how to diagnose chronic pancreatitis
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- Answered 5 Aug 2019 Conflict of interest declaration: None A 2016 paper “Chronic pancreatitis: A diagnostic dilemma” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4735004/ highlights “Typical clinical symptoms of chronic pancreatitis are vague and non-specific and therefore diagnostic tests are required, none of which provide absolute diagnostic certainly, especially in the early stages of disease. Recently-published guidelines bring much needed structure to the diagnostic work-up of patients with suspected chronic pancreatitis.” The main aim of the review was to “..summarize the available diagnostic modalities and the most recent diagnostic guidelines”. Alas, this is too large to reproduce here, but the document is open access, via the link above. BMJ Best Practice has a entry for chronic pancreatitis http://bestpractice.bmj.com//topics/en-gb/67 which includes a section on diagnostic investigations. NICE produced a guideline on Pancreatitis in 2018 and the full version of the guideline https://www.nice.org.uk/guidance/ng104/evidence/full-guideline-pdf-6535536157 has a section specifically on diagnosis, this is section 20 and starts on page 214. Finally, one source that is typically excellent, is CKS, which have produced a guideline on chronic pancreatitis and this includes a specific section on diagnosis. Unfortunately, I think it’s not available in Chile – but will post a link just in case https://cks.nice.org.uk/pancreatitis-chronic#!diagnosisSub.