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This topic reviews the clinical manifestations and diagnosis of chronic pancreatitis. The etiology, pathogenesis, complications, and treatment of chronic pancreatitis are discussed separately.
The average age at diagnosis is 35 to 55 years. If chronic pancreatitis is suspected, contrast-enhanced computed tomography is the best imaging modality for diagnosis.
Chronic pancreatitis often causes severe, long-term pain. In addition to prescribing medicine, your healthcare professional will look for causes or complications of chronic pancreatitis that cause pain.
Identify early-stage chronic pancreatitis through clinical signs, imaging, and laboratory findings. Screen for complications such as diabetes mellitus, malnutrition, and pancreatic insufficiency in patients with chronic pancreatitis. Implement evidence-based treatment plans for managing chronic pain and nutritional deficiencies.
Diagnosis can be particularly elusive in patients with early chronic pancreatitis (also known as minimal change chronic pancreatitis 3) given that these patients classically present with clinical symptoms suggestive of chronic pancreatitis but lack definitive radiographic abnormalities.
Chronic pancreatitis can be difficult to diagnose. Your family and medical history are important in helping your doctor diagnose this disease. Your doctor will begin the diagnosis with a comprehensive physical exam. We will also ask you about your symptoms and medical history.
If chronic pancreatitis is suspected, contrast-enhanced computed tomography is the best imaging modality for diagnosis.
Diagnosis is usually made by imaging studies and pancreatic function testing. Treatment mainly includes pain control and management of pancreatic insufficiency. (See also Overview of Pancreatitis and Acute Pancreatitis.)
The diagnosis is based on the symptoms, a history of recurring acute pancreatitis and alcohol use, imaging tests, and pancreatic function tests. Treatment involves avoiding alcohol and cigarettes, modifying the diet, taking pancreatic enzyme supplements, and measures to relieve the pain.
Chronic pancreatitis is most commonly associated with chronic alcohol ingestion (>75%). Hallmark features are epigastric abdominal pain radiating to the back, steatorrhoea, malnutrition, and diabetes mellitus. Diagnosis is based on clinical findings and imaging. Underlying causes and precipitatin...