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Diagnosing Early Chronic Pancreatitis by Endoscopic Ultrasonography

Miyakawa, Hiroyuki; Okamura, Keiya; Nagakawa, Tatsuya; Hirayama, Atsushi; Matsunga, Takahiro; Oku, Daiki*

doi: 10.1097/01.mpa.0000371229.32512.f2
Abstracts: Proceedings of the Japan Pancreas Society, 2009, Suizo, the Journal of the Japan Pancreas Society, Volume 24, 2009, Yoshifumi Takeyama, MD, PhD, Editor-in-Chief: JPS SELECTED ABSTRACT 6
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*Second Department of Gastroenterology, Sapporo Kosei General Hospital, Hokkaido, Japan. Suizo Vol 24, No 6, pp 680-684

The Japan Pancreas Society proposed new diagnostic criteria for early chronic pancreatitis based on endoscopic ultrasonography (EUS) and ERCP. EUS findings are lobularity (honeycombing type), nonhoneycombing lobularity, stranding, hyperechoic foci (non-shadowing), cyst, dilatation side-branches, hyperechoic MPD margin. It is necessary to see more than two findings including any of the first four findings.

An ERCP finding is mild chronic pancreatitis of the Cambridge classification. An early diagnosis of chronic pancreatitis can be made in patients suspected of having chronic pancreatitis. This should contribute to the improvement of the clinical course of chronic pancreatitis.

© 2010 Lippincott Williams & Wilkins, Inc.