| Autor: |
Del Chiaro, Marco Besselink, Marc G. Scholten, Lianne Bruno, Marco J. Cahen, Djuna L. Gress, Thomas M. van Hooft, Jeanin E. Lerch, Markus M. Mayerle, Julia Hackert, Thilo Satoi, Sohei Zerbi, Alessandro Cunningham, David De Angelis, Claudio Giovanni, Marc de-Madaria, Enrique Hegyi, Peter and Rosendahl, Jonas Friess, Helmut Manfredi, Riccardo Levy, Philippe Real, Francisco X. Sauvanet, Alain Abu Hilal, Mohammed Marchegiani, Giovanni Esposito, Irene Ghaneh, Paula and Engelbrecht, Marc R. W. Fockens, Paul van Huijgevoort, Nadine C. M. Wolfgang, Christopher Bassi, Claudio and Gubergrits, Natalya B. Verbeke, Caroline Kloppel, Gunter and Scarpa, Aldo Zamboni, Giuseppe Lennon, Anne Marie Sund, Malin Kartalis, Nikolaos Grenacher, Lars Falconi, Massimo and Arnelo, Urban Kopchak, Kostantin V. Oppong, Kofi McKay, Colin Hauge, Truls Conlon, Kevin Adham, Mustapha Ceyhan, Guralp O. Salvia, Roberto Dervenis, Christos Allen, Peter and Paye, Francois Bartsch, Detlef K. Lohr, Matthias and Mutignani, Massimiliano Laukkarinen, Johanna Schulick, Richard and Valente, Roberto Seufferlein, Thomas Capurso, Gabriele and Siriwardena, Ajith Neoptolemos, John P. Pukitis, Aldis and Segersvard, Ralf Aghdassi, A. Andrianello, S. Bossuyt, P. and Bulow, R. Cardenas-Jaen, K. Cortegoso, P. Fontana, M. and Haeberle, L. Heckler, M. Litvin, A. Mann, K. and Michalski, C. Michl, P. Nappo, G. Perri, G. Persson, S. and Scheufele, F. Sclafani, F. Schmidt, M. Venezia, L. and Volker, F. Vullierm, M-P Wusten, L. European Study Grp Cystic Tum |
| Jazyk: |
angličtina |
| Rok vydání: |
2018 |
| Popis: |
Evidence-based guidelines on the management of pancreatic cystic neoplasms (PCN) are lacking. This guideline is a joint initiative of the European Study Group on Cystic Tumours of the Pancreas, United European Gastroenterology, European Pancreatic Club, European-African Hepato-Pancreato-Biliary Association, European Digestive Surgery, and the European Society of Gastrointestinal Endoscopy. It replaces the 2013 European consensus statement guidelines on PCN. European and non-European experts performed systematic reviews and used GRADE methodology to answer relevant clinical questions on nine topics (biomarkers, radiology, endoscopy, intraductal papillary mucinous neoplasm (IPMN), mucinous cystic neoplasm (MCN), serous cystic neoplasm, rare cysts, (neo)adjuvant treatment, and pathology). Recommendations include conservative management, relative and absolute indications for surgery. A conservative approach is recommended for asymptomatic MCN and IPMN measuring < 40 mm without an enhancing nodule. Relative indications for surgery in IPMN include a main pancreatic duct (MPD) diameter between 5 and 9.9 mm or a cyst diameter >= 40 mm. Absolute indications for surgery in IPMN, due to the high-risk of malignant transformation, include jaundice, an enhancing mural nodule > 5 mm, and MPD diameter > 10 mm. Lifelong follow-up of IPMN is recommended in patients who are fit for surgery. The European evidence-based guidelines on PCN aim to improve the diagnosis and management of PCN. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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