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Some Problems in the Diagnosis of Pancreatic Disease

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Gastro-Intestinal Section
Hospital of the University of Pennsylvania
Philadelphia 4, Pennsylvania

Ann Intern Med. 1963;58(2):373-376. doi:10.7326/0003-4819-58-2-373
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The diagnosis of acute or chronic disease of the pancreas can be one of the more difficult tasks of the internist or gastroenterologist. Acute pancreatic disease must be differentiated from a variety of intra-abdominal catastrophes, many of which require prompt laparotomy if the patient is to have the best chance of survival. Most surgeons and physicians agree that acute pancreatitis, in the absence of complicating biliary tract disease, is best managed conservatively (1). Chronic pancreatitis often masquerades as psychoneurosis, drug addiction, or chronic alcoholism, while pancreatic carcinoma is usually beyond surgical cure when diagnosed.

Three reports concerned with various aspects


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