Grade | AAST disease grade | Corres- ponding Hinchey grade | Management | References |
I | Local disease; confined to the organ; minimal abnormality | N/A, O | Outpatient care Selective antibiotics |
2 3 4 9 10 11 14
3 4 9 11 |
II | Local disease; confined to the organ; severe abnormality | I, I | Outpatient care Selective antibiotics |
2 3 4 9 10 11 14
3 4 9 11 |
III | Beyond the organ; locally advanced only | I, II | AntibioticsĀ±percutaneous drainage | 3 4 9 10 11 |
IV | Beyond the organ; regional extension | II, III | AntibioticsĀ±percutaneous drainage | 3 4 9 10 11 |
V | Beyond the organ; widespread involvement | III, IV, IV | Resection with stoma Selected single-stage operations |
3 4 9 11
3 4 7 9 10 11 |