Teaching Points
- In suspected chronic pancreatitis, CT is moderately accurate in diagnosis and is the first line investigation of choice
- Ultrasound may also be indicated to assess gallstone disease
- Other modalities, such as MR pancreatography (MRCP) and endoscopic ultrasound (EUS) can provide further diagnostic information relatively non-invasively and may help in determining interventional management
- Endoscopic retrograde pancreatography (ERCP) should be reserved for situations where non-invasive modalities are not available, are equivocal and for intervention
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