Division of Gastroenterology and Hepatology, University of Nevada Las Vegas School of Medicine, 1701 West Charleston Blvd., Las Vegas, NV, 89102, USA.
Curr Gastroenterol Rep. 2020 Jun 26;22(8):40. doi: 10.1007/s11894-020-00778-y.
Chronic pancreatitis in the advanced stages leads to significant health care utilization because of the associated complications. Early-stage diagnosis could prevent the development of these complications by appropriate management. In this article, we reviewed the recent evidence pertaining to the diagnosis and management of early chronic pancreatitis (ECP).
The working group for the International Consensus Guidelines for Chronic Pancreatitis has published consensus-based statements to streamline the diagnosis of ECP. There is no international consensus on the definition and diagnosis of ECP. The Revised Japanese Diagnostic Criteria for ECP based on clinical features and endoscopic ultrasound findings have been proposed. Large prospective cohort studies are needed to develop and validate internationally acceptable diagnostic criteria. ECP is recognized as a distinct stage in the development and progression of CP. Consensus-based definitions and diagnostic criteria need to be developed.
晚期慢性胰腺炎会导致严重的医疗保健利用，因为其相关并发症。早期诊断可以通过适当的管理来预防这些并发症的发生。本文综述了有关早期慢性胰腺炎（ECP）诊断和治疗的最新证据。
慢性胰腺炎国际共识指南工作组发布了基于共识的声明，以简化 ECP 的诊断。目前，国际上尚未就 ECP 的定义和诊断达成共识。已经提出了基于临床特征和内镜超声检查结果的修订版日本 ECP 诊断标准。需要进行大型前瞻性队列研究来制定和验证国际上可接受的诊断标准。ECP 被认为是 CP 发展和进展的一个独特阶段。需要制定基于共识的定义和诊断标准。
