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Pancreatitis (cont.)

Which Types of Doctors Treat Pancreatitis?

The types of doctors that usually treat pancreatitis are emergency medicine doctors, primary care physicians, internal medicine specialists, hospitalists, critical-care specialists and occasionally gastroenterologists and/or surgeons, depending upon the severity of the disease.

How Is Pancreatitis Diagnosed?

When a health-care professional identifies symptoms suggestive of pancreatitis, specific questions are asked about the person's symptoms, lifestyle and habits, and medical and surgical history. The answers to these questions and the results of the physical examination allow the health-care professional to rule out some conditions and make the correct diagnosis.

In most cases, laboratory tests are needed. The tests check the functioning of several body systems, including the following:

  • Pancreas, liver, and kidney functions (including levels of pancreatic enzymes amylase and lipase)
  • Signs of infections, for example, fever or fatigue
  • Blood cell counts indicating signs of anemia
  • Pregnancy test
  • Blood sugar, electrolyte levels (an imbalance suggests dehydration) and calcium level

Results of the blood tests may be inconclusive if the pancreas is still making digestive enzymes and insulin.

Diagnostic imaging tests are usually needed to look for complications of pancreatitis, including gallstones.

Diagnostic imaging tests may include the following:

  • X-ray films may be ordered to look for complications of pancreatitis as well as for other causes of discomfort. This may include a chest X-ray.
  • A CT scan is like an X-ray film, only much more detailed. A CT scan shows the pancreas and possible complications of pancreatitis in better detail than an X-ray film. A CT scan highlights inflammation or destruction of the pancreas. Occasionally an MRI is ordered.
  • Ultrasound is a very good imaging test to examine the gallbladder and the ducts connecting the gallbladder, liver, and pancreas with the small intestine.
    • Ultrasound is very good at depicting abnormalities in the biliary system, including gallstones and signs of inflammation or infection.
    • Ultrasound uses painless sound waves to create images of organs. Ultrasound is performed by gliding a small handheld device over the abdomen. The ultrasound emits sound waves that "bounce" off the organs and are processed by a computer to create an image. This technique is the same one that is used to look at a fetus in a pregnant woman.
  • Endoscopic retrograde cholangiopancreatography (ERCP) is an imaging test that uses an endoscope (a thin, flexible tube with a tiny camera on the end) to view the pancreas and surrounding structures.
    • ERCP is usually used only in cases of chronic pancreatitis or in the presence of gallstones.
    • To perform an ERCP, a person is first sedated. After sedation, an endoscope is passed through the mouth, to the stomach, and into the small intestine. The device then injects a temporary dye into the ducts connecting the liver, gallbladder, and pancreas with the small intestine (biliary ducts). The dye makes is easier for the health-care professional to see any stones or signs of organ damage. In some cases, a stone can be removed during this test.
Medically Reviewed by a Doctor on 9/15/2017

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Read What Your Physician is Reading on Medscape

Pancreatitis, Acute »

The pancreas is a gland located in the upper, posterior abdomen and is responsible for insulin production (endocrine pancreas) and the manufacture and secretion of digestive enzymes (exocrine pancreas) leading to carbohydrate, fat, and protein metabolism.

Read More on Medscape Reference »

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