Feng Yue, Song Ling-Ji, Xiao Bo
Department of Radiology, The Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China.
Department of Radiology, Bishan Hospital of Chongqing Medical University, Bishan Hospital of Chongqing, Chongqing 402760, China.
World J Radiol. 2024 Mar 28;16(3):40-48. doi: 10.4329/wjr.v16.i3.40.
Chronic pancreatitis (CP) is a fibroinflammatory disease characterized by irreversible destruction of pancreatic tissue. With the development of the disease, it may lead to exocrine and/or endocrine insufficiency. CP is one of the common diseases that cause abdominal pain, which will not get permanent spontaneous relief as the disease evolves. The American College of Gastroenterology clinical guidelines recommend computed tomography or magnetic resonance imaging as the first-line examination for the diagnosis of CP. CP common imaging findings include pancreatic atrophy, irregular dilatation of the pancreatic duct, calcification of pancreatic parenchyma, pancreatic duct stones, In clinical practice, whether any correlations between CP-induced abdominal pain patterns (no pain/constant/intermittent pain) and corresponding imaging findings present are not well known. Therefore, this review aims to comprehensively sort out and analyze the relevant information by collecting lots of literature on this field, so as to construct a cross-bridge between the clinical manifestations and imaging manifestations of CP patients. Also, it provides an imaging basis and foundation for the classification and diagnosis of abdominal pain types in clinical CP patients.
慢性胰腺炎（CP）是一种以胰腺组织不可逆性破坏为特征的纤维炎性疾病。随着疾病的发展，它可能导致外分泌和/或内分泌功能不全。CP是引起腹痛的常见疾病之一，随着疾病进展，腹痛不会得到永久性自发缓解。美国胃肠病学会临床指南推荐计算机断层扫描或磁共振成像作为CP诊断的一线检查。CP常见的影像学表现包括胰腺萎缩、胰管不规则扩张、胰腺实质钙化、胰管结石。在临床实践中，CP引起的腹痛模式（无疼痛/持续/间歇性疼痛）与相应影像学表现之间是否存在任何相关性尚不清楚。因此，本综述旨在通过收集该领域的大量文献，全面梳理和分析相关信息，从而在CP患者的临床表现和影像学表现之间搭建一座桥梁。此外，它为临床CP患者腹痛类型的分类和诊断提供影像学依据和基础。
