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Current Trends in the Management of Pancreatic Cystic Neoplasms in Korea: A National Survey

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Author(s)
Hyung Ku Chon Sung Hoon Moon Sang Wook Park Woo Hyun PaikChang Nyol Paik Byoung Kwan SonTae Jun SongDong Won AhnEaum Seok Lee Yun Nah Lee Yoon Suk Lee Jae Min Lee Tae Joo Jeon Chang-Hwan Park Kwang Bum Cho Dong Wook Lee
Keimyung Author(s)
Cho, Kwang Bum
Department
Dept. of Internal Medicine (내과학)
Journal Title
Korean J Intern Med
Issued Date
2022
Volume
37
Issue
1
Keyword
KoreaPancreatic cystSurvey
Abstract
Background/aims:
The study aimed to investigate the current practice patterns in the management of pancreatic cystic neoplasms in Korea.

Methods:
An electronic survey was systematically distributed by email to members of the Korean Pancreatobiliary Association from December 2019 to February 2020.

Results:
In total, 115 (110 gastroenterologists, 5 surgeons) completed the survey, 72.2% of whom worked in a tertiary/academic medical center. Most (65.2%) followed the 2012/2017 International Association of Pancreatology guidelines for the management of pancreatic cystic neoplasms. A gadolinium-enhanced magnetic resonance imaging/magnetic resonance cholangiopancreatography was the most common first-line diagnostic modality (42.1%), but a contrast-enhanced computed tomography scan was preferred as a subsequent surveillance tool (58.3%). Seventy-four percent of respondents routinely performed endoscopic ultrasound-guided fine needle aspiration for pancreatic cystic neoplasms with suspicious mural nodules. Endoscopic ultrasound guided fine needle aspiration cytology (94.8%) and cystic fluid carcinoembryonic antigen (95.7%) were used for cystic fluid analysis. Most (94%) typically recommended surgery in patients with high-risk stigmata, but 18.3% also considered proceeding with surgery in patients with worrisome features. Most (96.5%) would continue surveillance of pancreatic cystic neoplasms for more than five years.

Conclusions:
According to this survey, there was variability in the management of pancreatic cystic neoplasms among the respondents. These results suggest that the development of evidence-based guidelines for pancreatic cystic neoplasms that fit the Korean practice is needed to create an optimal approach to the management of pancreatic cystic neoplasms.
Keimyung Author(s)(Kor)
조광범
Publisher
School of Medicine (의과대학)
Citation
Hyung Ku Chon et al. (2022). Current Trends in the Management of Pancreatic Cystic Neoplasms in Korea: A National Survey. Korean J Intern Med, 37(1), 63–72. doi: 10.3904/kjim.2020.452
Type
Article
ISSN
2005-6648
Source
https://www.kjim.org/journal/view.php?doi=10.3904/kjim.2020.452
DOI
10.3904/kjim.2020.452
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43990
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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