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BIOCHEMICAL DIAGNOSTICS IN GASTROENTEROLOGYKocna P.CASE: 12-03- laboratory dataAfter 1,5 year executed exocrine pancreatic secretion tests :FELA (fecal(elastase-1) ase-1) 378 μg/g(normal above 200 μg/g)13 C-MTGbreath test, 6hr. cPDR - 51 % (normal above 30 %)Pancreatic enzyme substitutiontion discontinued,at this time gall diet without pancreatic substitution.42
BIOCHEMICAL DIAGNOSTICS IN GASTROENTEROLOGYKocna P.CHRONIC PANCREATITIS IS DIAGNOSTICSDiagnostic imaging for mild chronic pancreatitisEndoscopic ultrasound (EUS)Endoscopic retrograde cholangiopancreatography (ERCP)Magnetic resonance cholangiopancreatography (MRCP)EUSERCPMRCPSENSITIVITY 56% (40-72)72% (58-86)86) 54% (44-64)SPECIFICITY 81% (68-95)75% (60-90)78% (72-83)43Diagnosis of mild chronic pancreatitis (Cambridge classification)Sai JK, Suyama M, Kubokawa Y, Watanabe S.World J Gastroenterol 2008 February 28; 14(8): 1218 - 1221Researchers Test the Value of ERPC for the Detection of Early Chronic PancreatitisFrei R. - Gastroent.Endoscop.News 2007, 58, 02
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