Role of imaging in the diagnosis of chronic pancreatitis
Por:
Salvador García J and Delgado Cordón F
Publicada:
1 may 2019
Ahead of Print:
1 dic 2018
Categoría:
Radiology, nuclear medicine and imaging
Resumen:
Chronic pancreatitis is a progressive fibroinflammatory process in the pancreas that causes permanent structural damage and leads to a deterioration in exocrine and endocrine function. The appearance of flares of acute pancreatitis, pseudocysts, and inflammatory masses all form part of the natural history of this disease. Vascular and / or digestive complications may occur, and patients with chronic pancreatitis have an increased risk of pancreatic adenocarcinoma. For all these reasons, diagnostic tests that can detect chronic pancreatitis are necessary, especially in the early stages of the disease. We propose a diagnostic algorithm that should progress from noninvasive techniques to invasive procedures. Computed tomography can rule out other causes of abdominal pain and identify complications of pancreatitis. Magnetic resonance cholangiography can be the method of choice because it enables changes in the ducts to be assessed and might obviate the need for endoscopic retrograde cholangio-pancreatography. When the findings on imaging tests are normal but clinical suspicion persists, pancreatic function tests or endoscopic ultrasound should be considered. (C) 2018 SERAM. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
:
Servicio de Radiodiagnóstico, Hospital Universitario Doctor Peset, Valencia, España
:
Servicio de Radiodiagnóstico, Hospital Universitario Doctor Peset, Valencia, España
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