Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas
The management of intraductal papillary mucinous neoplasm (IPMN) continues to evolve. In particular, the indications for resection of branch duct IPMN have changed from early resection to more deliberate observation as proposed by the international consensus guidelines of 2006 and 2012. Another guid...
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| Vydané v: | Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] Ročník 17; číslo 5; s. 738 - 753 |
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| Hlavní autori: | , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
Switzerland
Elsevier B.V
01.09.2017
Elsevier Limited |
| Predmet: | |
| ISSN: | 1424-3903, 1424-3911, 1424-3911 |
| On-line prístup: | Získať plný text |
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| Abstract | The management of intraductal papillary mucinous neoplasm (IPMN) continues to evolve. In particular, the indications for resection of branch duct IPMN have changed from early resection to more deliberate observation as proposed by the international consensus guidelines of 2006 and 2012. Another guideline proposed by the American Gastroenterological Association in 2015 restricted indications for surgery more stringently and recommended physicians to stop surveillance if no significant change had occurred in a pancreatic cyst after five years of surveillance, or if a patient underwent resection and a non-malignant IPMN was found. Whether or not it is safe to do so, as well as the method and interval of surveillance, has generated substantial debate. Based on a consensus symposium held during the meeting of the International Association of Pancreatology in Sendai, Japan, in 2016, the working group has revised the guidelines regarding prediction of invasive carcinoma and high-grade dysplasia, surveillance, and postoperative follow-up of IPMN. As the working group did not recognize the need for major revisions of the guidelines, we made only minor revisions and added most recent articles where appropriate. The present guidelines include updated information and recommendations based on our current understanding, and highlight issues that remain controversial or where further research is required. |
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| AbstractList | The management of intraductal papillary mucinous neoplasm (IPMN) continues to evolve. In particular, the indications for resection of branch duct IPMN have changed from early resection to more deliberate observation as proposed by the international consensus guidelines of 2006 and 2012. Another guideline proposed by the American Gastroenterological Association in 2015 restricted indications for surgery more stringently and recommended physicians to stop surveillance if no significant change had occurred in a pancreatic cyst after five years of surveillance, or if a patient underwent resection and a non-malignant IPMN was found. Whether or not it is safe to do so, as well as the method and interval of surveillance, has generated substantial debate. Based on a consensus symposium held during the meeting of the International Association of Pancreatology in Sendai, Japan, in 2016, the working group has revised the guidelines regarding prediction of invasive carcinoma and high-grade dysplasia, surveillance, and postoperative follow-up of IPMN. As the working group did not recognize the need for major revisions of the guidelines, we made only minor revisions and added most recent articles where appropriate. The present guidelines include updated information and recommendations based on our current understanding, and highlight issues that remain controversial or where further research is required. The management of intraductal papillary mucinous neoplasm (IPMN) continues to evolve. In particular, the indications for resection of branch duct IPMN have changed from early resection to more deliberate observation as proposed by the international consensus guidelines of 2006 and 2012. Another guideline proposed by the American Gastroenterological Association in 2015 restricted indications for surgery more stringently and recommended physicians to stop surveillance if no significant change had occurred in a pancreatic cyst after five years of surveillance, or if a patient underwent resection and a non-malignant IPMN was found. Whether or not it is safe to do so, as well as the method and interval of surveillance, has generated substantial debate. Based on a consensus symposium held during the meeting of the International Association of Pancreatology in Sendai, Japan, in 2016, the working group has revised the guidelines regarding prediction of invasive carcinoma and high-grade dysplasia, surveillance, and postoperative follow-up of IPMN. As the working group did not recognize the need for major revisions of the guidelines, we made only minor revisions and added most recent articles where appropriate. The present guidelines include updated information and recommendations based on our current understanding, and highlight issues that remain controversial or where further research is required.The management of intraductal papillary mucinous neoplasm (IPMN) continues to evolve. In particular, the indications for resection of branch duct IPMN have changed from early resection to more deliberate observation as proposed by the international consensus guidelines of 2006 and 2012. Another guideline proposed by the American Gastroenterological Association in 2015 restricted indications for surgery more stringently and recommended physicians to stop surveillance if no significant change had occurred in a pancreatic cyst after five years of surveillance, or if a patient underwent resection and a non-malignant IPMN was found. Whether or not it is safe to do so, as well as the method and interval of surveillance, has generated substantial debate. Based on a consensus symposium held during the meeting of the International Association of Pancreatology in Sendai, Japan, in 2016, the working group has revised the guidelines regarding prediction of invasive carcinoma and high-grade dysplasia, surveillance, and postoperative follow-up of IPMN. As the working group did not recognize the need for major revisions of the guidelines, we made only minor revisions and added most recent articles where appropriate. The present guidelines include updated information and recommendations based on our current understanding, and highlight issues that remain controversial or where further research is required. |
| Author | Levy, Philippe Salvia, Roberto Wolfgang, Christopher L. Tada, Minoru Kamisawa, Terumi Shimizu, Yasuhiro Tanaka, Masao Ohtsuka, Takao Jang, Jin Young Fernández-del Castillo, Carlos |
| Author_xml | – sequence: 1 givenname: Masao surname: Tanaka fullname: Tanaka, Masao email: masaotan@med.kyushu-u.ac.jp organization: Department of Surgery, Shimonoseki City Hospital, Shimonoseki, Japan – sequence: 2 givenname: Carlos surname: Fernández-del Castillo fullname: Fernández-del Castillo, Carlos organization: Pancreas and Biliary Surgery Program, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA – sequence: 3 givenname: Terumi surname: Kamisawa fullname: Kamisawa, Terumi organization: Department of Gastroenterology, Komagome Metropolitan Hospital, Tokyo, Japan – sequence: 4 givenname: Jin Young surname: Jang fullname: Jang, Jin Young organization: Division of Hepatobiliary-Pancreatic Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea – sequence: 5 givenname: Philippe surname: Levy fullname: Levy, Philippe organization: Pôle des Maladies de l'Appareil Digestif, Service de Gastroentérologie-Pancréatologie, Hopital Beaujon, Clichy Cedex, France – sequence: 6 givenname: Takao surname: Ohtsuka fullname: Ohtsuka, Takao organization: Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan – sequence: 7 givenname: Roberto surname: Salvia fullname: Salvia, Roberto organization: Department of General and Pancreatic Surgery, The Pancreas Institute, University of Verona Hospital Trust, Verona, Italy – sequence: 8 givenname: Yasuhiro surname: Shimizu fullname: Shimizu, Yasuhiro organization: Dept. of Gastroenterological Surgery, Aichi Cancer Center, Nagoya, Japan – sequence: 9 givenname: Minoru surname: Tada fullname: Tada, Minoru organization: Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan – sequence: 10 givenname: Christopher L. surname: Wolfgang fullname: Wolfgang, Christopher L. organization: Cameron Division of Surgical Oncology and The Sol Goldman Pancreatic Cancer Research Center, Department of Surgery, Johns Hopkins University, Baltimore, MD, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28735806$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Carcinoma, Pancreatic Ductal - diagnosis Carcinoma, Pancreatic Ductal - pathology Carcinoma, Pancreatic Ductal - therapy Classification Cysts Dysplasia Humans International guidelines Internationality Intraductal papillary mucinous neoplasm Invasiveness Medical imaging Mutation Neoplasms, Cystic, Mucinous, and Serous NMR Nuclear magnetic resonance Pancreas Pancreatic cancer Pancreatitis Practice Guidelines as Topic Surgery Surveillance Tumors |
| Title | Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas |
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