Chronic pancreatitis. Familiar stranger. Peculiarities of etiology, pathogenesis, clinic, diagnosis and treatment at the current stage of evidence-based medicine

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Abstract

The review of the information about etiology, pathogenesis, modern diagnostic criteria and management tactics of patients with chronic pancreatitis is carried out. Research data concerning the criterion validity of the diagnosis and modern standards of complex treatment are presented.

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About the authors

Evgenia N. Zinovieva

OOO «Medi-Pro» «SM-Clinic» at Dunayskiy pr.

Author for correspondence.
Email: enzinovyeva@mail.ru
ORCID iD: 0000-0001-7859-7124

Candidate of Medical Sciences, Associate Professor, Gastroenterologist

Russian Federation, Saint Petersburg

Natalia N. Varlamova

AVA-PETER LLC, Scandinavia clinic

Email: topsi2005@mail.ru
ORCID iD: 0000-0002-9905-4089

Ultrasound Doctor

Russian Federation, Saint Petersburg

Olga V. Dedkova

OOO «Medi-Pro» «SM-Clinic» at Dunayskiy pr.

Email: O_dedkova07@mail.ru

Chief Physician, Gastroenterologist

Russian Federation, Saint Petersburg

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Supplementary files

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2. Pic. 1. Irregularity of the Virsung’s duct, irregular contours of the pancreas, increased echogenicity, heterogeneous structure

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3. Pic. 2. uneven size of pancreas: head – 31 mm (enlarged), body – 18 mm and tail – 18 mm

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4. Pic. 3. Irregularity of contours, heterogeneity of structure, increased echogenicity

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5. Pic. 4. uneven size (tail thickened), virsung duct is not dilated, wall is thickened

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6. Pic. 5. Calcinates in the head and body

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7. Pic. 6. Compression elastography of the pancreas. Mosaic type of elastogram with a predominance of blue mapping: the density of the pancreas is diffusely increased

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Copyright (c) 2023 E.N. Zinovyeva, N.N. Varlamova, O.V. Dedkova

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