Pancreatitis:
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| Main Authors: | , |
|---|---|
| Format: | Book |
| Language: | German |
| Published: |
Berlin [u.a.]
Springer
1998
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XVII, 377 S. Ill., graph. Darst. |
| ISBN: | 3540617264 |
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MARC
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| 100 | 1 | |a Lankisch, Paul G. |d 1943- |e Verfasser |0 (DE-588)172217644 |4 aut | |
| 245 | 1 | 0 | |a Pancreatitis |c P. G. Lankisch ; P. A. Banks |
| 264 | 1 | |a Berlin [u.a.] |b Springer |c 1998 | |
| 300 | |a XVII, 377 S. |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 650 | 4 | |a Pancreatitis | |
| 650 | 0 | 7 | |a Bauchspeicheldrüsenentzündung |0 (DE-588)4004723-4 |2 gnd |9 rswk-swf |
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| 700 | 1 | |a Banks, Peter A. |e Verfasser |0 (DE-588)115317996 |4 aut | |
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| 943 | 1 | |a oai:aleph.bib-bvb.de:BVB01-007613079 | |
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| adam_text |
TABLE
OF
CONTENTS
1
GENERAL
CONSIDERATIONS:
EMBRYOLOGY
.
1
1.1
NORMAL
DEVELOPMENT
.
1
1.2
CONGENITAL
ABNORMALITIES
.
1
1.2.1
APLASIA,
HYPOPLASIA,
AND
DYSPLASIA
.
2
1.2.1.1
DEFINITION
.
2
1.2.1.2
CLINICAL
PRESENTATION
.
3
1.2.1.3
DIAGNOSIS
.
3
1.2.1.4
TREATMENT
.
3
1.2.2
PANCREAS
DIVISUM
.
4
1.2.2.1
DEFINITION
.
4
1.2.2.2
PATHOGENETIC
IMPLICATIONS
.
4
1.2.2.3
CLINICAL
PRESENTATION
.
5
1.2.2.4
DIAGNOSIS
.
5
1.2.2.5
TREATMENT
.
6
1.2.3
HETEROTOPIC
PANCREAS
.
7
1.2.3.1
DEFINITION
.
7
1.2.3.2
CLINICAL
PRESENTATION
.
7
1.2.3.3
DIAGNOSIS
.
8
1.2.3.4
TREATMENT
.
8
1.2.4
ANNULAR
PANCREAS
.
8
1.2.4.1
DEFINITION
.
8
1.2.4.2
CLINICAL
PRESENTATION
.
9
1.2.4.3
DIAGNOSIS
.
11
1.2.4.4
TREATMENT
.
11
1.2.5
CONGENITAL
CYST(S)
.
11
1.2.5.1
DEFINITION
.
11
1.2.5.2
CLINICAL
PRESENTATION
.
11
1.2.5.3
DIAGNOSIS
.
12
1.2.5.4
TREATMENT
.
12
REFERENCES
.
12
2
GENERAL
CONSIDERATIONS:
ANATOMY
.
15
REFERENCES
.
18
VIII
TABLE
OF
CONTENTS
3
GENERAL
CONSIDERATIONS:
PHYSIOLOGY
.
19
3.1
FUNCTION
OF
THE
EXOCRINE
PANCREAS
.
19
3.2
PANCREATIC
ENZYMES
.
19
3.3
ENZYME
SYNTHESIS
.
20
3.4
PROTECTIVE
MECHANISMS
TO
PREVENT
AUTODIGESTION
.
20
3.5
PANCREATIC
SECRETAGOGUES
.
21
3.5.1
SECRETIN
.
21
3.5.2
CHOLECYSTOKININ
.
22
3.5.3
CHOLINERGIC
INFLUENCE
.
22
3.6
PHASES
OF
PANCREATIC
SECRETION
.
22
3.7
DUCTULAR
SECRETION
.
23
3.8
ACINAR
SECRETION
.
24
3.9
ACTION
OF
PANCREATIC
LIPASE
.
24
3.10
WHAT
TURNS
THE
PANCREAS
OFF?
.
24
REFERENCES
.
25
4
GENERAL
CONSIDERATIONS:
CLASSIFICATION
.
27
4.1
MARSEILLE
CLASSIFICATION
OF
1963
.
27
4.2
CAMBRIDGE
CLASSIFICATION
OF
1983
.
28
4.3
REVISED
PANCREATITIS
CLASSIFICATION
OF
MARSEILLE
1984
.
.
28
4.4
PANCREATITIS
CLASSIFICATION
OF
MARSEILLE-ROME
1988
.
30
4.5
PANCREATITIS
CLASSIFICATION
-
CAMBRIDGE
VS.
MARSEILLE:
FEATURES
IN
COMMON
AND
DIFFERENCES
.
31
4.6
CLASSIFICATION
SYSTEM
FOR
ACUTE
PANCREATITIS
OF
ATLANTA
1992
.
33
4.7
COMMENT
.
34
REFERENCES
.
34
5
ACUTE
PANCREATITIS:
ETIOLOGY
.
37
5.1
BILIARY
TRACT
DISEASE
.
39
5.2
ALCOHOLISM
.
39
5.3
OBSTRUCTION
OF
PANCREATIC
DUCTS
.
40
5.3.1
TUMORS
.
40
5.3.2
DUODENAL
DISORDERS
.
40
5.3.3
PANCREAS
DIVISUM
.
41
5.3.4
HELMINTHIC
OBSTRUCTION
.
41
5.3.5
FOREIGN
BODY
OBSTRUCTION
.
41
5.4
INFECTIONS
.
41
5.5
DRUGS
.
42
5.6
TOXINS
.
43
5.7
ENDOCRINE
AND
METABOLIC
DISORDERS
.
44
5.7.1
PRIMARY
HYPERPARATHYROIDISM
AND
HYPERCALCEMIA
.
44
5.7.2
PREGNANCY
.
44
5.7.3
HYPERLIPEMIA
.
44
5.7.4
UREMIA
.
45
5.7.5
ACUTE
INTERMITTENT
PORPHYRIA
.
45
TABLE
OF
CONTENTS
IX
5.7.6
HYPOTHERMIA
.
45
5.8
VASCULAR
DISEASE
.
45
5.9
TRAUMA
.
46
5.10
MEDICAL
PROCEDURES
.
46
5.10.1
PANCREATIC
BIOPSY
.
46
5.10.2
ENDOSCOPIC
RETROGRADE
CHOLANGIOPANCREATOGRAPHY
AND
ENDOSCOPIC
SPHINCTEROTOMY
.
46
5.10.3
SPHINCTER
OF
ODDI
MANOMETRY
.
47
5.11
SURGICAL
PROCEDURES
.
47
5.12
CYSTIC
FIBROSIS
.
48
5.13
INBORN
ERRORS
OF
METABOLISM
.
48
5.14
REYE
'
S
SYNDROME
.
48
5.15
KAWASAKI
DISEASE
.
48
5.16
HEREDITARY
ACUTE
PANCREATITIS
.
49
5.17
IDIOPATHIC
ACUTE
PANCREATITIS
.
49
REFERENCES
.
49
6
ACUTE
PANCREATITIS:
PATHOPHYSIOLOGY
.
59
6.1
MECHANISMS
OF
PANCREATIC
INJURY
.
59
6.2
GALLSTONE-INDUCED
ACUTE
PANCREATITIS
.
60
6.3
ALCOHOL-INDUCED
ACUTE
PANCREATITIS
.
60
6.4
CONCEPT
OF
OXIDATIVE
STRESS
.
61
6.5
THEORIES
EXPLAINING
THE
PATHOGENETIC
MECHANISM
OF
ACUTE
BILIARY
PANCREATITIS
.
61
6.6
THE
PROS
AND
CONS
OF
THE
THEORIES
.
62
REFERENCES
.
63
7
ACUTE
PANCREATITIS:
PATHOLOGY
.
65
7.1
GROSS
PATHOLOGY
.
65
7.2
HISTOPATHOLOGY
.
66
7.3
SEQUENTIAL
CHANGES
AND
OUTCOME
.
68
REFERENCES
.
69
8
ACUTE
PANCREATITIS:
EPIDEMIOLOGY
.
71
REFERENCES
.
73
9
ACUTE
PANCREATITIS:
DIAGNOSIS
.
75
9.1
CLINICAL
MANIFESTATION
.
75
9.1.1
SIGNS
AND
SYMPTOMS
.
75
9.1.2
PHYSICAL
EXAMINATION
.
76
9.2
LABORATORY
INVESTIGATIONS
.
78
9.2.1
ENZYMES
.
78
9.2.1.1
SERUM
AMYLASE
.
78
9.2.1.2
MACROAMYLASEMIA
.
80
9.2.1.3
PANCREATIC
ISOAMYLASE
.
82
9.2.1.4
URINARY
AMYLASE
.
82
X
TABLE
OF
CONTENTS
9.2.1.5
AMYLASE-CREATININE
CLEARANCE
RATIO
.
82
9.2.1.6
SERUM
LIPASE
.
83
9.2.1.7
MACROLIPASEMIA
.
84
9.2.1.8
OTHER
ENZYMES:
TRYPSIN,
ELASTASE
1,
PHOSPHOLIPASE
A
.
84
9.2.2
OTHER
LABORATORY
INVESTIGATIONS
.
84
9.3
IMAGING
PROCEDURES
.
85
9.3.1
SURVEY
FILM
OF
THE
ABDOMEN
.
85
9.3.2
CHEST
RADIOGRAPHY
.
86
9.3.3
BARIUM
STUDIES
.
86
9.3.4
ABDOMINAL
ULTRASOUND
.
86
9.3.5
ENDOSCOPIC
ULTRASOUND
.
87
9.3.6
COMPUTED
TOMOGRAPHY
.
88
9.3.7
MAGNETIC
RESONANCE
IMAGING
.
99
9.3.8
ENDOSCOPIC
RETROGRADE
CHOLANGIOPANCREATOGRAPHY
.
.
99
9.4
SYNOPSIS
OF
DIAGNOSTIC
PROCEDURES
AND
GRADING
OF
SEVERITY
.
99
9.4.1
INTRODUCTION
.
99
9.4.2
EARLY
PROGNOSTIC
SIGNS
.
100
9.4.2.1
RANSON
'
S
SIGNS
.
100
9.4.2.2
IMRIE
'
S
SIGNS
.
102
9.4.2.3
OTHER
PROGNOSTIC
SYSTEMS
.
102
9.4.2.4
PERITONEAL
LAVAGE
.
103
9.4.2.5
CLINICAL
SCORING
SYSTEMS
.
103
9.4.2.6
APACHE-II
SCORES
.
103
9.4.2.7
SERUM
MARKERS
.
105
9.4.2.8
URINE
TESTS
.
105
9.4.2.9
OBESITY
.
105
9.4.2.10
CHEST
X-RAY
.
106
9.4.2.11
SUMMARY
.
106
9.4.3
ORGAN
FAILURE
.
106
9.4.4
LOCAL
COMPLICATIONS
.
107
9.4.5
MORTALITY
.
107
REFERENCES
.
108
10
ACUTE
PANCREATITIS:
COMPLICATIONS
.
117
10.1
LOCAL
COMPLICATIONS
.
117
10.1.1
ACUTE
FLUID
COLLECTION
.
117
10.1.2
PANCREATIC
NECROSIS
.
118
10.1.3
ACUTE
PSEUDOCYST
.
123
10.1.4
PANCREATIC
ABSCESS
.
125
10.2
SYSTEMIC
AND
OTHER
EXTRAPANCREATIC
COMPLICATIONS
.
.
126
10.2.1
SHOCK
.
126
10.2.2
RENAL
INSUFFICIENCY
.
127
10.2.3
RESPIRATORY
INSUFFICIENCY
.
127
10.2.4
CARDIAC
COMPLICATIONS
.
129
10.2.5
COMMON
BILE
DUCT
OBSTRUCTION
.
131
TABLE
OF
CONTENTS
XI
10.2.6
GASTROINTESTINAL
BLEEDING
.
131
10.2.7
STENOSIS
OF
AN
ADJACENT
HOLLOW
ORGAN
(DUODENUM,
COLON,
URETER)
.
131
10.2.7.1
STENOSIS
OF
THE
DUODENUM
.
131
10.2.7.2
STENOSIS
OF
THE
COLON
.
133
10.2.7.3
STENOSIS
OF
THE
URETER
.
133
10.2.8
ILEUS
OF
THE
SMALL
INTESTINE
.
134
10.2.9
FAT
NECROSIS
.
135
10.2.10
PANCREATIC
ENCEPHALOPATHY
.
136
10.2.11
CUTANEOUS
MANIFESTATIONS
.
136
10.2.12
OPHTHALMOLOGICAL
CHANGES
.
137
REFERENCES
.
137
11
ACUTE
PANCREATITIS:
TREATMENT
.
145
11.1
BASIC
TREATMENT
.
145
11.1.1
GOALS
.
145
11.1.1.1
LIMITATION
OF
SYSTEMIC
COMPLICATIONS
.
145
11.1.1.2
PREVENTION
OF
PANCREATIC
NECROSIS
.
147
11.1.1.3
PREVENTION
OF
PANCREATIC
INFECTION
.
147
11.1.2
MEDICAL
MANAGEMENT
OF
MILD
PANCREATITIS
.
149
11.1.2.1
SUPPORTIVE
CARE
.
149
11.1.2.2
OTHER
MEASURES
.
150
11.1.2.3
REFEEDING
.
150
11.1.3
MEDICAL
MANAGEMENT
OF
SEVERE
PANCREATITIS
.
151
11.1.3.1
FLUID
RESUSCITATION
.
152
11.1.3.2
RESPIRATORY
CARE
.
152
11.1.3.3
CARDIOVASCULAR
CARE
.
153
11.1.3.4
RELIEF
OF
PAIN
.
153
11.1.3.5
LIMITATION
OF
SYSTEMIC
COMPLICATIONS
.
153
11.1.3.6
TREATMENT
OF
INFECTION
.
154
11.1.3.7
METABOLIC
COMPLICATIONS
.
154
11.1.3.8
NUTRITIONAL
SUPPORT
.
155
11.2
TREATMENT
OF
LOCAL
COMPLICATIONS
.
156
11.2.1
NECROTIZING
PANCREATITIS
.
156
11.2.1.1
INFECTED
NECROSIS
OF
THE
PANCREAS
.
157
11.2.1.2
STERILE
NECROSIS
OF
THE
PANCREAS
.
163
11.2.1.2.1
NECROTIZING
PANCREATITIS
WITH
CLINICAL
IMPROVEMENT
.
.
164
11.2.1.2.2
NECROTIZING
PANCREATITIS
WITHOUT
CLINICAL
IMPROVEMENT
164
11.2.2
TREATMENT
OF
PANCREATIC
PSEUDOCYST
.
167
11.2.2.1
MEDICAL
TREATMENT
.
167
11.2.2.2
SURGICAL
TREATMENT
.
168
11.2.2.3
RADIOLOGIC
TREATMENT
.
169
11.2.2.4
ENDOSCOPIC
TREATMENT
.
170
11.2.2.5
PANCREATIC
PSEUDOCYSTS
ASSOCIATED
WITH
PANCREATIC
NECROSIS
.
171
11.2.2.6
PANCREATIC
ABSCESS
.
172
XII
TABLE
OF
CONTENTS
11.2.2.7
SMOLDERING
PANCREATITIS
.
172
11.3
TREATMENT
OF
SYSTEMIC
COMPLICATIONS
.
173
11.3.1
SHOCK
.
173
11.3.2
RENAL
INSUFFICIENCY
.
175
11.3.3
RESPIRATORY
INSUFFICIENCY
.
175
11.3.4
GENERAL
SYSTEMIC
THERAPY
(REMOVAL
OF
ACTIVATED
PANCREATIC
ENZYMES)
.
175
11.4
TREATMENT
OF
METABOLIC
COMPLICATIONS
.
176
11.4.1
HYPERGLYCEMIA
.
176
11.4.2
HYPOCALCEMIA
.
176
11.4.3
HYPOMAGNESEMIA
.
176
11.5
TREATMENT
OF
EXTRAPANCREATIC
COMPLICATIONS
.
177
11.5.1
OBSTRUCTION
OF
COMMON
BILE
DUCT,
DUODENUM,
COLON,
AND
URETER
.
177
11.5.1.1
PANCREATIC
PSEUDOCYST
.
177
11.5.2
GASTROINTESTINAL
BLEEDING
.
177
REFERENCES
.
178
12
ACUTE
PANCREATITIS:
PROGNOSIS
.
183
12.1
INTRODUCTION
.
183
12.2
ETIOLOGY
.
183
12.3
INITIAL
OR
REPEATED
EPISODES
.
184
12.4
SEVERITY
.
184
12.4.1
GENERAL
.
184
12.4.2
CLINICAL
PARAMETERS
.
184
12.4.3
BIOCHEMICAL
SEVERITY
PREDICTORS
.
185
12.4.3.1
SCORING
SYSTEMS
.
185
12.4.3.1.1
RANSON
'
S
PROGNOSTIC
CRITERIA
.
185
12.4.3.1.2
IMRIE
'
S
PROGNOSTIC
CRITERIA
.
186
12.4.3.1.3
BANK
'
S
PROGNOSTIC
CRITERIA
.
186
12.4.3.1.4
AGARWAL
'
S
AND
PITCHUMONI
'
S
SIMPLIFIED
PROGNOSTIC
CRITERIA
.
187
12.4.3.1.5
HONG
KONG
CRITERIA
.
187
12.4.3.1.6
APACHE-II
SCORES
.
187
12.4.3.1.7
COMPARISON
OF
MULTIPLE-PARAMETER
PROGNOSTIC
SYSTEMS
.
188
12.4.3.2
PERITONEAL
LAVAGE
FOR
PROGNOSIS
.
188
12.4.3.3
SINGLE
MARKERS
.
188
12.4.4
IMAGING
PROCEDURES
.
189
12.5
SYSTEMIC
COMPLICATIONS
.
191
12.6
MORTALITY
.
191
12.7
LATE
MORPHOLOGICAL
AND
FUNCTIONAL
CONSEQUENCES
OF
THE
PANCREAS
.
192
12.8
QUALITY
OF
LIFE
.
193
REFERENCES
.
193
TABLE
OF
CONTENTS
XIII
13
CHRONIC
PANCREATITIS:
ETIOLOGY
.
199
13.1
ALCOHOL-INDUCED
CHRONIC
PANCREATITIS
.
199
13.2
IDIOPATHIC
CHRONIC
PANCREATITIS
.
201
13.3
TROPICAL
PANCREATITIS
.
201
13.4
HEREDITARY
DISEASES
OF
THE
PANCREAS
.
202
13.4.1
HEREDITARY
PANCREATITIS
.
202
13.4.2
CYSTIC
FIBROSIS
.
202
13.5
CONGENITAL
ABNORMALITIES
INCLUDING
PANCREAS DIVISUM
202
13.6
OBSTRUCTIVE
CHRONIC
PANCREATITIS
.
202
13.7
DRUG-INDUCED
CHRONIC
PANCREATITIS
.
203
13.8
STRESS-INDUCED
CHRONIC
PANCREATITIS
.
204
13.9
RADIATION-INDUCED
CHRONIC
PANCREATITIS
.
204
13.10
HYPERPARATHYROIDISM
.
204
REFERENCES
.
204
14
CHRONIC
PANCREATITIS:
PATHOPHYSIOLOGY
.
209
14.1
CONCEPT
OF
PRIMARY
INTRADUCTAL
OBSTRUCTION
.
209
14.2
CONCEPT
OF
PRIMARY
TOXIC-METABOLIC
ACTION
OF
ALCOHOL
.
210
14.3
CONCEPT
OF
OXIDATIVE
STRESS
.
211
14.4
CONCEPT
OF
NECROSIS-FIBROSIS
SEQUENCE
.
211
REFERENCES
.
213
15
CHRONIC
PANCREATITIS:
PATHOLOGY
.
215
15.1
GROSS
PATHOLOGY
.
215
15.2
HISTOPATHOLOGY
.
215
15.3
CHRONIC
PANCREATITIS
WITH
FOCAL
NECROSIS
.
216
15.4
CHRONIC
PANCREATITIS
WITH
SEGMENTAL
OR
DIFFUSE
FIBROSIS
216
15.5
OBSTRUCTIVE
CHRONIC
PANCREATITIS
.
217
REFERENCES
.
217
16
CHRONIC
PANCREATITIS:
EPIDEMIOLOGY
.
219
REFERENCES
.
221
17
CHRONIC
PANCREATITIS:
DIAGNOSIS
.
223
17.1
CLINICAL
MANIFESTATION
.
223
17.1.1
SIGNS
AND
SYMPTOMS
.
223
17.1.2
PHYSICAL
EXAMINATION
.
225
17.2
LABORATORY
INVESTIGATIONS
.
227
17.2.1
BASIC
LABORATORY
TESTS
.
227
17.2.2
TESTS
OF
EXOCRINE
PANCREATIC
FUNCTION
.
227
17.2.2.1
GENERAL
REMARKS
.
227
17.2.2.2
DIRECT
PANCREATIC
FUNCTION
TESTS
.
228
17.2.2.2.1
DETERMINATIONS
IN
DUODENAL
JUICE
.
228
17.2.2.2.2
SECRETIN
TEST
.
229
17.2.2.2.3
SECRETIN-CHOLECYSTOKININ-PANCREOZYMIN
(CERULEIN)
TEST
229
17.2.2.2.4
LUNDH
TEST
.
232
XIV
TABLE
OF
CONTENTS
17.2.2.3
INDIRECT
PANCREATIC
FUNCTION
TESTS
.
233
17.2.2.3.1
PAROTID
SALIVA
TEST
.
233
17.2.2.3.2
SERUM
TESTS
.
233
17.2.2.3.3
FECAL
TESTS
.
236
17.2.2.3.4
URINE
TESTS
.
238
17.2.2.3.5
VALUE
OF
INDIRECT
PANCREATIC
FUNCTION
TESTS
TO
CONFIRM
OR
TO
EXCLUCE
EXOCRINE
PANCREATIC
INSUFFICIENCY
.
239
17.2.2.3.6
PLASMA
AMINO
ACID
CONSUMPTION
TEST
.
242
17.2.2.3.7
BREATH
ANALYSIS
TESTS
.
242
17.2.2.3.8
DUAL-LABEL
SCHILLING
TEST
.
243
17.2.2.3.9
PANCREATIC
POLYPEPTIDE
.
243
17.2.3
TESTS
OF
ENDOCRINE
PANCREATIC
FUNCTION
.
243
17.3
IMAGING
PROCEDURES
.
244
17.3.1
CONVENTIONAL
RADIOLOGY
.
244
17.3.2
ULTRASOUND
AND
COMPUTED
TOMOGRAPHY
.
245
17.3.3
MAGNETIC
RESONANCE
IMAGING
.
249
17.3.4
ENDOSCOPIC
RETROGRADE
CHOLANGIOPANCREATOGRAPHY
.
.
251
17.3.5
ENDOSCOPIC
ULTRASOUND
.
259
17.3.6
ANGIOGRAPHY
.
262
17.3.7
PANCREATIC
DUCT
MANOMETRY
.
262
17.4
SYNOPSIS
OF
DIAGNOSTIC
PROCEDURES
.
262
17.4.1
GENERAL
.
262
17.4.2
CASE
HISTORY
.
264
17.4.3
PHYSICAL
EXAMINATION
.
265
17.4.4
BASIC
LABORATORY
TESTS
.
265
17.4.5
BASIC
IMAGING
PROCEDURES
.
265
17.4.6
GASTROSCOPY
.
265
17.4.7
ERCP
OR
FUNCTION
TEST:
WHICH
STEP
NEXT?
.
265
REFERENCES
.
267
18
CHRONIC
PANCREATITIS:
COMPLICATIONS
.
279
18.1
GENERAL
.
279
18.2
INTRAPANCREATIC
COMPLICATIONS
.
279
18.2.1
PANCREATIC
CALCIFICATIONS
.
279
18.2.1.1
TREATMENT
.
280
18.2.2
PANCREATIC PSEUDOCYSTS
.
280
18.2.2.1.
TREATMENT
.
281
18.2.3
ABSCESS
.
282
18.2.3.1
TREATMENT
.
283
18.2.4
ACUTE
NECROTIZING
PANCREATITIS
.
283
18.2.4.1
TREATMENT
.
284
18.2.5
PANCREATIC
CARCINOMA
.
284
18.2.5.1
TREATMENT
.
285
18.3
EXTRAPANCREATIC
COMPLICATIONS
.
286
18.3.1
STENOSIS
OF
ADJACENT
VISCERA
.
286
18.3.1.1
DUODENAL
STENOSIS
.
286
TABLE
OF
CONTENTS
XV
18.3.1.1.1
TREATMENT
.
287
18.3.1.2
COLONIC
STENOSIS
.
287
18.3.1.2.1
TREATMENT
.
287
18.3.2
STENOSIS
OF
THE
COMMON
BILE
DUCT
.
287
18.3.2.1
TREATMENT
.
288
18.3.3
PEPTIC
ULCER
.
288
18.3.3.1
TREATMENT
.
289
18.3.4
GASTROINTESTINAL
BLEEDING
.
290
18.3.4.1
TREATMENT
.
290
18.3.5
PLEURAL
EFFUSION
.
292
18.3.5.1
TREATMENT
.
292
18.3.6
ASCITES
.
292
18.3.6.1
TREATMENT
.
292
18.3.7
SPLENIC
CHANGES
.
293
18.3.7.1
TREATMENT
.
293
18.3.8
OSSEOUS
LESIONS
.
293
18.3.8.1
TREATMENT
.
293
18.3.9
METABOLIC
CONSEQUENCES
.
294
18.3.9.1
TREATMENT
.
294
18.3.10
ASSOCIATED
DISEASES
.
294
18.3.10.1
TREATMENT
.
295
18.3.11
EXTRAPANCREATIC
CARCINOMAS
.
295
18.3.11.1
TREATMENT
.
295
REFERENCES
.
295
19
CHRONIC
PANCREATITIS:
TREATMENT
.
303
19.1
PAIN
.
303
19.1.1
DEFINITION
AND
MECHANISMS
.
303
19.1.1.1
PANCREATIC
CAUSES
.
303
19.1.1.1.1
ACUTE
INFLAMMATION
.
303
19.1.1.1.2
INCREASED
INTRAPANCREATIC
PRESSURE
.
304
19.1.1.1.3
PARENCHYMAL
ABNORMALITIES
.
305
19.1.1.1.4
PANCREATIC
PSEUDOCYSTS
.
305
19.1.1.1.5
NEURAL
INFLAMMATION
.
305
19.1.1.2
EXTRAPANCREATIC
CAUSES
.
306
19.1.2
CONSERVATIVE
TREATMENT
.
306
19.1.2.1
ORAL
PANCREATIC
ENZYME
THERAPY
.
307
19.1.2.2
ENDOSCOPIC
TREATMENT
.
308
19.1.2.3
NERVE
BLOCK
.
309
19.1.3
SURGICAL
TREATMENT
.
309
19.2
EXOCRINE
PANCREATIC
INSUFFICIENCY
.
314
19.2.1
DEFINITION
AND
MECHANISMS
.
314
19.2.2
SALIENT
CLINICAL
FEATURES
.
315
19.2.3
PANCREATIC
ENZYME
REPLACEMENT
.
316
19.2.3.1
AIM
.
316
19.2.3.2
INDICATIONS
.
316
XVI
TABLE
OF
CONTENTS
19.2.3.3
CHOICE
OF
ENZYME
PREPARATIONS
.
316
19.2.3.4
CHOICE
OF
ADMINISTRATION
SCHEDULE
.
317
19.2.4
INTERACTIONS,
CONTRAINDICATIONS
AND
SIDE
EFFECTS
.
317
19.2.5
CONTROL
OF
RESPONSE
.
319
19.2.6
FAILURE
TO
RESPOND
.
320
19.2.7
GASTRIC
ACID
INACTIVATION
OF
PANCREATIC
ENZYME
PREPARATIONS
.
320
19.2.8
NONSIMULTANEOUS
GASTRIC
EMPTYING
OF
PANCREATIC
ENZYME
PREPARATIONS
WITH
THE
FOOD
.
.
.
323
19.2.9
FACTORS
PREVENTING
TOTAL
ELIMINATION
OF
STEATORRHEA
.
.
324
19.2.10
CONCLUSIONS,
RECOMMENDATIONS,
AND
FUTURE
ASPECTS
.
.
325
19.3
ENDOCRINE
PANCREATIC
INSUFFICIENCY
.
325
19.3.1
DEFINITION
AND
MECHANISMS
.
325
19.3.2
TREATMENT
OF
ENDOCRINE
PANCREATIC
INSUFFICIENCY
.
327
19.4
POSTOPERATIVE SYNDROMES
.
328
19.4.1
DEFINITION
.
328
19.4.2
DISEASE-RELATED
POSTOPERATIVE
PAIN
SYMPTOMS
.
328
19.4.3
EXOCRINE
PANCREATIC
INSUFFICIENCY
.
329
19.4.3.1
TREATMENT
.
332
19.4.4
ENDOCRINE
PANCREATIC
INSUFFICIENCY
.
332
19.4.4.1
TREATMENT
.
332
19.4.5
SURGERY-RELATED
SEQUELAE
.
333
19.4.5.1
SEQUELAE
OF
GASTRIC
RESECTION
.
333
19.4.5.2
SEQUELAE
OF
BILIODIGESTIVE
ANASTOMOSIS
.
333
19.4.5.3
SEQUELAE
OF
DUCT
DRAINAGE
.
334
19.5
EVALUATION
OF
FOLLOW-UP
RESULTS
.
334
19.5.1
QUALITY
OF
LIFE
.
334
19.5.2
EVALUATION
OF
CONSERVATIVE
AND
SURGICAL
TREATMENT
RESULTS
.
335
19.5.3
OUTLOOK
.
336
REFERENCES
.
336
20
CHRONIC
PANCREATITIS:
PROGNOSIS
.
347
20.1
INTRODUCTION
.
347
20.2
PAIN
.
347
20.2.1
PAINLESS
PANCREATITIS
.
347
20.2.2
DOES
PAIN
DECREASE
DIFFERENTLY
IN
THE
ALCOHOL-INDUCED
AND
IDIOPATHIC
CHRONIC
PANCREATITIS?
.
347
20.2.3
DOES
PAIN
DECREASE
WITH
THE
DURATION
OF
THE
DISEASE?
.
348
20.2.4
DOES
PAIN
DECREASE
WITH
PROGRESSING
EXOCRINE
PANCREATIC
INSUFFICIENCY?
.
348
20.2.5
DOES
PAIN
DECREASE
WHEN
PANCREATIC
CALCIFICATIONS
AND/OR
DUCT
ABNORMALITIES
OCCUR?
.
349
20.2.6
DOES
PAIN
DECREASE
WITH
ALCOHOL
ABSTINENCE?
.
350
20.2.7
DOES
PAIN
DECREASE
AFTER
SURGERY?
.
351
20.3
EXOCRINE
PANCREATIC
INSUFFICIENCY
.
351
TABLE
OF
CONTENTS
XVII
20.4
ENDOCRINE
PANCREATIC
INSUFFICIENCY
.
352
20.5
COMPLICATIONS
.
353
20.6
PANCREATIC
AND
EXTRAPANCREATIC
CARCINOMAS
.
354
20.7
QUALITY
OF
LIFE
.
354
20.8
MORTALITY
.
354
20.9
FACTORS
OF
PROGNOSIS
.
355
REFERENCES
.
356
21
ADDENDUM:
HEREDITARY
PANCREATIC
DISEASES
.
359
21.1
HEREDITARY
PANCREATIC
DISEASES
ASSOCIATED
WITH
EXOCRINE
PANCREATIC INSUFFICIENCY
.
359
21.1.1
CYSTIC
FIBROSIS
.
359
21.1.1.1
GENERAL
.
359
21.1.1.2
PATHOLOGY
.
360
21.1.1.3
CLINICAL
PRESENTATION
.
360
21.1.1.4
DIAGNOSIS
.
361
21.1.1.5
TREATMENT
.
361
21.1.2
SHWACHMAN
SYNDROME
.
361
21.1.2.1
GENERAL
.
361
21.1.2.2
PATHOLOGY
.
361
21.1.2.3
CLINICAL
PRESENTATION
.
362
21.1.2.4
DIAGNOSIS
.
363
21.1.2.5
TREATMENT
.
363
21.1.3
JOHANSON-BLIZZARD
SYNDROME
.
363
21.1.3.1
GENERAL
.
363
21.1.3.2
PATHOLOGY
.
363
21.1.3.3
CLINICAL
PRESENTATION
.
363
21.1.3.4
TREATMENT
.
364
21.1.4
SIDEROBLASTIC
ANEMIA
.
364
21.1.5
ISOLATED
DEFECTS
.
364
21.2
HEREDITARY
DISEASES
OF
THE
EXOCRINE
PANCREAS
ASSOCIATED
WITH
PANCREATITIS
.
365
21.2.1
HEREDITARY
PANCREATITIS
.
365
21.2.1.1.
DEFINITION
.
365
21.2.1.2
PATHOLOGY
.
365
21.2.1.3
CLINICAL
PRESENTATION
.
365
21.2.1.4
DIAGNOSIS
.
365
21.2.1.5
TREATMENT
.
366
21.2.1.6
PROGNOSIS
.
366
21.2.2
ANTITRYPSIN
DEFICIENCY
.
366
21.2.3
INBORN
ERRORS
OF
METABOLISM
.
366
REFERENCES
.
366
SUBJECT
INDEX
.
371 |
| any_adam_object | 1 |
| author | Lankisch, Paul G. 1943- Banks, Peter A. |
| author_GND | (DE-588)172217644 (DE-588)115317996 |
| author_facet | Lankisch, Paul G. 1943- Banks, Peter A. |
| author_role | aut aut |
| author_sort | Lankisch, Paul G. 1943- |
| author_variant | p g l pg pgl p a b pa pab |
| building | Verbundindex |
| bvnumber | BV011330089 |
| classification_rvk | YC 5800 |
| ctrlnum | (OCoLC)36915754 (DE-599)BVBBV011330089 |
| dewey-full | 616.37 |
| dewey-hundreds | 600 - Technology (Applied sciences) |
| dewey-ones | 616 - Diseases |
| dewey-raw | 616.37 |
| dewey-search | 616.37 |
| dewey-sort | 3616.37 |
| dewey-tens | 610 - Medicine and health |
| discipline | Medizin |
| format | Book |
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| id | DE-604.BV011330089 |
| illustrated | Illustrated |
| indexdate | 2024-08-16T00:19:46Z |
| institution | BVB |
| isbn | 3540617264 |
| language | German |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-007613079 |
| oclc_num | 36915754 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR DE-19 DE-BY-UBM |
| owner_facet | DE-355 DE-BY-UBR DE-19 DE-BY-UBM |
| physical | XVII, 377 S. Ill., graph. Darst. |
| publishDate | 1998 |
| publishDateSearch | 1998 |
| publishDateSort | 1998 |
| publisher | Springer |
| record_format | marc |
| spelling | Lankisch, Paul G. 1943- Verfasser (DE-588)172217644 aut Pancreatitis P. G. Lankisch ; P. A. Banks Berlin [u.a.] Springer 1998 XVII, 377 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Pancreatitis Bauchspeicheldrüsenentzündung (DE-588)4004723-4 gnd rswk-swf Bauchspeicheldrüsenentzündung (DE-588)4004723-4 s DE-604 Banks, Peter A. Verfasser (DE-588)115317996 aut DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007613079&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Lankisch, Paul G. 1943- Banks, Peter A. Pancreatitis Pancreatitis Bauchspeicheldrüsenentzündung (DE-588)4004723-4 gnd |
| subject_GND | (DE-588)4004723-4 |
| title | Pancreatitis |
| title_auth | Pancreatitis |
| title_exact_search | Pancreatitis |
| title_full | Pancreatitis P. G. Lankisch ; P. A. Banks |
| title_fullStr | Pancreatitis P. G. Lankisch ; P. A. Banks |
| title_full_unstemmed | Pancreatitis P. G. Lankisch ; P. A. Banks |
| title_short | Pancreatitis |
| title_sort | pancreatitis |
| topic | Pancreatitis Bauchspeicheldrüsenentzündung (DE-588)4004723-4 gnd |
| topic_facet | Pancreatitis Bauchspeicheldrüsenentzündung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007613079&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT lankischpaulg pancreatitis AT bankspetera pancreatitis |