| Theme | New Criteria of Chronic Pancreatitis | |
|---|---|---|
| Title | Evaluating Exocrine Function Tests for Diagnosing Chronic Pancreatitis | |
| Publish Date | 1998/05 | |
| Author | Motoji Kitagawa | Department of Internal Medicine II, Nagoya University School of Medicine |
| Author | Tetsuo Hayakawa | Department of Internal Medicine II, Nagoya University School of Medicine |
| [ Summary ] | In diagnosing chronic pancreatitis, the secretin test is considered the gold standard for estimating exocrine pancreatic secretion, although duodenal intubation is unpleasant for patients and rather complicated for examiners. The BT-PABA and fecal chymotrypsin tests are simple tubeless tests for evaluating exocrine function, but these are less sensitive and specific than the secretin test for diagnosing chronic pancreatitis. A combination of the BT-PABA and fecal chymotrypsin tests with serum pancreatic amylase measurement improved the specificity for diagnosing chronic pancreatitis. | |