ACG Clinical Guideline: Diagnosis and Management of Pancreatic Cysts

被引：421
作者：
Elta, Grace H. [1 ]
Enestvedt, Brintha K. [2 ]
Sauer, Bryan G. [3 ]
Lennon, Anne Marie [4 ]
机构：
[1] Univ Michigan, Med Ctr, Div Gastroenterol, 3912 Taubman Ctr, Ann Arbor, MI 48109 USA
[2] Oregon Hlth & Sci Univ, Div Gastroenterol, Portland, OR 97201 USA
[3] Univ Virginia, Div Gastroenterol, Charlottesville, VA USA
[4] Johns Hopkins Med Inst, Div Gastroenterol, Baltimore, MD 21205 USA
来源：
AMERICAN JOURNAL OF GASTROENTEROLOGY | 2018年 / 113卷 / 04期
关键词：
PAPILLARY MUCINOUS NEOPLASMS; CONFOCAL LASER ENDOMICROSCOPY; FINE-NEEDLE-ASPIRATION; CANCER AMERICAN SOCIETY; INTRADUCTAL PAPILLARY; ENDOSCOPIC ULTRASONOGRAPHY; ETHANOL-LAVAGE; SINGLE-CENTER; DIFFERENTIAL-DIAGNOSIS; COMPUTED-TOMOGRAPHY;
D O I：
10.1038/ajg.2018.14
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Pancreatic cysts are very common with the majority incidentally identified. There are several types of pancreatic cysts; some types can contain cancer or have malignant potential, whereas others are benign. However, even the types of cysts with malignant potential rarely progress to cancer. At the present time, the only viable treatment for pancreatic cysts is surgical excision, which is associated with a high morbidity and occasional mortality. The small risk of malignant transformation, the high risks of surgical treatment, and the lack of high-quality prospective studies have led to contradictory recommendations for their immediate management and for their surveillance. This guideline will provide a practical approach to pancreatic cyst management and recommendations for cyst surveillance for the general gastroenterologist.
引用
收藏
页码：464 / 479
页数：16
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