Management of Pancreatic Diseases, An Issue of Gastroenterology Clinics of North America

Nuzhat A. Ahmad

Description

This issue details the latest knowledge of early diagnosis, risk factors, limited surgical treatments, and novel therapies for pancreatic diseases. Clinicians will learn the most prognostic scoring systems for acute pancreatitis, review the basics for early management of the disease, and see how current practice guidelines have evolved. Advances in radiological imaging when applied to the pancreas have resulted in enhanced staging and improved selection for surgical intervention. Endoscopy of the pancreas via both ERCP and endoscopic ultrasound has led to unprecedented access and potential for non-operative intervention. Pancreatic surgery now takes advantage of both minimally invasive approaches and techniques learned from organ transplantation. These latest advances are addressed in this issue by key opinion leaders.

Sujets

• Médecine
• Médecine Générale
• Medical
• Gastroenterology

Informations

• Publié par: Elsevier
• Date de parution: 27 février 2016
• Nombre de lectures: 0
• EAN13: 9780323416481
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Management of Pancreatic Diseases
Gastroenterology Clinics of North America
Editor
Nuzhat A. Ahmad, MD, AGAF
Division of Gastroenterology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
Consulting Editor
Gary W. Falk

Clinics Review Articles

www.gastro.theclinics.com

March 2016 Volume 45 Number 1
Table of Contents
Cover image
Title page
Copyright
Contributors
Consulting Editor
Editor
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Preface. Advances in Management of Pancreatic Diseases
Advances in Management of Acute Pancreatitis
Key points
Introduction
Predicting severity
Fluid resuscitation
Pharmacologic strategies
Nonpharmacologic strategies
Summary
References
Pancreatic Pseudocysts: Advances in Endoscopic Management
Key points
Introduction
Indications for drainage
Surgical drainage
Percutaneous drainage
Endoscopic drainage
Clinical outcomes of endoscopic drainage of pancreatic pseudocysts
Summary and approach to pancreatic pseudocysts
References
Autoimmune Pancreatitis: An Update on Diagnosis and Management
Key points
Introduction
Summary
References
The Role of Endoscopic Retrograde Cholangiopancreatography in Management of Pancreatic Diseases
Key points
Background
Acute pancreatitis
Recurrent acute pancreatitis
Chronic pancreatitis
Pancreatic duct leaks
Pancreatic cancer
Summary
References
Pancreatic Cystic Neoplasms: An Update
Key points
Introduction
Types of pancreatic cystic neoplasms
Distinguishing between cystic neoplasms
Management of pancreatic cysts: review of current guidelines
Summary
References
Islet Cell Tumors of the Pancreas
Key points
Introduction
Epidemiology
Syndromic association
Classification and staging
Pathophysiologic mechanisms
Clinical presentation
Diagnostic evaluation
Treatment
Summary
References
Imaging of the Pancreas
Key points
Introduction
Radiologic imaging of the pancreas
Endoscopic ultrasound scan
Emerging technologies
Summary
References
Screening for Pancreatic Cancer in High-risk Populations
Key points
Introduction
Epidemiology
Genetic evaluation in individuals at risk for hereditary pancreatic cancer
Management of individuals at risk for pancreatic cancer
Summary
References
Advances in Surgical Management of Pancreatic Diseases
Key points
Introduction
Preoperative risk stratification in pancreatic surgery
Quantifying the morbidity of postpancreatectomy complications
Pancreatic fistula prediction and mitigation strategies
Expanding indications for resection of pancreatic cystic neoplasms
Borderline resectable pancreatic ductal adenocarcinoma (PDAC)
Minimally invasive pancreatic resection
Minimally invasive paradigm for surgical management of infected pancreatic necrosis
Emerging surgical options for the management of chronic pancreatitis
Summary
References
Pancreas Transplantation in the Modern Era
Key points
Traditional indications for pancreas transplantation
Categories of pancreas transplantation: simultaneous pancreas and kidney transplantation, pancreas after kidney transplantation, and pancreas transplantation alone: broad indications
Expanding indications for pancreas transplantation
Pretransplant evaluation
Donor selection
Recipient operation
Immunosuppression
Surgical complications and pancreas rejection
Improving outcomes, benefit to quality of life, and end-organ complications
Summary
References
Index
Copyright
Elsevier
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http://www.theclinics.com
GASTROENTEROLOGY CLINICS OF NORTH AMERICA Volume 45, Number 1
March 2016 ISSN 0889-8553, ISBN-13: 978-0-323-41647-4
Editor: Kerry Holland
Developmental Editor: Alison Swety
2016 Elsevier Inc. All rights reserved.
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Contributors
Consulting Editor
GARY W. FALK, MD, MS , Professor of Medicine, Division of Gastroenterology, Hospital of the University of Pennsylvania, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
Editor
NUZHAT A. AHMAD, MD, AGAF , Associate Professor, Division of Gastroenterology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
Authors
SUNIL AMIN, MD, MPH , Clinical Fellow, Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York
VINAY CHANDRASEKHARA, MD , Assistant Professor of Medicine, Division of Gastroenterology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
JASHODEEP DATTA, MD , Division of Gastrointestinal Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
JAMES J. FARRELL, MD , Director, Yale Center for Pancreatic Disease, Section of Digestive Disease, Yale University, New Haven, Connecticut
TIMOTHY B. GARDNER, MD, MS , Associate Professor, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire; Associate Professor of Medicine, Section of Gastroenterology and Hepatology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire
PHILLIP S. GE, MD , Division of Digestive Diseases, David Geffen School of Medicine at UCLA, Los Angeles, California
SHILPA GROVER, MD, MPH , Division of Gastroenterology, Brigham and Women s Hospital, Harvard Medical School, Boston, Massa