title: Update on the role of endoscopic ultrasound in chronic pancreatitis.
abstract: Chronic pancreatitis (CP) remains an important healthcare problem that adversely affects quality of life. Endoscopic ultrasound (EUS) is a preferred test for the diagnosis of early CP. The Rosemont classification strictly defines and assigns weighting to the previously described ductal and parenchymal criteria. Recent histological correlation studies have improved our understanding of the accuracy of EUS criteria. Digital imaging analysis and complementary functional testing may complement endosonographic diagnosis. EUS-directed celiac plexus blockade and ductal access techniques have expanded the therapeutic armamentarium for pain management in CP.
authors.affiliation: Department of Gastroenterology and Hepatology, Cleveland Clinic, 9500 Euclid Avenue, Desk A31, Cleveland, OH 44195, USA. stevent@ccf.org
authors.forename: Tyler
authors.initials: T
authors.lastname: Stevens
mesh_terms: D001340:Autonomic Nerve Block; D002447:Celiac Plexus; D049448:Cholangiopancreatography, Magnetic Resonance; D054459:Elasticity Imaging Techniques; D019160:Endosonography; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D010146:Pain / Q000000981:diagnostic imaging / Q000188:drug therapy; D010186:Pancreatic Function Tests; D050500:Pancreatitis, Chronic / Q000000981:diagnostic imaging* / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index