Imaging in Chronic Pancreatitis: State of the Art Review

Overview

Journal Indian J Radiol Imaging

Publisher Thieme

Specialty Radiology

Date 2019 Aug 2

PMID 31367093

Citations 10

Authors

Rohan Kamat

Pankaj Gupta

Surinder Rana

Affiliations

Soon will be listed here.

Abstract

Chronic pancreatitis (CP) is an important gastrointestinal cause of morbidity worldwide. It can severely impair the quality of life besides life-threatening acute and long-term complications. Pain and pancreatic exocrine insufficiency (leading to malnutrition) impact the quality of life. Acute complications include pseudocysts, pancreatic ascites, and vascular complications. Long-term complications are diabetes mellitus and pancreatic cancer. Early diagnosis of CP is crucial to alter the natural course of the disease. However, majority of the cases are diagnosed in the advanced stage. The role of various imaging techniques in the diagnosis of CP is discussed in this review.

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References

Imdahl A, Nitzsche E, Krautmann F, Hogerle S, Boos S, Einert A . Evaluation of positron emission tomography with 2-[18F]fluoro-2-deoxy-D-glucose for the differentiation of chronic pancreatitis and pancreatic cancer. Br J Surg. 1999; 86(2):194-9. DOI: 10.1046/j.1365-2168.1999.01016.x. View

Robinson P, Sheridan M . Pancreatitis: computed tomography and magnetic resonance imaging. Eur Radiol. 2000; 10(3):401-8. DOI: 10.1007/s003300050066. View

Elmas N . The role of diagnostic radiology in pancreatitis. Eur J Radiol. 2001; 38(2):120-32. DOI: 10.1016/s0720-048x(01)00297-2. View

Wallace M, Hawes R . Endoscopic ultrasound in the evaluation and treatment of chronic pancreatitis. Pancreas. 2001; 23(1):26-35. DOI: 10.1097/00006676-200107000-00004. View

Matos C, Cappeliez O, Winant C, Coppens E, Deviere J, Metens T . MR imaging of the pancreas: a pictorial tour. Radiographics. 2002; 22(1):e2. DOI: 10.1148/radiographics.22.1.g02jae2e2. View

Kahl S, Glasbrenner B, Leodolter A, Pross M, Schulz H, Malfertheiner P . EUS in the diagnosis of early chronic pancreatitis: a prospective follow-up study. Gastrointest Endosc. 2002; 55(4):507-11. DOI: 10.1067/mge.2002.122610. View

Remer E, Baker M . Imaging of chronic pancreatitis. Radiol Clin North Am. 2002; 40(6):1229-42, v. DOI: 10.1016/s0033-8389(02)00044-1. View

Ly J, Miller F . MR imaging of the pancreas: a practical approach. Radiol Clin North Am. 2002; 40(6):1289-306. DOI: 10.1016/s0033-8389(02)00056-8. View

Zhang X, Shi H, Parker L, Dohke M, Holland G, Mitchell D . Suspected early or mild chronic pancreatitis: enhancement patterns on gadolinium chelate dynamic MRI. Magnetic resonance imaging. J Magn Reson Imaging. 2002; 17(1):86-94. DOI: 10.1002/jmri.10218. View

10.

De Backer A, Mortele K, Ros R, Vanbeckevoort D, Vanschoubroeck I, De Keulenaer B . Chronic pancreatitis: diagnostic role of computed tomography and magnetic resonance imaging. JBR-BTR. 2003; 85(6):304-10. View

11.

Chowdhury R, Forsmark C . Review article: Pancreatic function testing. Aliment Pharmacol Ther. 2003; 17(6):733-50. DOI: 10.1046/j.1365-2036.2003.01495.x. View

12.

Frulloni L, Castellani C, Bovo P, Vaona B, Calore B, Liani C . Natural history of pancreatitis associated with cystic fibrosis gene mutations. Dig Liver Dis. 2003; 35(3):179-85. DOI: 10.1016/s1590-8658(03)00026-4. View

13.

Brydon W, Kingstone K, Ghosh S . Limitations of faecal elastase-1 and chymotrypsin as tests of exocrine pancreatic disease in adults. Ann Clin Biochem. 2004; 41(Pt 1):78-81. DOI: 10.1258/000456304322664753. View

14.

Siegmund E, Lohr J, Schuff-Werner P . [The diagnostic validity of non-invasive pancreatic function tests--a meta-analysis]. Z Gastroenterol. 2004; 42(10):1117-28. DOI: 10.1055/s-2004-813604. View

15.

Miller F, Keppke A, Wadhwa A, Ly J, Dalal K, Kamler V . MRI of pancreatitis and its complications: part 2, chronic pancreatitis. AJR Am J Roentgenol. 2004; 183(6):1645-52. DOI: 10.2214/ajr.183.6.01831645. View

16.

van Kouwen M, Jansen J, Goor H, de Castro S, Oyen W, Drenth J . FDG-PET is able to detect pancreatic carcinoma in chronic pancreatitis. Eur J Nucl Med Mol Imaging. 2004; 32(4):399-404. DOI: 10.1007/s00259-004-1689-4. View

17.

Graziani R, Tapparelli M, Malago R, Girardi V, Frulloni L, Cavallini G . The various imaging aspects of chronic pancreatitis. JOP. 2005; 6(1 Suppl):73-88. View

18.

Chatelain D, Vibert E, Yzet T, Geslin G, Bartoli E, Manaouil D . Groove pancreatitis and pancreatic heterotopia in the minor duodenal papilla. Pancreas. 2005; 30(4):e92-5. DOI: 10.1097/01.mpa.0000161885.79373.1d. View

19.

Erturk S, Ichikawa T, Motosugi U, Sou H, Araki T . Diffusion-weighted MR imaging in the evaluation of pancreatic exocrine function before and after secretin stimulation. Am J Gastroenterol. 2006; 101(1):133-6. DOI: 10.1111/j.1572-0241.2006.00406.x. View

20.

Toprak O, Cirit M . Risk factors for contrast-induced nephropathy. Kidney Blood Press Res. 2006; 29(2):84-93. DOI: 10.1159/000093381. View