Current trends in the management of pancreatic cystic neoplasms in Korea: a national surveyopen access
- Chon, Hyung Ku; Moon, Sung Hoon; Park, Sang Wook; Paik, Woo Hyun; Paik, Chang Nyol; Son, Byoung Kwan; Song, Tae Jun; Ahn, Dong Won; Lee, Eaum Seok; Lee, Yun Nah; Lee, Yoon Suk; Lee, Jae Min; Jeon, Tae Joo; Park, Chang Hwan; Cho, Kwang Bum; Lee, Dong Wook
- Issue Date
- Pancreatic cyst; Survey; Korea
- The Korean Journal of Internal Medicine, v.37, no.1, pp.63 - 72
- Journal Title
- The Korean Journal of Internal Medicine
- Start Page
- End Page
- Background/Aims: The study aimed to investigate the current practice patterns in the management of pancreatic cystic neoplasms in Korea.
Methods: An electronic survey was systematically distributed by email to members of the Korean Pancreatobiliary Association from December 2019 to February 2020.
Results: In total, 115 (110 gastroenterologists, five surgeons) completed the survey, 72.2% of whom worked in a tertiary/academic medical center. Most (65.2%) followed the 2012/2017 International Association of Pancreatology guidelines for the management of pancreatic cystic neoplasms. A gadolinium-enhanced magnetic resonance imaging/magnetic resonance cholangiopancreatography was the most common first-line diagnostic modality (42.1%), but a contrast-enhanced computed tomography scan was preferred as a subsequent surveillance tool (58.3%). Seventy-four percent of respondents routinely performed endoscopic ultrasound-guided fine needle aspiration for pancreatic cystic neoplasms with suspicious mural nodules. Endoscopic ultrasound-guided fine needle aspiration cytology (94.8%) and cystic fluid carcinoembryonic antigen (95.7%) were used for cystic fluid analysis. Most (94%) typically recommended surgery in patients with high-risk stigmata, but 18.3% also considered proceeding with surgery in patients with worrisome features. Most (96.5%) would continue surveillance of pancreatic cystic neoplasms for more than 5 years.
Conclusions: According to this survey, there was variability in the management of pancreatic cystic neoplasms among the respondents. These results suggest that the development of evidence-based guidelines for pancreatic cystic neoplasms that fit the Korean practice is needed to create an optimal approach to the management of pancreatic cystic neoplasms.
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- 2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles
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