Updates in diagnosis and management of pancreatic cysts

Table 3 Surveillance recommendations from pancreatic cyst guidelines

2015 AGA	2017 Fukuoka	2017 ACG	2017 ACR	2018 European Study Group
Repeat 1 yr then q2 years until 5 yr	< 1 cm: q2-3 years	< 1 cm: q2 years x4 years	< 1.5 cm + < 65-year-old: q1 year x5, q2 years x2	< 1.5 cm: q1 year x3 years then q2 years
	1-2 cm: q1 year x2 years	1-2 cm: q1 year x3 years then q2 years x4 years	< 1.5 cm + ≥ 65-year-old: q2 years x5	≥ 1.5 cm: q6 mo x2 then q1 year
	2-3 cm: EUS in 3-6 mo then increase interval and alternate with MRI	2-3 cm: MRI/EUS q6-12 mo x3 years then q1 year x4 years	1.5-1.9 cm connected to MPD: q1 year x5 then q2 years x2	IPMN or MCN: q6 mo x2 then q1 year
	> 3 cm: MRI alternate with EUS q3-6 mo	> 3 cm: Consider referral to multidisciplinary pancreas group; MRI/EUS q6 mo x3 years, then MRI/EUS q1 year x4 years	2-2.5 cm connected to MPD or 1.5-2.5 cm without MPD connection or > 2.5 cm: q6 mo x4 then q1 year x2 then q2 years x3

AGA: American Gastroenterological Association; ACG: American College of Gastroenterology; EUS: Endoscopic ultrasound; MRI: Magnetic resonance imaging; MCN: Mucinous cystic neoplasm; IPMN: Intraductal papillary mucinous neoplasm; MPD: Main pancreatic duct.