Erschienen in:
09.11.2019 | Gastroenterology for Geriatric Patients (S Katz and A Afzali, Section Editors)
Pancreatic Cysts in the Elderly
verfasst von:
Luis F. Lara, MD, Anjuli Luthra, MD, Darwin L. Conwell, MD, MS, Somashekar G. Krishna, MD, MPH
Erschienen in:
Current Treatment Options in Gastroenterology
|
Ausgabe 4/2019
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Abstract
Purpose of review
Incidental pancreatic cysts are common, and management strategies continue to evolve. This review summarizes diagnostic and management recommendations in older patients with these lesions based on guidelines and best clinical evidence.
Recent findings
Diagnosis of cyst type has been enhanced with improved imaging and cyst fluid analysis and visualization. Recent outcome studies indicate that certain cyst types should be followed independent of patient age as long as certain criteria which are reviewed are met.
Summary
Differentiation of pancreatic cyst type is important as this dictates the need for long-term follow-up. Because most cyst-related neoplasia occurs in older patients, surveillance should continue within certain guidelines.