umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
European evidence-based guidelines on pancreatic cystic neoplasms
Show others and affiliations
2018 (English)In: Gut, ISSN 0017-5749, E-ISSN 1468-3288, Vol. 67, no 5, p. 789-804Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2018. Vol. 67, no 5, p. 789-804
National Category
Gastroenterology and Hepatology
Identifiers
URN: urn:nbn:se:umu:diva-147291DOI: 10.1136/gutjnl-2018-316027ISI: 000429733600004PubMedID: 29574408OAI: oai:DiVA.org:umu-147291DiVA, id: diva2:1210409
Available from: 2018-05-28 Created: 2018-05-28 Last updated: 2018-06-09Bibliographically approved

Open Access in DiVA

fulltext(1245 kB)7 downloads
File information
File name FULLTEXT01.pdfFile size 1245 kBChecksum SHA-512
7c7ac3e1542a80449aeaae272bce9db80a7ba7b6a05488fbca000465ff480c58cb030685deade6c925138b3526c126ce9ede6ffd97a739e880acd3371497f797
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Authority records BETA

Sund, Malin

Search in DiVA

By author/editor
Sund, Malin
By organisation
Department of Surgical and Perioperative Sciences
In the same journal
Gut
Gastroenterology and Hepatology

Search outside of DiVA

GoogleGoogle Scholar
Total: 7 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 56 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf