How Do Doctors Diagnose Chronic Pancreatitis?
Published: Apr 14, 2024
Diagnosing chronic pancreatitis early can prevent severe complications. This article explores the tests used to identify this condition.
Contents
Key Imaging Methods
Doctors often start with high-quality imaging tests like CT scans or MRIs to get a clear picture of the pancreas. These tests can reveal structural changes such as ductal dilatation or calcifications. While CT scans are widely used, MRIs provide more detailed ductal images.
Secretin Stimulation Test
In cases where imaging is inconclusive, the secretin stimulation test may be used. This test assesses the pancreas's ability to secrete fluid in response to secretin, a hormone. A low secretion level suggests pancreatic dysfunction.

Endoscopic Ultrasound Insights
Endoscopic ultrasound (EUS) allows doctors to examine the pancreas in detail. Although useful, EUS results can be nonspecific and may require additional tests to confirm chronic pancreatitis.
Frequently Asked Questions
CT scans and MRIs are commonly used.
It measures the pancreas's fluid secretion response.
No, it often requires additional tests to confirm diagnosis.
Early disease may not be visible on imaging.
Key Takeaways
Early and accurate testing is crucial for managing chronic pancreatitis effectively.
References
- Issa Y, Kempeneers MA, van Santvoort HC, et al. Diagnostic performance of imaging modalities in chronic pancreatitis: a systematic review and meta-analysis. Eur Radiol 2017; 27:3820.
- Frøkjær JB, Akisik F, Farooq A, et al. Guidelines for the Diagnostic Cross Sectional Imaging and Severity Scoring of Chronic Pancreatitis. Pancreatology 2018; 18:764.
- Kothari D, Ketwaroo G, Freedman SD, Sheth SG. The Impact of Risk Factors of Chronic Pancreatitis on Secretin Pancreatic Function Testing: Results of a 20-Year Study. Pancreas 2017; 46:887.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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