Lanke G, Lee JH. Similarities and differences in guidelines for the management of pancreatic cysts. World J Gastroenterol 2020; 26(11): 1128-1141 [PMID: 32231418 DOI: 10.3748/wjg.v26.i11.1128]
Corresponding Author of This Article
Jeffrey H Lee, MD, MPH, FACG, FASGE, AGAF President, Texas Society of President, Texas Society of Gastroenterology and Endoscopy (TSGE) Professor and Director, Advanced Endoscopy Program and Training Department of Gastroenterology and Hepatology, MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, United States. jefflee@mdanderson.org
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Mar 21, 2020; 26(11): 1128-1141 Published online Mar 21, 2020. doi: 10.3748/wjg.v26.i11.1128
Similarities and differences in guidelines for the management of pancreatic cysts
Gandhi Lanke, Jeffrey H Lee
Gandhi Lanke, Jeffrey H Lee, Department of Gastroenterology, Hepatology, and Nutrition, University of Texas MD Anderson Cancer Center, Houston, TX 77030, United States
Author contributions: Lanke G composed and drafted the paper; Lee JH conceptualized, designed, revised,and edited the draft.
Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors related to the manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jeffrey H Lee, MD, MPH, FACG, FASGE, AGAF President, Texas Society of President, Texas Society of Gastroenterology and Endoscopy (TSGE) Professor and Director, Advanced Endoscopy Program and Training Department of Gastroenterology and Hepatology, MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, United States. jefflee@mdanderson.org
Received: December 6, 2019 Peer-review started: December 6, 2019 First decision: January 16, 2020 Revised: February 21, 2020 Accepted: March 1, 2020 Article in press: March 1, 2020 Published online: March 21, 2020 Processing time: 106 Days and 1.1 Hours
Abstract
Accurate diagnosis of Pancreatic cysts (PC) is key in the management. The knowledge of indications for surgery, the role of endoscopic ultrasound-guided fine needle aspiration, cyst fluid analysis, imaging, and surveillance of PC are all important in the diagnosis and management of PC. Currently, there are many guidelines for the management of PC. The optimal use of these guidelines with a patient-centered approach helps diagnose early cancer and prevent the spread of cancer.
Core tip: The differentiation of mucinous and non-mucinous cysts is key in the effective management of pancreatic cysts. Thorough understanding of the absolute indications for surgery, the role of endoscopic ultrasound-guided fine needle aspiration, cyst fluid analysis, imaging, and the guidelines for surveillance are important in the diagnosis and treatment of pancreatic cysts. Patient-centered approach with a multidisciplinary team involving the surgeon, radiologist, pathologist, oncologist, and advanced endoscopist improves the management of pancreatic cysts.
