreatic fistula: A matched-pairs analysis. Pancreatology. 2011;11(5):516–24
Shubert CR, Wagie AE, Farnell MB, Nagorney DM, Que FG, Reid Lombardo K, et al. Clinical Risk Score to Predict Pancreatic Fistula after Pancreatoduodenectomy: Independent External Validation for Open and Laparoscopic Approaches. J Am Coll Surg. 2015;221(3):689–98
Ryu Y, Shin SH, Park DJ, Kim N, Heo JS, Choi DW, et al. Validation of original and alternative fistula risk scores in postoperative pancreatic fistula. J Hepatobiliary Pancreat Sci. 2019;26(8):354–9
Lattimore CM, Kane WJ, Turrentine FE, Zaydfudim VM. The impact of obesity and severe obesity on postoperative outcomes after pancreatoduodenectomy. Surg (United States) [Internet]. 2021;170(5):1538–45. Disponible en: https://doi.org/10.1016/j.surg.2021.04.028
Armellini F, Zamboni M, Robbi R, Todesco T, Rigo L, Bergamo-Andreis I, et al. Total and intra-abdominal fat measurements by ultrasound and computerized tomography. Int J Obes Relat Metab Disord. 1993;17(4):209–14.
Mathur A, Pitt HA, Marine M, Saxena R, Schmidt CM, Howard TJ, et al. Fatty pancreas: A factor in postoperative pancreatic fistula. Ann Surg. 2007;246(6):1058–64
Chen CB, McCall NS, Pucci MJ, Leiby B, Dabbish N, Winter JM, et al. The Combination of Pancreas Texture and Postoperative Serum Amylase in Predicting Pancreatic Fistula Risk. Am Surg. 2018;84(6):889–96.
Adachi E, Harimoto N, Yamashita Y-I, Sakaguchi Y, Toh Y, Okamura T, et al. Pancreatic leakage test in pancreaticoduodenectomy: relation to degree of pancreatic fibrosis, pancreatic amylase level and pancreatic fistula. Fukuoka Igaku Zasshi. 2013;104(12):490–8
Maqueda González R, Di Martino M, Galán González I, Rodríguez Carnero P, Martín-Pérez E. Development of a prediction model of pancreatic fistula after duodenopancreatectomy and soft pancreas by assessing the preoperative image. Langenbeck’s Arch Surg. 2022;2363–72.
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Muraoka N, Uematsu H, Kimura H, Imamura Y, Fujiwara Y, Murakami M, et al. Apparent diffusion coefficient in pancreatic cancer: Characterization and histopathological correlations. J Magn Reson Imaging. 2008;27(6):1302–8.
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Kambakamba P, Mannil M, Herrera PE, Müller PC, Kuemmerli C, Linecker M, et al. The potential of machine learning to predict postoperative pancreatic fistula based on preoperative, non-contrast-enhanced CT: A proof-of-principle study. Surg (United States) [Internet]. 2020;167(2):448–54. Disponible en: https://doi.org/10.1016/j.surg.2019.09.019
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Harada N, Yoshizumi T, Maeda T, Kayashima H, Ikegami T, Harimoto N, et al. Preoperative pancreatic stiffness by real-time tissue elastography to predict pancreatic fistula after pancreaticoduodenectomy. Anticancer Res. 2017;37(4):1909–15.
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spelling Ramírez Giraldo, Camilo194ac4d1-afa7-4ed1-9dea-de2113f89328-1Sabogal Olarte, Juan Carlos21bb1cbc-01c2-4327-9a81-e41e38dbb837-1MéderiArbelaez Osuna, Katherine VivianaRamírez Giraldo, CamiloConde Monroy, DannyUpegui Jiménez, DanielSantodomingo, LorenaEspecialista en Cirugía GeneralMaestríaFull time000364da-391c-4c56-ad32-413858d8ac35-14ba1b070-a9dd-47d0-b94d-5cfea228150d-14e18dc57-9b30-410d-b493-986b869d4deb-1bcd1c6bf-3ec0-415b-ad02-384592f5c047-16d9f7040-5876-4a67-824e-a194e6f72ca9-12023-07-31T15:39:08Z2023-07-31T15:39:08Z2023-07-27info:eu-repo/date/embargoEnd/2025-07-31La fístula pancreática posoperatoria (POPF) es una de las complicaciones más temidas y frecuentes tras las pancreatoduodenectomías. Este trabajo tiene como objetivo evaluar el rendimiento de las diferentes escalas para predecir POPF, en donde la escala de Birmingham fue la escala con mayor rendimiento predictivo de POPF, es una escala sencilla con únicamente dos variables las cuales se pueden obtener en el preoperatorio con ayuda de la MRI.Postoperative pancreatic fistula (POPF) is one of the most feared and frequent complications after pancreaticoduodenectomies. This work aims to evaluate the performance of the different scales to predict POPF, where the Birmingham scale was the scale with the highest predictive performance of POPF, it is a simple scale with only two variables which can be obtained in the preoperative period with the help of MRI.51application/pdfhttps://doi.org/10.48713/10336_40255 https://repository.urosario.edu.co/handle/10336/40255spaUniversidad del RosarioEscuela de Medicina y Ciencias de la SaludEspecialización en Cirugía GeneralAttribution-NonCommercial-NoDerivatives 4.0 InternationalRestringido (Temporalmente bloqueado)EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.http://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_f1cfMalgras B, Dokmak S, Aussilhou B, Pocard M, Sauvanet A. Management of postoperative pancreatic fistula after pancreaticoduodenectomy. J Visc Surg [Internet]. 2023;160(1):39–51. Disponible en: https://doi.org/10.1016/j.jviscsurg.2023.01.002Søreide K, Healey AJ, Mole DJ, Parks RW. Pre-, peri- and post-operative factors for the development of pancreatic fistula after pancreatic surgery. Hpb. 2019;21(12):1621–31. Disponible en: https://doi.org/10.1016/j.hpb.2019.06.004Pande R, Halle-Smith JM, Phelan L, Thorne T, Panikkar M, Hodson J, et al. External validation of postoperative pancreatic fistula prediction scores in pancreatoduodenectomy: a systematic review and meta-analysis. Hpb. 2022;24(3):287–98.Eshmuminov D, Schneider MA, Tschuor C, Raptis DA, Kambakamba P, Muller X, et al. Systematic review and meta-analysis of postoperative pancreatic fistula rates using the updated 2016 International Study Group Pancreatic Fistula definition in patients undergoing pancreatic resection with soft and hard pancreatic texture. Hpb. 2018;20(11):992–1003.Hong TH, Choi J Il, Park MY, Rha SE, Lee YJ, You YK, et al. Pancreatic hardness: Correlation of surgeon’s palpation, durometer measurement and preoperative magnetic resonance imaging features. World J Gastroenterol. 2017;23(11):2044–51Marchegiani G, Ballarin R, Malleo G, Andrianello S, Allegrini V, Pulvirenti A, et al. Quantitative Assessment of Pancreatic Texture Using a Durometer: A New Tool to Predict the Risk of Developing a Postoperative Fistula. World J Surg. 2017;41(11):2876–83Belyaev O, Rosenkranz S, Munding J, Herzog T, Chromik AM, Tannapfel A, et al. Quantitative assessment and determinants of suture-holding capacity of human pancreas. J Surg Res [Internet]. 2013;184(2):807–12. Disponible en: http://dx.doi.org/10.1016/j.jss.2013.04.017Bossuyt PM, Reitsma JB, Bruns DE, Bruns DE, Glasziou PP, Irwig L, et al. STARD 2015: An updated list of essential items for reporting diagnostic accuracy studies1. Radiology. 2015;277(3):826–32.Tabchouri N, Bouquot M, Hermand H, Benoit O, Loiseau JC, Dokmak S, et al. A Novel Pancreatic Fistula Risk Score Including Preoperative Radiation Therapy in Pancreatic Cancer Patients. J Gastrointest Surg. 2021;25(4):991–1000.Yamamoto Y, Sakamoto Y, Nara S, Esaki M, Shimada K, Kosuge T. A preoperative predictive scoring system for postoperative pancreatic fistula after pancreaticoduodenectomy. World J Surg. 2011;35(12):2747–55.Roberts KJ, Hodson J, Mehrzad H, Marudanayagam R, Sutcliffe RP, Muiesan P, et al. A preoperative predictive score of pancreatic fistula following pancreatoduodenectomy. 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