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Rofo 2014; 186(11): 1002-1008
DOI: 10.1055/s-0034-1385005
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© Georg Thieme Verlag KG Stuttgart · New York

S3 Guideline for Chronic Pancreatitis – Diagnosis, Classification and Therapy for the Radiologist

S3-Leitlinie Chronische Pankreatitis: Diagnostik, Klassifikation und Therapie für die Radiologie
A. G. Schreyer
1   Department of Radiology, University Hospital Regensburg
,
M. Jung
2   Department of Interna! Medicine and Gastroenterology, Catholic Hospital Mainz
,
J. F. Riemann
3   Medical Clinic C, Ludwigshafen Hospital
,
C. Niessen
1   Department of Radiology, University Hospital Regensburg
,
B. Pregler
1   Department of Radiology, University Hospital Regensburg
,
L. Grenacher
4   Diagnostic and lnterventional Radiology, University Hospital Heidelberg
,
A. Hoffmeister
5   Medical Clinic and Polyclinic II for Gastroenterology, University Hospital Leipzig
› Author Affiliations
Further Information

Publication History

10 February 2014

29 June 2014

Publication Date:
14 August 2014 (online)

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Abstract

Chronic pancreatitis shows an increasing prevalence and incidence mainly in the Western Hemisphere. Early diagnosis and therapy are frequently delayed because of non-specific symptoms as well as non-specific blood values. The German Society of Digestive and Metabolic Diseases (DGVS) organized the preparation and publication of an interdisciplinary S3 level guideline with the support of the German Radiological Society (DRG) as 1 of 11 contributing societies. In this article we present and discuss the main topics of the guideline regarding the diagnosis, differential diagnosis and therapy of complications of this complex chronic disease with a focus on clinical and scientific radiologists.

Key Points:

• Ultarsound represents the perfect first line imaging modality

• For further diagnostic werk up MRI with MRCP are recommended for the differential diagnosis of pancreatic cancer

• For clinical studies the modified (CT, MRI) Cambridge classification is recommended

Citation Format:

• Schreyer AG, Jung M, Riemann JF et al. S3 Guideline for Chronic Pancreatitis – Diagnosis, Classification and Therapy for the Radiologist. Fortschr Röntgenstr 2014; 186: 1002 – 1008

Zusammenfassung

Die chronische Pankreatitis hat vor allem in der westlichen Welt in ihrer Inzidenz und Prävalenz stark zugenommen. Durch die unspezifischen Symptome zu Beginn dieser chronischen Erkrankung bei fehlenden spezifischen Laborparametern ist die Diagnose und Therapie häufig verzögert. Über mehrere Jahre wurde die aktuelle neue deutsche S3-Leitlinie „Chronische Pankreatitis“ unter der organisatorischen Leitung der Deutschen Gesellschaft für Verdauung- und Stoffwechselkrankheiten (DGVS) mit Beteiligung der Deutschen Röntgengesellschaft (DRG) als eine von 11 kollaborierenden Gesellschaften interdisziplinär erarbeitet und veröffentlicht. Im vorliegenden Artikel möchten wir alle für den klinisch und wissenschaftlich arbeitenden Radiologen wichtigen Punkte für die Diagnose, Differentialdiagnose sowie Therapie von Komplikationen dieses komplexen chronischen Krankheitsbildes basierend auf der neuen Leitlinie zusammenstellen und diskutieren.

Key words

pancreas - CT - pancreatitis - MR imaging

Deutscher Artikel/German Article

 

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