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Review
. 2025 Apr;46(2):124-144.
doi: 10.1055/a-2336-1700. Epub 2024 Jun 20.

Transabdominal ultrasound for the diagnostic workup of parenchymal pancreatic diseases

[Article in English, German]
Robert Henker  1   2 , Valentin Blank  1   3 , Thomas Karlas  1
Affiliations
Review

Transabdominal ultrasound for the diagnostic workup of parenchymal pancreatic diseases

[Article in English, German]
Robert Henker et al. Ultraschall Med. 2025 Apr.

Abstract
in English, German

This continuing medical education article highlights the central role of transcutaneous sonography in diagnosing parenchymal pancreatic diseases. It emphasizes the importance of in-depth knowledge of sonographic imaging of organ anatomy and a structured examination methodology, particularly for identifying acute and chronic pancreatitis and related complications. The article provides detailed guidance for optimized examination techniques and equipment settings, even under challenging conditions, and discusses the application of ultrasound in various scenarios of pancreatic diseases. Moreover, the relevance of advanced sonographic techniques such as high-frequency sonography, elastography, and contrast-enhanced sonography is illuminated in the context of expanded diagnostic workup.

Dieser Fortbildungsartikel beleuchtet die zentrale Rolle der transkutanen Sonographie bei der Diagnose von parenchymatösen Pankreaserkrankungen. Er hebt die Wichtigkeit fundierter Kenntnisse in der sonographischen Abbildung der Organanatomie und einer strukturierten Untersuchungsmethodik hervor, insbesondere für die Identifizierung akuter und chronischer Pankreatitiden sowie deren Komplikationen. Der Artikel bietet detaillierte Anleitungen für optimierte Untersuchungstechniken und Geräteeinstellungen, selbst unter erschwerten Bedingungen, und diskutiert die Anwendung des Ultraschalls in verschiedenen Szenarien von Pankreaserkrankungen. Darüber hinaus wird die Relevanz fortgeschrittener sonographischer Techniken wie Hochfrequenz-Sonografie, Elastografie und Kontrastmittelsonografie im Kontext der erweiterten Diagnostik beleuchtet.

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Conflict of interest statement

Declaration of financial interestsReceipt of research funding: yes, from another institution (pharmaceutical or medical technology company, etc.); receipt of payment/financial advantage for providing services as a lecturer: yes, from another institution (pharmaceutical or medical technology company, etc.); paid consultant/internal trainer/salaried employee: no; patent/business interest/shares (author/partner, spouse, children) in company: no; patent/business interest/shares (author/partner, spouse, children) in sponsor of this CME article or in company whose interests are affected by the CME article: no.Declaration of non-financial interestsVB and TK are actively involved in leading the Internal Medicine Section of the German Society for Ultrasound in Medicine (DEGUM).

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