Diagnostic approach to patients with acute idiopathic and recurrent pancreatitis, what should be done?

被引:66
作者
Al-Haddad, Mohammad [1 ]
Wallace, Michael B. [1 ]
机构
[1] Mayo Clin Jacksonville, Div Gastroenterol & Hepatol, Coll Med, Jacksonville, FL 32224 USA
关键词
acute recurrent pancreatitis; idiopathic pancreatitis; endoscopic ultrasound; endoscopic retrograde cholangiopancreatography; magnetic resonance cholangiopancreatography;
D O I
10.3748/wjg.14.1007
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Acute recurrent pancreatitis (ARP) is a common clinical condition that may be difficult to diagnose. Endoscopic ultrasound (EUS) is proposed to be a safe first line test of choice in the majority of patients. When interventions are needed to remove biliary stones, evaluate sphincter of Oddi or pancreas divisum, endoscopic retrograde cholangiopancreatography (ERCP) is recommended. Magnetic resonance cholangiopancreatography (MRCP) can be a suitable alternative from a diagnostic standpoint although may not be widely available. Finally, genetic testing is increasingly used to detect certain mutations that are associated with this diagnosis. (c) 2008 WJG. All rights reserved.
引用
收藏
页码:1007 / 1010
页数:4
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