Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
Department Allgemeine Innere Medizin, Salem und Permanence, Bern CH-3000, Switzerland.
World J Gastroenterol. 2021 Jul 21;27(27):4342-4357. doi: 10.3748/wjg.v27.i27.4342.
Chronic pancreatitis (CP) is a progressive condition caused by several factors and characterised by pancreatic fibrosis and dysfunction. However, CP is difficult to diagnose at an early stage. Various advanced methods including endoscopic ultrasound based elastography and confocal laser endomicroscopy have been used to diagnose early CP, although no unified diagnostic standards have been established. In the past, the diagnosis was mainly based on imaging, and no comprehensive evaluations were performed. This review describes and compares the advantages and limitations of the traditional and latest diagnostic modalities and suggests guidelines for the standardisation of the methods used to diagnose early CP.
慢性胰腺炎(CP)是一种由多种因素引起的进行性疾病,其特征为胰腺纤维化和功能障碍。然而,CP 在早期阶段很难诊断。各种先进的方法,包括基于内镜超声的弹性成像和共聚焦激光内镜检查,已被用于诊断早期 CP,但尚未建立统一的诊断标准。过去,诊断主要基于影像学,没有进行全面评估。本综述描述并比较了传统和最新诊断方式的优缺点,并为早期 CP 的诊断方法的标准化提出了建议。