The American Journal of Gastroenterology ( IF 8.0 ) Pub Date : 2018-02-27 , DOI: 10.1038/ajg.2018.14 Grace H Elta , Brintha K Enestvedt , Bryan G Sauer , Anne Marie Lennon
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.
中文翻译:
ACG临床指南:胰腺囊肿的诊断和管理
胰腺囊肿很常见,大多数偶然发现。胰腺囊肿有几种类型。一些类型可能包含癌症或具有恶性潜能,而其他类型则是良性的。但是,即使是具有潜在恶性的囊肿,也很少会发展为癌症。目前,对胰腺囊肿唯一可行的治疗方法是手术切除,这与高发病率和偶尔的死亡率相关。恶性转化的风险小,手术治疗的风险高以及缺乏高质量的前瞻性研究,导致对其立即治疗和监测提出了相互矛盾的建议。该指南将为胰腺囊肿的治疗提供实用的方法,并为普通胃肠病学家提供囊肿监测的建议。