CHRONIC PANCREATITIS Smachylo I.V..

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Presentation transcript:

CHRONIC PANCREATITIS Smachylo I.V.

PLAN of the lecture CHRONIC PANCREATITIS 1. Etiology and Pathomorphology 2. Classification 3. Clinical picture 4. Diagnosis 5. Differential diagnosis 6. Treatment

Causes of chronic pancreatitis

Tests of exocrine pancreatic function

Plain X-ray of abdomen showing calcific pancreatitis

Ultrasound investigation. Normal pancreas

Ultrasound investigation. Chronic pancreatitis а) calcificates in the head of pancreas; б) Virsungov’s duct; в) pseudocyst of pancreas; г) increase of the head of pancreas; д) spleen vein

Ultrasound investigation Ultrasound investigation. Chronic calcified pancreatitis а) virsungolithiasis б) dilated Virsungov’s duct.

CT scan with central pseudocyst

ERCP of chronic pancreatitis with distortion of the pancreatic duct

An endoscopic retrograde cholangiopancreatography image demonstrating massive pancreatic duct dilatation in a patient with bigduct chronic pancreatitis.

An endoscopic retrograde cholangiopancreatography image demonstrating minimal pancreatic duct abnormalities in a patient with painful small-duct chronic pancreatitis.

An endoscopic ultrasound image demonstrating a dilated pancreatic duct (markers) in a patient with advanced chronic pancreatitis

CHRONIC PANCREATITIS SUMMARY

Thank you for attention!