Techniques in Gastrointestinal Endoscopy
Volume 11, Issue 1 , Pages 19-25, January 2009

Endoscopic methods for the diagnosis of chronic pancreatitis

  • Daniel K. Mullady, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Daniel K. Mullady, MD, Washington University School of Medicine, Campus Box 8124, 660 S. Euclid Ave., St. Louis, MO
    • ,
  • Dayna Early, MD

Division of Gastroenterology, Washington University School of Medicine, St. Louis, MO

Diagnosing chronic pancreatitis (CP) is challenging, particularly in patients with chronic abdominal pain but no obvious pancreatic insufficiency or calcifications. A variety of methods are available to diagnose and stage CP, but no gold standard currently exists, and diagnostic criteria are reliable only in severe CP. This review will focus on endoscopic methods for diagnosing early CP including endoscopic retrograde pancreatography (ERP), endoscopic ultrasound (EUS), and endoscopic pancreatic function testing (ePFT). These methods are often used in combination to diagnose or exclude CP. Although there are a variety of methods available, diagnosing mild and moderate CP remains a challenge, and further refinements of diagnostic criteria are needed to advance the field of endoscopic diagnosis of CP.

Keywords: Chronic pancreatitis, Endoscopic ultrasound, Pancreatic function test, Pancreatogram, Endoscopy, Diagnosis

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 The author has no direct financial interests that might pose a conflict of interest in connection with the submitted manuscript.

PII: S1096-2883(09)00004-7

doi:10.1016/j.tgie.2009.02.002

Techniques in Gastrointestinal Endoscopy
Volume 11, Issue 1 , Pages 19-25, January 2009

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