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
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.