Endoscopic therapy of pancreatic disease:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1998
|
| Schriftenreihe: | Gastrointestinal endoscopy clinics of North America
8,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVI, 272 S. Ill., graph. Darst. |
Internformat
MARC
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| 245 | 1 | 0 | |a Endoscopic therapy of pancreatic disease |c Stuart Sherman, guest ed. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 1998 | |
| 300 | |a XVI, 272 S. |b Ill., graph. Darst. | ||
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| 490 | 1 | |a Gastrointestinal endoscopy clinics of North America |v 8,1 | |
| 650 | 4 | |a Endoscopy, Gastrointestinal | |
| 650 | 4 | |a Pancreas |x Diseases | |
| 650 | 4 | |a Pancreatic Diseases |x diagnosis | |
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Datensatz im Suchindex
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| adam_text | ENDOSCOl IC THERAPY OV PANCREATIC PISI As|
CONTENTS
Foreword xiii
Charles J. Lightdale
Preface xv
Stuart Sherman
Endoscopic Management of Acute Gallstone Pancreatitis 1
Roy M. Soetikno and David L. Carr Locke
Urgent management of acute biliary pancreatitis has increasingly
included early endoscopic intervention. Endoscopic intervention
allows effective removal of the offending stone(s) and reestablish
ment of biliary drainage. Four randomized controlled trials involv¬
ing more than 800 patients in Western and Asian countries have
been completed. This article summarizes the findings of these stud¬
ies and proposes a preferred approach to the management of acute
biliary pancreatitis.
Endoscopic Diagnosis and Therapy of Unexplained (Idiopathic)
Acute Pancreatitis 13
Paul R. Tarnasky and Robert H. Hawes
A significant minority of patients with acute pancreatitis show no
obvious cause for the attack during a routine evaluation.There is
no consensus regarding the appropriate diagnostic and therapeutic
approach in this setting. This article reviews the available data,
outlines directions for further investigation, and provides recom¬
mendations for management of patients who have recovered from
a prior episode of unexplained acute pancreatitis.
GASTROINTESTINAL ENDOSCOPY
CLINICS OF NORTH AMERICA
VOLUME 8 • NUMBER 1 • JANUARY 1998 vii
Endoscopic Therapy of Complete and Partial Pancreatic Duct
Disruptions 39
Richard A. Kozarek
Although ductal disruptions are common in persistent, smoldering
pancreatitis, pancreatic necrosis, or acute pancreatic fluid collec¬
tions, chronic pancreatic fistulas have traditionally been defined
as internal or external. Closure of these fistulas depends upon site
and size of duct disruption, superinfection, downstream obstruc¬
tion as a consequence of stricture or stone, or the presence of the
disconnected duct syndrome. Medical treatment is aimed at min¬
imizing pancreatic secretion (low fat diet, pancreatic enzymes vs.
NPO/hyperalimentation, octreotide, repeated/chronic drainage
procedures). Resective or decompressive pancreatic surgery re¬
quires preoperative ERCP to define the anatomy. More recently,
transpapillary endoprostheses have been used in a patient subset
and deserve additional consideration in patients who fail to re¬
spond to conservative measures.
Diagnosis and Therapy of Pancreas Divisum 55
Glen A. Lehman and Stuart Sherman
Pancreas divisum patients make up a small but problematic portion
of ERCP cases. Minor papilla cannulation techniques have been
improved. Recurrent pancreatitis patients generally benefit from
minor papilla therapy. Methods to select patients who are likely
to respond to invasive therapy need refinement. Clinicians and
endoscopists are strongly encouraged to be cautious and conserva¬
tive with this patient group until stronger data indicate optimal
management schemes.
The Role of Sphincter of Oddi Manometry in the Diagnosis and
Therapy of Pancreatic Disease 79
Wu Hsien Kuo, Pankaj J. Pasricha, and Anthony N. Kalloo
Endoscopic manometry of the sphincter of Oddi (SO) is now an
accepted technique in the diagnosis and therapy of biliary disease.
Its role in the evaluation of pancreatic sphincter function for pancre¬
atic diseases, however, is evolving.There are now preliminary data
to suggest that pancreatic SO manometry may identify a subgroup
of patients with pancreatic sphincter dysfunction that may benefit
from endoscopic therapy. Further prospective clinical trials are
sorely needed to evaluate the response of endoscopic therapy based
on pancreatic SO basal pressure or pancreatic ductal pressure.
ERCP and Biliary Endoscopic
Sphincterotomy Induced Pancreatitis 87
Klaus Gottlieb and Stuart Sherman
The magnitude of post ERCP pancreatitis as a clinical and economic
problem has increased, and with it the need to find ways of decreas
yi contents
ing its incidence and severity. Furthermore, the study of post ERCP
pancreatitis is interesting as a unique model for acute pancreatitis
in general. Current thinking and results of recent promising studies
are reviewed.
Endoscopic Pancreatic Sphincterotomy: Techniques and
Complications 115
Stuart Sherman and Glen A. Lehman
Endoscopic pancreatic sphincterotomy of the major and minor
papilla has expanded our approach to the management of a variety
of pancreatic disorders. Analysis of the complication rates of this
therapy is difficult, however, because a variety of techniques are
often used in conjunction with the pancreatic sphincterotomy. This
article reviews the techniques and complications of endoscopic
pancreatic sphincterotomy. Based on the currently available data,
it appears that the complication rates of pancreatic sphincterotomy
are probably higher than those of biliary sphincterotomy. Should
application of this technique become more widespread, methods
to reduce the incidence of post procedure pancreatitis will demand
further investigation.
Endoscopic Therapy of Pancreatic Strictures 125
Kenneth F. Binmoeller, Vipulroy D. Rathod, and Nib Soehendra
Over the past decade, endoscopic therapy has been increasingly
used as a less invasive alternative to surgery for the treatment
of pancreatic duct strictures. The therapeutic goal has been the
palliative relief of severe pain associated with chronic pancreatitis.
Studies from several centers have shown that endoscopic stenting
results in pain relief for a high percentage of patients. Future inves¬
tigation needs to focus on the refinement and standardization of j
basic techniques, and different strategies need to be compared in
well designed trials.
Endoscopic Management of Pseudocysts of the Pancreas 143
Douglas A. Howell, Eric Elton, and Willis G. Parsons
Endoscopic pseudocyst management should not be regarded as
an exercise in applied technology. Rather, it is of vital importance
for the clinician to be thoroughly aware of the many considerations
in patient selection and to understand the available treatment alter¬
natives prior to undertaking such a venture. Despite these consider¬
ations, it is our opinion that endoscopic pseudocyst management at
present is the method of choice in the majority of patients requiring
drainage of symptomatic pseudocysts.
Pancreatic Duct Stones Management 163
Jacques Deviere, Myriam Delhaye, and Michel Cremer
Pancreatic stone formation is characteristic of chronic pancreatitis.
Ductal obstruction is a major cause of pain and the principal dis i
CONTENTS ix
abling symptom of the disease. This article briefly reviews the
pathophysiology of pancreatic stone formation and describes the
current nonsurgical range of therapeutic modalities.
The Role of Endoscopic Therapy in Chronic Pancreatitis Induced
Common Bile Duct Strictures 181
Carmen Ng and Kees Huibregtse
During endoscopic retrograde cholangiography, common bile duct
strictures are encountered in up to 30% of patients with chronic
pancreatitis. The indications for treatment of these strictures are
discussed. A surgical biliodigestive anastomosis has always been
the traditional treatment modality. Not all patients need treatment,
however, and endoscopic biliary drainage is the treatment of choice
for certain subgroups of patients.
Endoscopic Therapy of Pancreatic Disease in Children 195
Moises Guelrud
The advent of endoscopic retrograde cholangiopancreatography
(ERCP) has revolutionized the approach to the diagnosis and man¬
agement of pancreatic disorders in adults. In the past 5 years,
endoscopic pancreatic therapy in children has moved from an
investigational concept to a practical service provided by special¬
ized centers. When performed by experienced endoscopists, thera¬
peutic pancreatography can be successfully performed in a selected
group of children with a low rate of complications.
Tissue Sampling at ERCP in Suspected Pancreatic Cancer 221
John G. Lee and Joseph W. Leung
Endoscopic retrograde cholangiopancreatography (ERCP) is
highly sensitive at detecting abnormalities of the pancreas and the
biliary tract. Radiographic findings may be highly suggestive of
malignancy, but a definitive diagnosis requires examination of
cellular material obtained by bile or pure pancreatic juice collection,
brushing, fine needle aspiration, or biopsy.This article reviews the
general concepts of diagnostic testing and its interpretation, as well
as specific results of the various methods used during ERCP to
obtain tissue samples.
Endoscopic Ultrasound Guided Diagnosis and Therapy in
Pancreatic Disease 237
Roy M. Soetikno and Kenneth J. Chang
The role of endoscopic ultrasound (EUS) in the detection and stag¬
ing of pancreatic cancer is well established in medical literature.
The development of EUS guided fine needle aspiration (FNA) and
subsequently EUS guided fine needle injection (FNI) has expanded
the clinical utility of EUS. These newer techniques made interven
tional EUS possible. Several recent applications of EUS guided
X CONTENTS
FNI include celiac nerve block, pseudocyst drainage, and drug
delivery into pancreatic tumors. EUS is also gaining acceptance as
an alternative diagnostic modality in the management of choledo
cholithiasis. The value of EUS in the diagnosis of early chronic
pancreatitis is still being actively studied. This article reviews a
number of recent developments in EUS guided diagnosis and ther¬
apy with an emphasis on EUS guided FNA and EUS guided FNI.
Endoscopic Measurement of Pancreatic Blood Flow 249
Simon K. Lo, Stuart Sherman, and Howard A. Reber
A reduction of pancreatic blood flow has been observed in acute
and chronic pancreatitis in animal models. Most available blood
flow techniques are either too invasive or impractical to carry out
in humans. Since the arrival of endoscopic retrograde cholangio
pancreatography (ERCP), our understanding and management of
pancreatic disorders has gradually improved. It may now be uti¬
lized to investigate what is believed to be a very important factor
in the pathogenesis of pancreatic disease and symptoms: pancreatic
tissue perfusion.
Index 267
Subscription Information Inside back cover
CONTENTS Xi
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| spelling | Endoscopic therapy of pancreatic disease Stuart Sherman, guest ed. Philadelphia [u.a.] Saunders 1998 XVI, 272 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Gastrointestinal endoscopy clinics of North America 8,1 Endoscopy, Gastrointestinal Pancreas Diseases Pancreatic Diseases diagnosis Bauchspeicheldrüsenkrankheit (DE-588)4004727-1 gnd rswk-swf Minimal-invasive Chirurgie (DE-588)4327907-7 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Bauchspeicheldrüsenkrankheit (DE-588)4004727-1 s Minimal-invasive Chirurgie (DE-588)4327907-7 s DE-604 Sherman, Stuart Sonstige oth Gastrointestinal endoscopy clinics of North America 8,1 (DE-604)BV005455484 8,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007963096&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Endoscopic therapy of pancreatic disease Gastrointestinal endoscopy clinics of North America Endoscopy, Gastrointestinal Pancreas Diseases Pancreatic Diseases diagnosis Bauchspeicheldrüsenkrankheit (DE-588)4004727-1 gnd Minimal-invasive Chirurgie (DE-588)4327907-7 gnd |
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| title | Endoscopic therapy of pancreatic disease |
| title_auth | Endoscopic therapy of pancreatic disease |
| title_exact_search | Endoscopic therapy of pancreatic disease |
| title_full | Endoscopic therapy of pancreatic disease Stuart Sherman, guest ed. |
| title_fullStr | Endoscopic therapy of pancreatic disease Stuart Sherman, guest ed. |
| title_full_unstemmed | Endoscopic therapy of pancreatic disease Stuart Sherman, guest ed. |
| title_short | Endoscopic therapy of pancreatic disease |
| title_sort | endoscopic therapy of pancreatic disease |
| topic | Endoscopy, Gastrointestinal Pancreas Diseases Pancreatic Diseases diagnosis Bauchspeicheldrüsenkrankheit (DE-588)4004727-1 gnd Minimal-invasive Chirurgie (DE-588)4327907-7 gnd |
| topic_facet | Endoscopy, Gastrointestinal Pancreas Diseases Pancreatic Diseases diagnosis Bauchspeicheldrüsenkrankheit Minimal-invasive Chirurgie Aufsatzsammlung |
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