最近审阅: 23 十二月 2020
最近更新: 26 十月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 腹痛
  • 脂肪痢
  • 黄疸

其他诊断因素

  • 体重减轻和营养不良
  • 恶心和呕吐
  • 皮肤结节
  • 关节痛
  • 低创伤性骨折
  • 腹胀
  • 呼吸短促

危险因素

  • 酒精
  • 吸烟
  • 家族史
  • 乳糜泻
  • 银屑病
  • 高脂、高蛋白饮食
  • 热带地区

诊断性检查

首要检查

  • 血糖
  • CT 扫描
  • 腹部超声
  • 腹部 X 线检查
更多 首要检查

需考虑的检查

  • 超声内镜 (EUS)
  • 经内镜逆行胰胆管造影术 (ERCP)
  • 磁共振胆管胰腺造影 (MRCP)
  • 粪便弹性蛋白酶-1
  • 粪便脂肪
  • 粪脂测定(steatocrit)
  • 直接胰腺功能试验
  • 基因筛查
  • 活检
  • IgG4水平
  • 皮质类固醇试验性治疗
更多 需考虑的检查

新兴检查

  • 研究性胰腺功能检测
更多 新兴检查

治疗流程

撰稿人

Associate Professor of Internal Medicine

Division of Gastroenterology and Hepatology

University of Michigan School of Medicine

Ann Arbor

MI

利益声明

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

利益声明

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

利益声明

AL declares that he has no competing interests.

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Professor of Medicine

Chief

Division of Gastroenterology, Hepatology, and Nutrition

University of Florida

Gainesville

FL

利益声明

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

利益声明

JRI declares that he has no competing interests.

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