**4.3 Diagnosis**

According with INSPPIRE data the definition of chronic pediatric pancreatitis depends upon one of the following: (1) abdominal pain and imaging findings that can suggest a chronic pancreatic damage; (2) evidence of exocrine pancreatic insufficiency with maldigestions symptoms and diagnostic imaging suggestive for pancreatic damage; (3) evidence of pancreatic islets dysfunction and imaging findings that can suggest the presence of a pancreatic damage; or (4) a surgical or pancreatic biopsy demonstrating pathological features compatible with chronic pancreatitis [24].
