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CHRONIC PANCREATITIS-INVESTIGATIONS

Gastroenterology

CHRONIC PANCREATITIS-INVESTIGATIONS

1. First, get a CT abdomen - if the pancreas is calcified or atrophic, or if the pancreatic duct is dilated, you have made the diagnosis of chronic pancreatitis!

2. Endoscopic or abdominal US.

3. MRCP is accurate in diagnosing chronic pancreatitis without the risk of causing pancreatitis. Additionally, MRCP allows for visualisation of the biliary tree and can also be useful in cases of suspected bile duct stones or other biliary diseases like PSC.

4. ERCP may induce pancreatitis (2-5%). The advantage of ERCP: endoscopic removal of calcific ductal stones and for biopsy.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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