Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- presencia de factores de riesgo
- dolor abdominal
- esteatorrea
- ictericia
Otros factores de diagnóstico
- pérdida de peso y desnutrición
- náuseas y vómitos
- nódulos cutáneos
- dolor en las articulaciones
- fractura por traumatismo leve
- distensión abdominal
- disnea
Factores de riesgo
- alcohol
- tabaquismo
- antecedentes familiares
- enfermedad celíaca
- psoriasis
- dieta de alto contenido en grasas y proteínas
- geografía tropical
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- glucemia
- exploración por tomografía computarizada (TC)
- ultrasonido de abdomen
- radiografía de abdomen
Pruebas diagnósticas que deben considerarse
- ultrasonido endoscópico (UE)
- colangiopancreatografía retrógrada endoscópica (CPRE)
- colangiopancreatografía por resonancia magnética (CPRM)
- elastasa-1 fecal
- grasa fecal
- esteatocrito
- pruebas directas de función pancreática
- cribado genético
- biopsia
- niveles de inmunoglobulina G4 (IgG4)
- protocolo terapéutico de corticosteroides
Algoritmo de tratamiento
Colaboradores
Autores
Associate Professor of Internal Medicine
Division of Gastroenterology and Hepatology
University of Michigan School of Medicine
Ann Arbor
MI
Divulgaciones
MJD receives grant support from National Institutes of Health. MJD has consulted for or received honoraria from American Gastroenterological Association (AGA), Oakstone Publishing, and Cystic Fibrosis Foundation. MJD sits on committees, advisory boards, and/or editorial boards for AGA Institute, National Pancreas Foundation Michigan Chapter, Faculty of 1000 Research, Pancreatology, the Pancreapedia, and Pancreas.
Associate Professor of Internal Medicine
Division of Gastroenterology and Hepatology
University of Michigan School of Medicine
Ann Arbor
MI
Divulgaciones
EJW declares that he has no competing interests.
Assistant Professor of Internal Medicine
Division of Gastroenterology and Hepatology
University of Vermont College of Medicine
Burlington
VT
Divulgaciones
AL declares that he has no competing interests.
Revisores por pares
Professor of Medicine
Chief
Division of Gastroenterology, Hepatology, and Nutrition
University of Florida
Gainesville
FL
Divulgaciones
CF is an author of a number of references cited in this topic.
Chairman, Surgeon in Chief
Department of General, Visceral and Thoracic Surgery
University Hospital Hamburg-Eppendorf
Hamburg
Germany
Divulgaciones
JRI declares that he has no competing interests.
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