title: S3 guideline for chronic pancreatitis - diagnosis, classification and therapy for the radiologist.
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.
  
  
  CONCLUSIONS
  • 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.
authors.affiliation: Department of Radiology, University Hospital Regensburg.
authors.forename: A G
authors.initials: AG
authors.lastname: Schreyer
authors.affiliation: Department of Interna! Medicine and Gastroenterology, Catholic Hospital Mainz.
authors.forename: M
authors.initials: M
authors.lastname: Jung
authors.affiliation: Medical Clinic C, Ludwigshafen Hospital.
authors.forename: J F
authors.initials: JF
authors.lastname: Riemann
authors.affiliation: Department of Radiology, University Hospital Regensburg.
authors.forename: C
authors.initials: C
authors.lastname: Niessen
authors.affiliation: Department of Radiology, University Hospital Regensburg.
authors.forename: B
authors.initials: B
authors.lastname: Pregler
authors.affiliation: Diagnostic and lnterventional Radiology, University Hospital Heidelberg.
authors.forename: L
authors.initials: L
authors.lastname: Grenacher
authors.affiliation: Medical Clinic and Polyclinic II for Gastroenterology, University Hospital Leipzig.
authors.forename: A
authors.initials: A
authors.lastname: Hoffmeister
mesh_terms: D003287:Contrast Media; D003299:Cooperative Behavior; D057210:Delayed Diagnosis; D003952:Diagnostic Imaging; D005500:Follow-Up Studies; D006801:Humans; D007089:Image Enhancement; D033183:Interdisciplinary Communication; D008279:Magnetic Resonance Imaging; D010179:Pancreas / Q000473:pathology; D010192:Pancreatic Pseudocyst / Q000145:classification / Q000175:diagnosis / Q000628:therapy; D050500:Pancreatitis, Chronic / Q000145:classification / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D011379:Prognosis; D012680:Sensitivity and Specificity; D014463:Ultrasonography
chemical_list: D003287:Contrast Media