“…Unfortunately, endoscopic ultrasound was not available as a routine diagnostic procedure in our center prior to 2000, and this might be responsible for the weaker diagnostic yield prior to surgery. EUS with or without MRI is currently the procedure of choice when cystic dystrophy of the duodenal wall is in question [21,22,23,24,25,26]. CT, although seen by some authors as facilitating diagnosis of CDHP [21, 26], was inconclusive in our series and perhaps more misleading, as it suggested pancreatic neoplasia.…”