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Cambridge Classification (CP — ERCP/EUS/CT)

Cambridge SystemStandardized Chronic Pancreatitis Staging

Imaging / Ductal Findings

Severity Analysis

Select morphological findings to classify the radiological severity of chronic pancreatitis.

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

When to Use

Diagnosis and grading of chronic pancreatitis severity based on ductal morphology

To standardize reporting of findings on ERCP, MRCP, or EUS

Evaluating patients with chronic abdominal pain and suspected pancreatic origin

Triage for surgical or endoscopic intervention in symptomatic ductal disease

Clinical Context

The Cambridge Classification (1984) remains the primary morphological grading system. It focuses on changes to the main pancreatic duct and secondary branches, providing a roadmap of structural damage.

Limitations

Does not assess exocrine function (fecal elastase) or endocrine function (diabetes)

Early "Equivocal" changes may be seen in aging patients or those without clinical pancreatitis

Cannot reliably differentiate between chronic pancreatitis and early pancreatic adenocarcinoma in "Severe" cases without cytology

Last Comprehensive Review: 2026

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