Dancygier H
Department of Internal Medicine, Städtische Kliniken Offenbach, J. W. Goethe-University, Frankfurt Main, Germany.
Gastrointest Endosc Clin N Am. 1995 Oct;5(4):795-804.
The diagnosis of chronic pancreatitis is based on clinical grounds, testing of pancreatic function, and imaging modalities, of which endoscopic retrograde cholangiopancreatography (ERCP) is considered presently as the "gold standard." Endoscopic ultrasound (EUS) can visualize pancreatic ductal and parenchymal alterations, allowing for distinguishment of the normal pancreas from different grades of severity of chronic pancreatitis. As a supplement to findings obtained by ERCP, EUS delineates a subgroup of patients exhibiting definite parenchymal changes despite normal duct findings on ERCP. EUS should be regarded as a superior diagnostic tool in the imaging of the chronically inflamed pancreas and should be performed early in a patient with abdominal pain of suspected pancreatic etiology.
慢性胰腺炎的诊断基于临床依据、胰腺功能检测及影像学检查方法，其中内镜逆行胰胆管造影（ERCP）目前被视为“金标准”。内镜超声（EUS）能够显示胰腺导管及实质的改变，有助于区分正常胰腺与不同严重程度的慢性胰腺炎。作为ERCP检查结果的补充，EUS可识别出一部分患者，这些患者尽管ERCP显示导管正常，但却存在明确的实质改变。在对慢性炎症性胰腺进行成像时，EUS应被视为一种更优的诊断工具，对于疑似胰腺病因引起腹痛的患者应尽早进行该项检查。
