South Western Sydney Clinical School, University of New South Wales, Liverpool Hospital, Liverpool, NSW 2170, Australia.
Expert Rev Mol Diagn. 2014 Mar;14(2):199-215. doi: 10.1586/14737159.2014.883277. Epub 2014 Feb 10.
The diagnostic options for chronic pancreatitis have evolved over recent years. The previous gold standard references for structural imaging and exocrine pancreatic function testing have both been supplanted and redesigned. Endoscopic retrograde pancreatography has now been overtaken by endoscopic ultrasound and magnetic resonance cholangiopancreatography, whilst the old technique for Dreiling tube pancreatic function testing has now been replaced by the endoscopic pancreatic function test. New advances in endoscopic ultrasound elastography have also extended the options for evaluating pancreatic masses to differentiate mass-forming chronic pancreatitis from malignancy. Genetic contribution to chronic pancreatitis is also now more widely recognized than ever before.
近年来，慢性胰腺炎的诊断选择已经发生了变化。以前结构性成像和外分泌胰腺功能测试的金标准参考标准都已经被取代和重新设计。内镜逆行胰胆管造影术已被内镜超声和磁共振胰胆管成像术所取代，而旧的 Dreiling 管胰腺功能测试技术现在已被内镜胰腺功能测试所取代。内镜超声弹性成像的新进展也扩展了评估胰腺肿块的选择，以区分形成性慢性胰腺炎和恶性肿瘤。遗传对慢性胰腺炎的贡献也比以往任何时候都更加广泛。
