胰腺外分泌功能不全的治疗.pptVIP

EUS Surveillance: Sendai 指南 2012 2-3cm EUS in 3-6 months, then lengthen interval alternating MRI with EUS as appropriate. Consider surgery in young, fit patients with need for prolonged surveillance 3cm Close surveillance alternating MRI with EUS every 3-6months. Strongly consider surgery in young, fit patients CT/MRI in 2-3 years CT/MRI yearly for 2 years Lengthen interval if no change. 1-2cm 1 cm Validation of Sendai Guidelines Factors predictive of malignancy Mural nodule MPD＞5mm CA19-9＞37 Wall thickness Number of factor(1-4) 1:accuracy 44% 2:accuracy 68% 3:accuracy