Endoscopic diagnosis and treatment of pancreatic cysts.

摘要: Pancreatic cystic neoplasms have emerged as an important new opportunity for many disciplines to participate in the diagnosis and management of early pancreatic neoplasia. With increase understanding these lesions their potential malignant transformation, there has been a dramatic frequency diagnosis. We critically examined literature on diagnostic methods over past 5 years. The endoscopic pseudocyst drainage clinical outcomes are also discussed. Morphologic studies using cross-sectional imaging or ultrasound low rate. Cyst fluid analysis with use tumor markers (eg, carcinoembryonic antigen) increases accuracy is heavily dependent type cyst, neoplastic potential, risk surgery. traditional therapy resection not cyst enucleation. In contrast neoplasms, pseudocysts localized collections inflammatory that mimic neoplasms. arise from chronic pancreatitis ductal leaks. Because no they can be drained rather than resected. Drainage safely accomplished external catheters endoscopically internal catheters. As we learn more about pathophysiology various lesions, treatment will tailored specific lesion. Endoscopic role characterization helps selection optimal modality.