1. CHRONIC PANCREATITIS
Smachylo I.V.

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

3. Causes of chronic pancreatitis

4. Tests of exocrine pancreatic function

5. Plain X-ray of abdomen
showing
calcific
pancreatitis

6. Ultrasound investigation. Normal pancreas

7. 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

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

9. CT scan with central pseudocyst

10. ERCP of chronic pancreatitis with distortion of the pancreatic duct

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

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

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

14. CHRONIC PANCREATITIS SUMMARY

15. Thank you for attention!