{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T04:46:43Z","timestamp":1789534003209,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["UEG Journal"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Resection of intraductal papillary mucinous neoplasm (IPMN) aims to prevent progression to invasive pancreatic cancer. However, the risks of pancreatic surgery and frequent findings of low\u2010grade dysplasia (LGD) raise concerns about overtreatment. This EAHPBA\u2010endorsed multinational study evaluated short\u2010 and long\u2010term overall survival (OS) following preventive resection for IPMN (without pre\u2010operative signs of cancer).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adult patients with resected IPMN showing LGD, high grade dysplasia (HGD) or T1\u2010staged invasive carcinoma from 2008\u20132023 were identified from the OPTIMAL\u2010IPMN database. Estimated OS rates at one, five and 10 years in patients undergoing preventive pancreatic resection were assessed using Kaplan\u2010Meier analyses and predictors for mortality were evaluated using parametric survival regressions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 2275 patients in the OPTIMAL\u2010IPMN database, 1728 (77%) had undergone preventive pancreatic resection for IPMN. Of those were 61% resected without prior surveillance. Final pathology revealed LGD in 63%, HGD in 27% and T1a\u2010c\u2010staged invasive cancer in 10% (7.3% T1a\u2010b, 2.8% T1c). Estimated 1\u2010year OS rate was 97%. Estimated 5\u2010year OS rates (landmark analysis at 1\u00a0year) for LGD, HGD, T1a\u2010b, and T1c was 97%, 99%, 96% and 91% respectively. Independent predictors for long\u2010term mortality included age \u2265\u00a075 versus\u00a0&lt;\u00a075\u00a0years (HR 1.97) and T1c versus LGD (HR 8.12).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This multinational study confirms excellent survival after preventive IPMN resection but reveals many upfront resections yielding LGD with unknown survival benefit. Future studies should aim to determine which patients can be followed safely with monitoring to avoid unnecessary immediate resection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ueg2.70199","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T15:26:12Z","timestamp":1774365972000},"source":"Crossref","is-referenced-by-count":4,"title":["Survival After Pancreatic Resection for Intraductal Papillary Mucinous Neoplasm: Supporting Selective Surgery"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7217-4240","authenticated-orcid":false,"given":"Marcus","family":"Holmberg","sequence":"first","affiliation":[{"name":"Department of Clinical Science, Intervention, and Technology Karolinska Institute  Stockholm Sweden"},{"name":"Department of Surgery and Oncology Capio St. Gorans Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomaso","family":"Dall'Olio","sequence":"additional","affiliation":[{"name":"Department of General and Pancreatic Surgery The Pancreas Institute, University of Verona Hospital Trust  Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Marwa","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carsten Palnaes","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of Digestive Diseases, Transplantation and General Surgery Rigshospitalet. 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