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Fistula Risk Score (FRS)

Clinical Context & Background

The Fistula Risk Score (FRS) (Callery et al.) predicts the development of clinically relevant postoperative pancreatic fistula (CR-POPF) after a Whipple procedure. It guides intraoperative decisions (e.g. drain placement, anastomotic technique).
Formula Logic
Sum of points for Gland Texture, Pathology, Duct Diameter, and Blood Loss.

Reference Data

Risk ZoneFRS ScorePOPF Risk
Negligible Risk0~ 0%
Low Risk1 - 2~ 6-10%
Intermediate Risk3 - 6~ 20-25%
High Risk7 - 10> 35%

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Evidence-based oncology decision support. Verify with clinical guidelines.