Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 36: My 68-Year-Old Patient With Ms Presents With Dyspeptic Symptoms And Loose Stools. Imaging Showed A Dilated Pancreatic Duct And Extensive Calcification In The Head Of The Pancreas. Symptoms Responded Partly To Pancreatic Enzyme Supplement. What Should I Do Next? (continued)

D. Nageshwar Reddy, MD, DM, FRCP, DSc; Mohan Ramchandani, MD, DM

Chronic pancreatitis (CP) is a progressive inflammatory disease of the pancreas characterized by irreversible morphological changes that typically cause pain and damage to the endocrine and exocrine pancreatic tissues. Clinically, patients with CP present with abdominal pain in the early stage and with diabetes and maldigestion in the late stage due to endocrine and exocrine insufficiency, respectively. The diagnosis of CP can be made on the basis of clinical symptoms in combination with structural and functional criteria. This patient can be easily diagnosed as having CP because he has…