Endoscopic techniques for the diagnosis of pancreatic cystic lesions  

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作  者:Sahib Singh Saurabh Chandan Rakesh Vinayek Jahnvi Dhar Jayanta Samanta Gabriele Capurso Ivo Boskoski Cristiano Spada Jorge D Machicado Stefano Francesco Crinò Antonio Facciorusso 

机构地区:[1]Department of Internal Medicine,Sinai Hospital,Baltimore,MD 21215,United States [2]Division of Gastroenterology and Hepatology,Creighton University School of Medicine,Omaha,NE 68131,United States [3]Department of Gastroenterology,Sinai Hospital of Baltimore,Baltimore,MD 21215,United States [4]Department of Gastroenterology,Postgraduate Institute of Medical Education and Research,Chandigarh 160012,India [5]Division of Pancreato-Biliary Endoscopy and Endosonography,Pancreas Translational and Clinical Research Center,IRCCS San Raffaele Scientific Institute,Vita-Salute San Raffaele University,Milano 20132,Italy [6]Digestive Endoscopy Unit,Fondazione Policlinico Universitario Agostino Gemelli IRCSS,UniversitàCattolica del Sacro Cuore di Roma,Center for Endoscopic Research Therapeutics and Training,Roma 00168,Italy [7]Department of Gastroenterology and Endoscopy,Catholic University,Roma 00168,Italy [8]Department of Gastroenterology,University of Michigan Health,Ann Arbor,MI 48107,United States [9]Department of Endoscopy,University of Verona,Verona 37121,Veneto,Italy [10]Gastroenterology Unit,Department of Medical and Surgical Sciences,University of Foggia,Foggia 71122,Italy

出  处:《World Journal of Gastroenterology》2025年第1期1-7,共7页世界胃肠病学杂志(英文)

摘  要:Pancreatic cysts are mostly incidental findings on computed tomography or magnetic resonance imaging scans,with few patients presenting with abdominal pain or other symptoms.The accurate diagnosis of cysts is important as management depends on the type(neoplastic or non-neoplastic).Cross-sectional imaging is fast being replaced with endoscopic ultrasound(EUS)and various techniques based on that such as EUS-guided fine needle aspiration,EUS-guided needle confocal laser endomicroscopy,EUS-through-the-needle biopsy,and contrast-enhanced EUS.Clinical studies have reported varying diagnostic and adverse event rates with these modalities.In addition,American,European,and Kyoto guidelines for the diagnosis and management of pancreatic cysts have provided different recommendations.In this editorial,we elaborate on the clinical guidelines,recent studies,and comparison of different endoscopic methods for the diagnosis of pancreatic cysts.

关 键 词:Endoscopic ultrasound Fine needle aspiration Needle confocal laser endomicroscopy Through-the-needle biopsy Contrast-enhanced endoscopic ultrasound 

分 类 号:R576[医药卫生—消化系统]

 

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