JOURNAL ARTICLE
REVIEW

Chronic pancreatitis: A diagnostic dilemma

Sinead N Duggan, Hazel M Ní Chonchubhair, Oladapo Lawal, Donal B O'Connor, Kevin C Conlon
World Journal of Gastroenterology: WJG 2016 February 21, 22 (7): 2304-13
26900292
Typical clinical symptoms of chronic pancreatitis are vague and non-specific and therefore diagnostic tests are required, none of which provide absolute diagnostic certainly, especially in the early stages of disease. Recently-published guidelines bring much needed structure to the diagnostic work-up of patients with suspected chronic pancreatitis. In addition, novel diagnostic modalities bring promise for the future. The assessment and diagnosis of pancreatic exocrine insufficiency remains challenging and this review contests the accepted perspective that steatorrhea only occurs with > 90% destruction of the gland.

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