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Related Concept Videos

Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Chronic Pancreatitis II: Collaborative Care01:29

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: Dec 22, 2025

Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
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ACR Appropriateness Criteria® Pancreatic Cyst.

, Kelly Fábrega-Foster1, Ihab R Kamel2

  • 1Research Author, University of South Florida, Tampa, Florida.

Journal of the American College of Radiology : JACR
|May 7, 2020
PubMed
Summary

Incidental pancreatic cysts require careful evaluation. New guidelines help select the best initial imaging to characterize these cysts and guide management, reducing risks.

Keywords:
AUCAppropriate Use CriteriaAppropriateness CriteriaIncidental pancreatic cystIntraductal papillary mucinous neoplasmNeoplastic pancreatic cystPancreatic cystPancreatic cyst associated malignancy

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Area of Science:

  • Gastroenterology
  • Radiology
  • Oncology

Background:

  • Incidental pancreatic cysts are frequently found on imaging for other reasons.
  • Incomplete characterization of these cysts poses risks due to potential malignant degeneration and association with pancreatic cancer.
  • Accurate morphological assessment is crucial for determining appropriate management strategies.

Framework:

  • The American College of Radiology Appropriateness Criteria provide evidence-based guidelines.
  • A multidisciplinary expert panel reviews and revises guidelines annually.
  • Methodologies like RAND/UCLA and GRADE are used to assess imaging and treatment appropriateness.

Implementation:

  • This publication outlines recommendations for initial imaging studies of incidentally detected pancreatic cysts.
  • The goal is to maximize diagnostic information for risk stratification.
  • Guidelines assist in guiding future management decisions for pancreatic cysts.

Implications:

  • Improved risk stratification of pancreatic cysts.
  • Optimized selection of imaging studies for incidental pancreatic cysts.
  • Enhanced patient management pathways for neoplastic pancreatic cysts and associated risks.