Chronic pancreatitis diagnostic study of choice

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]

Overview

  • The page name should be "Diagnostic study of choice for [disease name]", with only the first letter of the title capitalized. Note that the page is called "Diagnostic study of choice."
  • Goal:
    • To describe the most efficient/sensitive/specific test that is utilized for diagnosis of [disease name].
    • To describe the gold standard test for the diagnosis of [disease name].
    • To describe the diagnostic criteria, which may be based on clinical findings, physical exam signs, pathological findings, lab findings, findings on imaging, or even findings that exclude other diseases.
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  • Remember to follow the same format and capitalization of letters as outlined in the template below.
  • You should include the name of the disease in the first sentence of every subsection.

Diagnostic Study of Choice

Template statements

Gold standard/Study of choice:

  • The diagnostic study of choice for chronic pancreatitis is magnetic resonance cholangiopancreatography (MRCP) because
    • It may help in the detailed assessment of the ductal changes
    • It eliminates the need to perform endoscopic retrograde cholangiopancreatography (ERCP)
Diagnostic results

The following result of [investigation name] is confirmatory of [disease name]:

  • Result 1
  • Result 2
Sequence of Diagnostic Studies
  • The diagnosis is difficult to estab

Diagnostic Criteria

  • The diagnosis is difficult to establish as the laboratory results and the imaging may be normal.
Diagnostic findings suggestive of Chronic pancreatitis:

Diagnostic findings suggestive of Chronic pancreatitis include the triad of

  • Pancreatic calcifications
  • Steatorrhea
  • Diabetes mellitus
Diagnostic findings confirmatory for Chronic pancreatitis:

Diagnostic findings confirmatory for Chronic pancreatitis may include

  • Pancreatic calcifications seen on abdominal plain films or CT scan
  • Beaded appearance of main pancreatic duct seen on pancreatogram
  • Abnormal pancreatogram showing ectatic side branches from the main pancreatic duct
  • Abnormal pancreatic function tests (Secretin test)

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