ACG Clinical Guideline: Diagnosis and Management of Pancreatic Cysts

article by Grace H. Elta et al published April 2018 in The American Journal of Gastroenterology

ACG Clinical Guideline: Diagnosis and Management of Pancreatic Cysts is …
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scholarly articleQ13442814

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P356DOI10.1038/AJG.2018.14
P698PubMed publication ID29485131

P50authorAnne Marie LennonQ51340858
Grace H. EltaQ99631010
P2093author name stringBryan G Sauer
Brintha K Enestvedt
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MDCT vs. MRI for incidental pancreatic cysts: measurement variability and impact on clinical managementQ56763968
Prevalence of incidental pancreatic cysts in the adult population on MR imagingQ57645260
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Distant metastasis occurs late during the genetic evolution of pancreatic cancerQ24624284
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Hospital volume and operative mortality in the modern eraQ33801111
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Pancreatic cyst prevalence and the risk of mucin-producing adenocarcinoma in US adultsQ33970217
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Cystic lesions of the pancreas: clinical and pathologic review of cases in a five year periodQ34124267
Role of EUS-FNA-Based Cytology in the Diagnosis of Mucinous Pancreatic Cystic Lesions: A Systematic Review and Meta-AnalysisQ34213350
Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortalityQ34246396
Pancreatic cystic neoplasms: management and unanswered questionsQ34341483
Serum carcinoembryonic antigen and carbohydrate antigen 19-9 for prediction of malignancy and invasiveness in intraductal papillary mucinous neoplasms of the pancreas: A meta-analysisQ34607328
Prospective preoperative determination of mucinous pancreatic cystic neoplasmsQ34983769
Current recommendations for surveillance and surgery of intraductal papillary mucinous neoplasms may overlook some patients with cancerQ35009641
A pilot study of in vivo identification of pancreatic cystic neoplasms with needle-based confocal laser endomicroscopy under endosonographic guidanceQ35026934
Role of a multidisciplinary clinic in the management of patients with pancreatic cysts: a single-center cohort study.Q35096156
Recurrent GNAS mutations define an unexpected pathway for pancreatic cyst developmentQ35178284
A novel approach to the diagnosis of pancreatic serous cystadenoma: needle-based confocal laser endomicroscopyQ35343996
Clinicopathological aspects of small pancreatic cancerQ79927693
Cystic neoplasm of the pancreas: a Japanese multiinstitutional study of intraductal papillary mucinous tumor and mucinous cystic tumorQ79927698
MDCT of acute mild (nonnecrotizing) pancreatitis: abdominal complications and fate of fluid collectionsQ80738506
Acute pancreatitis in patients operated on for intraductal papillary mucinous neoplasms of the pancreas: frequency, severity, and clinicopathologic correlationsQ82985656
Controversies in the management of pancreatic IPMNQ83146429
EUS-guided pancreatic cyst brushing: a comparative study in a tertiary referral centreQ83147643
Natural history of branch duct intraductal papillary mucinous neoplasms of the pancreas: a multicenter study in JapanQ83357858
Intraductal papillary mucinous neoplasms of the pancreas: differentiation of malignant and benign tumors by endoscopic ultrasound findings of mural nodulesQ83507494
Prognostic impact of pancreatic margin status in the intraductal papillary mucinous neoplasms of the pancreasQ84141812
Endoscopic ultrasound-guided fine-needle aspiration of pancreatic cystic lesions provides inadequate material for cytology and laboratory analysis: initial results from a prospective studyQ84193363
Comparative performance of MDCT and MRI with MR cholangiopancreatography in characterizing small pancreatic cystsQ84441372
Histologic and imaging features of mural nodules in mucinous pancreatic cystsQ85064266
Impact of next-generation sequencing on the clinical diagnosis of pancreatic cystsQ85855437
Management of pancreatic cysts: the evidence is not here yetQ86842519
Evaluation of the Sendai and 2012 International Consensus Guidelines based on cross-sectional imaging findings performed for the initial triage of mucinous cystic lesions of the pancreas: a single institution experience with 114 surgically treated pQ87297110
Alterations in cyst fluid genetics following endoscopic ultrasound-guided pancreatic cyst ablation with ethanol and paclitaxelQ87764734
Incidental pancreatic cysts: clinicopathologic characteristics and comparison with symptomatic patientsQ35494053
Outcome of the pancreatic remnant following segmental pancreatectomy for non-invasive intraductal papillary mucinous neoplasmQ35613897
Whole-exome sequencing of neoplastic cysts of the pancreas reveals recurrent mutations in components of ubiquitin-dependent pathwaysQ35641254
The clinical relevance of the increasing incidence of intraductal papillary mucinous neoplasmQ35920101
Comparison of Endoscopic Ultrasonography, Computed Tomography, and Magnetic Resonance Imaging for Pancreas Cystic LesionsQ36195609
Cyst fluid analysis in the differential diagnosis of pancreatic cystic lesions: a pooled analysisQ36235902
Intraductal papillary mucinous neoplasms of the pancreas: effect of invasion and pancreatic margin status on recurrence and survivalQ36416291
Molecular Analyses of Aspirated Cystic Fluid for the Differential Diagnosis of Cystic Lesions of the Pancreas: A Systematic Review and Meta-AnalysisQ36447005
Cystic lesions of the pancreas: an appraisal of an aggressive resectional policy adopted at a single institution during 15 years.Q36543768
A review of mucinous cystic neoplasms of the pancreas defined by ovarian-type stroma: clinicopathological features of 344 patients.Q36653283
Intraductal Papillary Mucinous Neoplasms and the Risk of Diabetes Mellitus in Patients Undergoing Resection Versus ObservationQ36734256
Intraductal papillary mucinous neoplasm (IPMN) with high-grade dysplasia is a risk factor for the subsequent development of pancreatic ductal adenocarcinomaQ36747321
What Is the Best Way to Identify Malignant Transformation Within Pancreatic IPMN: A Systematic Review and Meta-AnalysesQ36751497
Branch-duct intraductal papillary mucinous neoplasms: observations in 145 patients who underwent resectionQ36881630
Is alcohol required for effective pancreatic cyst ablation? The prospective randomized CHARM trial pilot studyQ36921969
A systematic review of solid-pseudopapillary neoplasms: are these rare lesions?Q36954169
Dysplasia at the surgical margin is associated with recurrence after resection of non-invasive intraductal papillary mucinous neoplasms.Q37216668
Incremental value of secretin-enhanced magnetic resonance cholangiopancreatography in detecting ductal communication in a population with high prevalence of small pancreatic cystsQ37258340
Cytology adds value to imaging studies for risk assessment of malignancy in pancreatic mucinous cystsQ37279909
Is it necessary to follow patients after resection of a benign pancreatic intraductal papillary mucinous neoplasm?Q37657085
Variability in measurements of pancreatic cyst size among EUS, CT, and magnetic resonance imaging modalitiesQ37709682
High prevalence of pancreatic cysts detected by screening magnetic resonance imaging examinationsQ37771750
Managing incidental findings on abdominal CT: white paper of the ACR incidental findings committeeQ37796374
Ablation of pancreatic cystic lesions: the use of multiple endoscopic ultrasound-guided ethanol lavage sessionsQ37874434
European experts consensus statement on cystic tumours of the pancreasQ38082207
Cyst features and risk of malignancy in intraductal papillary mucinous neoplasms of the pancreas: a meta-analysisQ38082269
Imaging features to distinguish malignant and benign branch-duct type intraductal papillary mucinous neoplasms of the pancreas: a meta-analysisQ38105228
Cyst carcinoembryonic antigen in differentiating pancreatic cysts: a meta-analysis.Q38116142
Imaging of indeterminate pancreatic cystic lesions: a systematic reviewQ38124452
Treatment strategy for main duct intraductal papillary mucinous neoplasms of the pancreas based on the assessment of recurrence in the remnant pancreas after resection: a retrospective reviewQ38132561
Branch duct intraductal papillary mucinous neoplasms: does cyst size change the tip of the scale? A critical analysis of the revised international consensus guidelines in a large single-institutional seriesQ38136102
Cystic neoplasms of the pancreas; findings on magnetic resonance imaging with pathological, surgical, and clinical correlationQ38203448
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Demographic features and natural history of intermediate-risk multifocal versus unifocal intraductal papillary mucinous neoplasms.Q38269881
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Patterns of Recurrence After Resection of IPMN: Who, When, and How?Q38385287
American gastroenterological association technical review on the diagnosis and management of asymptomatic neoplastic pancreatic cystsQ38389670
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Endoscopic Ultrasonography-Guided Ethanol Lavage With Paclitaxel Injection Treats Patients With Pancreatic CystsQ38480644
Septated cystic tumors of the pancreas: is it possible to treat them by endoscopic ultrasonography-guided intervention?Q38498252
Pancreatic Cyst Disease: A ReviewQ38823844
Locally Advanced, Unresectable Pancreatic Cancer: American Society of Clinical Oncology Clinical Practice Guideline.Q38849751
Potentially Curable Pancreatic Cancer: American Society of Clinical Oncology Clinical Practice GuidelineQ38849754
Progression of Unresected Intraductal Papillary Mucinous Neoplasms of the Pancreas to Cancer: A Systematic Review and Meta-analysis.Q38876401
Association of Preoperative Risk Factors With Malignancy in Pancreatic Mucinous Cystic Neoplasms: A Multicenter StudyQ39270618
Next-generation sequencing adds value to the preoperative diagnosis of pancreatic cysts.Q39372245
Validation of a combined comorbidity indexQ39605818
A novel approach for selecting combination clinical markers of pathology applied to a large retrospective cohort of surgically resected pancreatic cystsQ39665396
Long-term surveillance is necessary after operative resection for intraductal papillary mucinous neoplasm of the pancreasQ39728554
Low Rates of Malignancy and Mortality in Asymptomatic Patients With Suspected Neoplastic Pancreatic Cysts Beyond 5 Years of SurveillanceQ40223043
Contrast-enhanced harmonic endoscopic ultrasonography for differential diagnosis of pancreatic cystsQ40276603
Cyst Fluid Telomerase Activity Predicts the Histologic Grade of Cystic Neoplasms of the Pancreas.Q40377571
Accuracy of 18F-FDG PET/CT, Multidetector CT, and MR Imaging in the Diagnosis of Pancreatic Cysts: A Prospective Single-Center StudyQ40867687
Effects of Comorbidities on Outcomes of Patients With Intraductal Papillary Mucinous NeoplasmsQ40958542
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High-grade dysplasia and adenocarcinoma are frequent in side-branch intraductal papillary mucinous neoplasm measuring less than 3 cm on endoscopic ultrasoundQ43418185
Predictors of the presence of concomitant invasive ductal carcinoma in intraductal papillary mucinous neoplasm of the pancreasQ43767288
Safety and efficacy of cytology brushings versus standard fine-needle aspiration in evaluating cystic pancreatic lesions: a controlled studyQ44435496
Cyst growth rate predicts malignancy in patients with branch duct intraductal papillary mucinous neoplasms.Q44537497
Recurrences after surgical resection of intraductal papillary mucinous neoplasm of the pancreas: a single-center study of recurrence predictive factorsQ44901892
EUS-guided ethanol versus saline solution lavage for pancreatic cysts: a randomized, double-blind study.Q45939797
Risk for mortality from causes other than pancreatic cancer in patients with intraductal papillary mucinous neoplasm of the pancreas.Q45980129
Ethanol lavage of pancreatic cystic lesions: initial pilot studyQ46459210
Evaluation of the guidelines for management of pancreatic branch-duct intraductal papillary mucinous neoplasmQ46760770
New treatment for cystic tumors of the pancreas: EUS-guided ethanol lavage with paclitaxel injectionQ46762767
Cyst size indicates malignant transformation in branch duct intraductal papillary mucinous neoplasm of the pancreas without mural nodulesQ47173765
Invasive carcinoma derived from "flat type" branch duct intraductal papillary mucinous neoplasms of the pancreas: impact of classification according to the height of mural nodule on endoscopic ultrasonographyQ47419715
Diagnosis of pancreatic cystic neoplasms: a report of the cooperative pancreatic cyst studyQ47635370
The long term risk of malignancy in patients with branch duct intraductal papillary mucinous neoplasms of the pancreasQ47637127
Patients with a resected pancreatic mucinous cystic neoplasm have a better prognosis than patients with an intraductal papillary mucinous neoplasm: A large single institution series.Q47791479
P433issue4
P407language of work or nameEnglishQ1860
P921main subjectdiagnosisQ16644043
cystQ193211
P304page(s)464-479
P577publication date2018-04-01
P1433published inThe American Journal of GastroenterologyQ7713501
P1476titleACG Clinical Guideline: Diagnosis and Management of Pancreatic Cysts
P478volume113

Reverse relations

cites work (P2860)
Q99603152A second endoscopic ultrasound with fine-needle aspiration for cytology identifies high-risk pancreatic cysts overlooked by current guidelines
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