Prevalence and risk of progression of pancreatic cystic lesions in immunosuppressed patients:A systematic review and meta-analysis  

作　　者：Maximilian Kießler Helmut Friess Volker Assfalg 

机构地区：[1]Department of Surgery,Klinikum Rechts der Isar,Technische Universität München,München 81675,Germany [2]Department of Surgery,Technische Universität München,München 81675,Germany

出　　处：《World Journal of Transplantation》2025年第2期320-327,共8页世界移植杂志(英文)

摘　　要：BACKGROUND Pancreatic cystic lesions are common in patients eligible for solid organ transplan-tation.It has been shown that the need for immunosuppression after organ transplantation increases the rate of malignancies in organ recipients.However,the impact of immunosuppression on pancreatic cystic lesions is yet unknown.AIM To evaluate the prevalence of pancreatic cystic lesions and the risk of cyst progression in immunosuppressed patients.METHODS A systematic literature search was performed in relevant databases.Studies reporting either on the prevalence and/or the incidence of pancreatic cyst progression compared to a control group were implemented in the first systematic review and meta-analysis on this topic.RESULTS The prevalence of pancreatic cystic lesions was comparable with 7%(95%CI:5%-11%)in the immunosuppressed cohort and 9%(95%CI:5%-16%)in the control cohort.The mean cyst size increase in the immunosuppression group was 3.2 mm(range 1.0-5.2mm)compared to 3.5 mm(1.0-6.9)in the control group(standar-dized mean difference 0.0 mm,95%CI:-0.3-0.2 mm,P=0.72).There was also no significant increase in the development of resection criteria or worrisome features under immunosuppression either[relative risk 1.1(fixed effect model),1.2(ran-dom effects model),P=0.61].CONCLUSION Immunosuppression does not increase the prevalence of pancreatic cystic lesions,nor does it increase the risk of cyst progression in terms of cyst size and development of resection criteria.Therefore,pancreatic cystic lesions in transplant candidates should not be a contraindication for solid organ transplantation.

关 键 词：Pancreatic cystic lesions Intraductal papillary mucinous neoplasm IMMUNOSUPPRESSION Organ transplantation Systematic review 

分 类 号：R73[医药卫生—肿瘤]