Ketwaroo Gyanprakash A, Freedman Steven D, Sheth Sunil G
From the Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA.
Pancreas. 2015 Mar;44(2):173-80. doi: 10.1097/MPA.0000000000000239.
Chronic pancreatitis (CP) represents a significant health care burden in the United States. Diagnosing it early and accurately is important for the efficient management of these patients. However, the early diagnosis of CP, when structural and functional pancreatic changes are subtle, remains difficult. Complicating this is the large cohort of patients with nonspecific abdominal pain who are often suspected of having early CP and who utilize significant health care resources in attempts at diagnosis and management. We present a review of the current diagnostic tests available for making an early diagnosis of CP. We further report our approach to patients suspected of having CP based on the available literature.
慢性胰腺炎（CP）在美国是一项重大的医疗负担。早期准确诊断对于这些患者的有效管理至关重要。然而，当胰腺的结构和功能变化不明显时，CP的早期诊断仍然困难。使情况更为复杂的是，有大量非特异性腹痛患者常被怀疑患有早期CP，他们在诊断和管理过程中消耗了大量医疗资源。我们对目前可用于早期诊断CP的诊断测试进行综述。我们还根据现有文献报告了我们对疑似CP患者的处理方法。
