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Copyright ©The Author(s) 2021.
World J Gastroenterol. Sep 14, 2021; 27(34): 5700-5714
Published online Sep 14, 2021. doi: 10.3748/wjg.v27.i34.5700
Table 1 Key Features of pancreatic cyst guidelines
Specifics of Guidelines
2015 AGA
2017 Fukuoka
2017 ACG
2017 ACR
2018 European Study Group
Patient populationIncidental pancreatic cystsSuspected MCN and IPMNAll pancreatic cystsIncidental pancreatic cystsAll pancreatic cysts
Threshold for EUS and/or surgeryAt least 2 risk factors1 risk factor1 risk factor1 risk factor1 risk factor
Surveillance recommendations in unresected cystsMRI in 1 year, then every 2 yrSurveillance based on cyst sizeSurveillance based on cyst sizeSurveillance based on cyst size and ageSurveillance based on cyst size and diagnosis
Stopping surveillance(1) After 5 yr of stability without development of high-risk features; (2) Surgically unfit; and (3) Select resected cysts including BD-IPMN with no, low or moderate-grade dysplasia (1) Surgically unfit; and (2) Following resection of serous cystadenoma and MCN without invasive cancer(1) Surgically unfit; (2) Following resection of serous cystadenoma and MCN without invasive cancer; and (3) Individualize approach to patients > 75(1) 9-10 yr and stop at age 80; and (2) For cysts discovered > age 80, limited surveillance for 4 yr only if stableSurgically unfit