2015年美国胃肠病学会《无症状性胰腺囊性肿瘤诊治指南》解读

The interpretation of American Gastroenterological Association Institute Guideline on the diagnosis and management of asymptomatic neoplastic pancreatic cysts(Version 2015)

随着现代医学影像学的不断发展与进步,越来越多的胰腺囊性疾病被检出。相对于胰腺假性囊肿,胰腺囊性肿瘤的诊治尚存较多争议与不足,而循证医学证据的欠缺也导致国际上尚无权威性规范可供遵循。最近,美国胃肠病学会针对无症状性胰腺囊性肿瘤提出了10条共识性专家建议及相应的诊治方案,主张放宽监测及随诊间期、收紧手术指征。

There are increasing incidental identifications of pancreatic cystic lesions with the great improvements in diagnosis by utilizing the modern polished imaging techniques. Being contrast to the pancreatic pseudocysts, there are so many inconsistency and insufficiency in the management of pancreatic cystic neoplasms （PCNs）, and there is no widely approved guideline to be referred to as the consequence of defected evidence-based proofs. Recently, the American Gastroenterological Association released their consensus on the diagnosis and management of asymptomatic PCNs, including ten expertised recommendations and one supplemental scheduled program, with the advocate of loosening the surveillance intervals and restricting the indications for surgery.