Petr Dítě, Martina Bojková, Bohuslav Kianička, Tomáš Kupka, Kateřina Kapounková, Jana Dvořáčková, Jarmila Šímová, Arnošt Martínek, Miroslav Souček
Diagnostics and therapy of chronic pancreatitis have gone through a significant development in the recent decades.
Diagnostics imaging technologies predominantly allow for identification of very slight changes via non-invasive approach,
which indicates for diagnosis of chronic pancreatitis. Invasive endoscopic ultrasonography is a suitable method to
collect bioptic pancreatic samples and in differential diagnostics a benign versus malignant lesion. The therapy of pancreatic
pain always starts with drug therapy, if it fails, the treatment progresses to endoscopic or surgical one. I assume
that a slight portion of patients should be treated with opiates. It seems that the effect of endoscopic treatment is
high in the initial phase of the treatment, however, the surgical effect is longer. Chronic pancreatitis is a disease, which
we are able to treat, with some exceptions which are incurable. It is the disease which requires a life-long systematic
observation as it is a risk factor for pancreatic carcinoma.