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Pancreatic Cystic Lesions in Children: A Comprehensive Scoping Review
Jacob A Mark1, Yuhua Zheng2, Salvador Rodriguez Franco3
1From the Digestive Health Institute, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO.
Pancreas
|February 10, 2025
Summary
Pediatric pancreatic cystic lesions (PPCLs) are rare and distinct from adult types. This review provides evidence-based guidelines for evaluating and managing these uncommon pediatric conditions.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Oncology
Background:
- Pediatric pancreatic cystic lesions (PPCLs) are uncommon and poorly understood, differing significantly from adult counterparts.
- Limited literature exists on the etiology, evaluation, and management of PPCLs.
- A multidisciplinary working group convened to address this knowledge gap.
Approach:
- A scoping review was conducted, combining a targeted literature review for PPCL description and a systematic review for management recommendations.
- The systematic review involved a two-stage screening process: title/abstract review followed by full-text assessment.
- This approach ensured a comprehensive analysis of existing evidence.
Key Points:
- 131 studies were included in the systematic review, with an additional 20 in the targeted search.
- Five neoplastic and 10 nonneoplastic PPCL types were identified, with varying prevalence in children versus adults.
- Evidence-based recommendations and management algorithms for PPCLs are presented.
Conclusions:
- This work offers a comprehensive review and evidence-based management strategies for pediatric pancreatic cystic lesions.
- It highlights areas where current literature is insufficient, emphasizing the need for further research.
- Management algorithms are provided to guide clinical decision-making for PPCLs.
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