Published online Mar 21, 2020. doi: 10.3748/wjg.v26.i11.1128
Peer-review started: December 6, 2019
First decision: January 16, 2020
Revised: February 21, 2020
Accepted: March 1, 2020
Article in press: March 1, 2020
Published online: March 21, 2020
Accurate diagnosis of Pancreatic cysts (PC) is key in the management. The knowledge of indications for surgery, the role of endoscopic ultrasound-guided fine needle aspiration, cyst fluid analysis, imaging, and surveillance of PC are all important in the diagnosis and management of PC. Currently, there are many guidelines for the management of PC. The optimal use of these guidelines with a patient-centered approach helps diagnose early cancer and prevent the spread of cancer.
Core tip: The differentiation of mucinous and non-mucinous cysts is key in the effective management of pancreatic cysts. Thorough understanding of the absolute indications for surgery, the role of endoscopic ultrasound-guided fine needle aspiration, cyst fluid analysis, imaging, and the guidelines for surveillance are important in the diagnosis and treatment of pancreatic cysts. Patient-centered approach with a multidisciplinary team involving the surgeon, radiologist, pathologist, oncologist, and advanced endoscopist improves the management of pancreatic cysts.