Diagnosis of chronic pancreatitis
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Diagnosis of chronic pancreatitis
- no true gold standard exists, unlike with the liver, where biopsies are less risky and hence are the gold standard
- it is true that pancreatic biopsy is not seldom performed, but it is not often indicated in chronic pancreatitis—it is more commonly performed on pancreatic masses, etc.
- imaging studies: pancreatic calcification is a good marker of chronic rather than acute pancreatitis
- secretin stimulation: decreased duodenal bicarbonate secretion. doesn’t work perfectly
- fecal fat > 7 gm / 24 hr
- calcifications are white
- dilated pancreatic duct is also seen
ERCP
- dilated pancreatic duct with side branches are visualized
- normally, the duct is thin and wispy
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