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The revised Japanese clinical diagnostic criteria for chronic pancreatitis |
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| Authors: | Tooru Shimosegawa Keisho Kataoka Terumi Kamisawa Hiroyuki Miyakawa Hirotaka Ohara Tetsuhide Ito Satoru Naruse Naohiro Sata Koichi Suda Morihisa Hirota Yoshifumi Takeyama Keiko Shiratori Takashi Hatori Makoto Otsuki Yutaka Atomi Kentaro Sugano Masao Tanaka |
| Institution: | 1. Division of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan 2. Department of Internal Medicine, Otsu Municipal Hospital, Otsu, Japan 3. Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan 4. Department of Internal Medicine, Sapporo-Kosei General Hospital, Sapporo, Japan 5. Department of Community-Based Medical Education, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan 6. Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 7. Department of Internal Medicine, Miyoshi Municipal Hospital, Miyoshi, Japan 8. Department of Surgery, Jichi Medical University, Shimotsuke, Japan 9. Department of Pathology, Tokyo-Nishi Tokushukai Hospital, Tokyo, Japan 10. Department of Surgery, Kinki University School of Medicine, Osaka-Sayama, Japan 11. Department of Gastroenterology, Tokyo Women’s Medical University, Tokyo, Japan 12. Department of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical University, Tokyo, Japan 13. Department of Nutrition and Lifestyle-Related Diseases, Graduate School of Life Science, Kobe Women’s University, Kobe, Japan 14. Department of Surgery, Kyorin University, Mitaka, Japan 15. Department of Gastroenterology, Jichi Medical University, Shimotsuke, Japan 16. Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan |
| Abstract: | In Japan, we are now using the clinical diagnostic criteria for chronic pancreatitis (CP) that were revised in 2001 to add the findings of magnetic resonance cholangiopancreatography to the criteria compiled by the Japan Pancreas Society (JPS) in 1995. Because the current criteria are set for diagnosing advanced CP, they are unlikely to improve patients’ prognoses. In addition, they seem unsuitable for current clinical practice because exocrine pancreatic function tests, which have become obsolete in Japan, are included in the diagnostic factors. For these reasons, the Research Committee on Intractable Pancreatic Diseases supported by the Ministry of Health, Labour and Welfare of Japan, the JPS and the Japanese Society of Gastroenterology have revised the criteria. The revised criteria are unique in that they contain an introduction to the concept of early CP. It is a challenge aimed at improvement of the long-term prognosis of CP patients by early diagnosis and therapeutic intervention in this disease. We need to determine and clarify the clinico-pathological outcome of early CP by a prospective long-term follow-up of the patients in this category. |
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