Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 21, 2016; 22(3): 1236-1245
Published online Jan 21, 2016. doi: 10.3748/wjg.v22.i3.1236
Clinical approach to incidental pancreatic cysts
Austin L Chiang, Linda S Lee
Austin L Chiang, Linda S Lee, Division of Gastroenterology, Hepatology and Endoscopy at Brigham and Women’s Hospital, Boston, MA 02115, United States
Author contributions: Chiang AL and Lee LS solely contributed to this paper.
Conflict-of-interest statement: The authors declare no conflict-of-interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Linda S Lee, MD, Division of Gastroenterology, Hepatology and Endoscopy at Brigham and Women’s Hospital, 75 Francis St., Boston, MA 02115, United States.
Telephone: +1-617-7326389
Received: May 30, 2015
Peer-review started: June 4, 2015
First decision: July 20, 2015
Revised: August 8, 2015
Accepted: October 12, 2015
Article in press: October 13, 2015
Published online: January 21, 2016
Core Tip

Core tip: The approach to incidentally noted pancreatic cysts is constantly evolving. While surgical resection is indicated for malignant or higher risk cysts, correctly identifying these highest risk pancreatic cystic lesions remains difficult. Using parameters including cyst size, presence of solid components, and pancreatic duct involvement, the 2012 International Association of Pancreatology and the 2015 American Gastroenterological Association guidelines have sought to identify the higher risk patients who would benefit from further evaluation using endoscopic ultrasound.