ECVF from contrast-enhanced CT can predict postoperative pancreatic fistula risk.

• In a study of 71 patients post-pancreatic resection, ECVF correlated with pancreatic fibrosis.
• An ECVF of less than 36% linked to increased risk of pancreatic fistula.

Understanding ECVF helps in patient selection and surgical decision-making.

• ECVF also indicates acinar loss and overall pancreatic histology.