Pancreatic intraductal papillary mucinous neoplasms: Current diagnosis and management

doi:10.4251/wjgo.v13.i12.1880

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World Journal of Gastrointestinal Oncology

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1948-5204

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Oncol. Dec 15, 2021; 13(12): 1880-1895
Published online Dec 15, 2021. doi: 10.4251/wjgo.v13.i12.1880

Table 3 Management of intraductal papillary mucinous neoplasm patients regarding indications for surgery according to the International, European and American Gastroenterological Association guidelines[5,8,13,20-22,41]

Guidelines	Management
IAP (2006)	Indications: Surgery
AGA (2015)	Indications: Surgery
IAP (2017)	High risk stigmata: Surgery
	Worrisome features: Surgery versus close surveillance based on: Patients’ age/comorbidities: More aggressive management (surgery) in young patients
	EUS findings: Surgery indicated in clear MPD involvement and/or high-risk features
European (2018)	Absolute indications: Surgery
	Relative indications: Surgery according to criteria count, depending on comorbidities
	In fit patients: surgery for 1 criterion
	In patients with significant comorbidities: surgery for 2 criteria

IAP: International Association of Pancreatology; AGA: American Gastroenterological Association; EUS: Endoscopic ultrasonography; MPD: Main pancreatic duct.

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Citation: Jabłońska B, Szmigiel P, Mrowiec S. Pancreatic intraductal papillary mucinous neoplasms: Current diagnosis and management. World J Gastrointest Oncol 2021; 13(12): 1880-1895
URL: https://www.wjgnet.com/1948-5204/full/v13/i12/1880.htm
DOI: https://dx.doi.org/10.4251/wjgo.v13.i12.1880

Jabłońska B, Szmigiel P, Mrowiec S. Pancreatic intraductal papillary mucinous neoplasms: Current diagnosis and management. World J Gastrointest Oncol 2021; 13(12): 1880-1895 [PMID: 35070031 DOI: 10.4251/wjgo.v13.i12.1880]

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