Current Endoscopic and Surgical Management of Pancreatic Cystic Lesions: A Comprehensive Review
Pancreatic cystic lesions (PCLs) are frequent incidental findings with an increasing prevalence with age. For these significant lesions, accurate characterization of cyst type and prediction of the risk of malignant progression are crucial for specific management, such as deciding to monitor a lesio...
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| Format: | Article |
| Language: | English |
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AVES
2025-01-01
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| Series: | The Turkish Journal of Gastroenterology |
| Online Access: | https://www.turkjgastroenterol.org/en/current-endoscopic-and-surgical-management-of-pancreatic-cystic-lesions-a-comprehensive-review-137288 |
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| author | Kunzah A. Syed Elham Afghani Kelly J. Lafaro |
| author_facet | Kunzah A. Syed Elham Afghani Kelly J. Lafaro |
| author_sort | Kunzah A. Syed |
| collection | DOAJ |
| description | Pancreatic cystic lesions (PCLs) are frequent incidental findings with an increasing prevalence with age. For these significant lesions, accurate characterization of cyst type and prediction of the risk of malignant progression are crucial for specific management, such as deciding to monitor a lesion or pursue surgical intervention. Fortunately, endoscopy-based diagnostic and therapeutic techniques like endoscopic ultrasound with fine needle aspiration, confocal endomicroscopy, through-the-needle biopsy, contrast-enhanced endoscopic ultrasound, ablation, and pancreatoscopy have enabled increasingly accurate diagnoses of PCLs. Surgical management should be considered in certain cases. This narrative review’s objective is to appraise and synthesize the salient literature on the endoscopic and surgical management of PCLs to aid clinician decision-making. We analyze the current data and explore the benefits, challenges, and future prospects of endoscopy and surgery for pancreatic cysts. |
| format | Article |
| id | doaj-art-0358e210cc674d3e996e7a0d537589ab |
| institution | Kabale University |
| issn | 2148-5607 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | AVES |
| record_format | Article |
| series | The Turkish Journal of Gastroenterology |
| spelling | doaj-art-0358e210cc674d3e996e7a0d537589ab2025-01-09T14:50:01ZengAVESThe Turkish Journal of Gastroenterology2148-56072025-01-0136161410.5152/tjg.2024.24124Current Endoscopic and Surgical Management of Pancreatic Cystic Lesions: A Comprehensive ReviewKunzah A. Syed 0Elham Afghani1Kelly J. Lafaro2Division of Gastroenterology, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA ; Department of Medicine, Pancreatitis Center, Johns Hopkins Medical Institutions, Baltimore, Maryland, USADivision of Gastroenterology, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA ; Department of Medicine, Pancreatitis Center, Johns Hopkins Medical Institutions, Baltimore, Maryland, USADivision of Hepato-Pancreato-Biliary Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USAPancreatic cystic lesions (PCLs) are frequent incidental findings with an increasing prevalence with age. For these significant lesions, accurate characterization of cyst type and prediction of the risk of malignant progression are crucial for specific management, such as deciding to monitor a lesion or pursue surgical intervention. Fortunately, endoscopy-based diagnostic and therapeutic techniques like endoscopic ultrasound with fine needle aspiration, confocal endomicroscopy, through-the-needle biopsy, contrast-enhanced endoscopic ultrasound, ablation, and pancreatoscopy have enabled increasingly accurate diagnoses of PCLs. Surgical management should be considered in certain cases. This narrative review’s objective is to appraise and synthesize the salient literature on the endoscopic and surgical management of PCLs to aid clinician decision-making. We analyze the current data and explore the benefits, challenges, and future prospects of endoscopy and surgery for pancreatic cysts.https://www.turkjgastroenterol.org/en/current-endoscopic-and-surgical-management-of-pancreatic-cystic-lesions-a-comprehensive-review-137288 |
| spellingShingle | Kunzah A. Syed Elham Afghani Kelly J. Lafaro Current Endoscopic and Surgical Management of Pancreatic Cystic Lesions: A Comprehensive Review The Turkish Journal of Gastroenterology |
| title | Current Endoscopic and Surgical Management of Pancreatic Cystic Lesions: A Comprehensive Review |
| title_full | Current Endoscopic and Surgical Management of Pancreatic Cystic Lesions: A Comprehensive Review |
| title_fullStr | Current Endoscopic and Surgical Management of Pancreatic Cystic Lesions: A Comprehensive Review |
| title_full_unstemmed | Current Endoscopic and Surgical Management of Pancreatic Cystic Lesions: A Comprehensive Review |
| title_short | Current Endoscopic and Surgical Management of Pancreatic Cystic Lesions: A Comprehensive Review |
| title_sort | current endoscopic and surgical management of pancreatic cystic lesions a comprehensive review |
| url | https://www.turkjgastroenterol.org/en/current-endoscopic-and-surgical-management-of-pancreatic-cystic-lesions-a-comprehensive-review-137288 |
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