Martínez Belén, Martínez Juan F, Aparicio José R
Digestive Service, Vinalopó University Hospital, Elche (Belén Martínez), Spain.
Endoscopy Unit, Digestive Service, Alicante University General Hospital, Isabial-Fisabio, Alicante (Juan F. Martínez, José R. Aparicio), Spain.
Ann Gastroenterol. 2018 Jan-Feb;31(1):90-95. doi: 10.20524/aog.2017.0211. Epub 2017 Nov 15.
This study aimed to determine the prevalence of incidental pancreatic cysts in patients undergoing upper endoscopic ultrasound without a known pancreatic abnormality.
This prospective study was conducted in two hospitals in Spain and enrolled consecutive patients referred for upper endoscopic ultrasound for a condition unrelated to the pancreas. Patients with a previous pancreatic anomaly, history of acute or chronic pancreatitis, evidence of acute pancreatitis, previous upper gastrointestinal surgery, or chronic abdominal pain suggestive of pancreatic origin were excluded. Univariate logistic regression was performed to evaluate individual covariates and the incidental pancreatic cyst risk.
A total of 298 patients were included, of whom 64 had pancreatic cysts (21.5%; 16.9-26.6%). The mean size of the cysts was 6.3±3.7 (range 3-25) mm. Six cysts (2%) were >10 mm and 16 (5.4%) were compatible with branch duct intraductal papillary mucinous neoplasm. The pancreatic cyst prevalence was similar in the two hospitals and increased significantly with age.
The prevalence of incidental pancreatic cysts during endoscopic ultrasound was very high in our study population.
本研究旨在确定在接受上消化道内镜超声检查且无已知胰腺异常的患者中偶然发现胰腺囊肿的患病率。
这项前瞻性研究在西班牙的两家医院进行，纳入因与胰腺无关的疾病而接受上消化道内镜超声检查的连续患者。排除既往有胰腺异常、急性或慢性胰腺炎病史、急性胰腺炎证据、既往上消化道手术史或提示胰腺起源的慢性腹痛患者。进行单因素逻辑回归以评估个体协变量和偶然发现胰腺囊肿的风险。
共纳入298例患者，其中64例有胰腺囊肿（21.5%；95%置信区间为16.9%-26.6%）。囊肿的平均大小为6.3±3.7（范围3-25）mm。6个囊肿（2%）直径>10 mm，16个（5.4%）符合分支导管内乳头状黏液性肿瘤。两家医院的胰腺囊肿患病率相似，且随年龄显著增加。
在我们的研究人群中，内镜超声检查期间偶然发现胰腺囊肿的患病率非常高。
