Vanbrugghe C, et al. - Identification of the predictive risk factors of clinically relevant pancreatic fistula (CR-PF) following distal pancreatectomy (DP) was performed. Researchers conducted a retrospective cohort analysis of a single-institution database of patients undergoing DP taking into account usual demographic, operative, and pathologic variables and visceral fat area (VFA), total muscle area (TMA), and surface muscle index (SMI) measured on preoperative CT scan. From 2012 to 2016, 4 pancreatic surgeons performed DP on 208 patients. CR-PF developed in 32/208 (15%). A significant increase in the risk of CR-PF following DP was noted in relation to visceral obesity, blood loss ≥ 225 ml and open passive drainage.