Full Description
Provides findings on acute pancreatitis in the fields of morphology, epidemiology, pathophysiology, enzymatic and in- strumental diagnosis, clinical aspects and pharmacological and surgical treatment. Emphasis on clinical implications on the local release and vasoactice and toxic substances, the high rate of bacterial infection in the necroses, and the causes of impairment of cardiocirculatory, pulmonary and re- nal organs.
Contents
Morphology of Acute Pancreatitis.- Acute Pancreatitis: A Brief Introduction of the Pathology.- The Pathophysiological Relevance of Adiponecrosis in Acute Pancreatitis.- Ultrastructure of Human Acute Pancreatitis.- Definition — Epidemiology — Etiology.- Epidemiology of Acute Pancreatitis.- Hyperlipoproteinemia in the Pathogenesis of Acute Pancreatitis.- Immunologic Aspects of Acute Pancreatitis.- Pathophysiology.- Changes in Duct and Vascular Permeability: The Key to the Development of Acute Pancreatitis.- Enzyme Activation and Liberation: Intracellular/Extracellular Events.- Pancreatitis-Associated Proteins.- Release of Vasoactive Substances in Ascites and Blood in Acute Pancreatitis.- Phospholipase A2 in Acute Pancreatitis.- The Significance of Bacterial Infection in Acute Pancreatitis.- Bacterial Contamination of the Pancreas with Intestinal Germs: A Cause of Acute Suppurative Pancreatitis.- Influence of E. Coli on the Course of Acute Pancreatitis in Mini Pigs.- Diagnostic Measures.- Clinical Symptoms and Signs and Diagnostic Requirements in Acute Pancreatitis.- Elastase 1 in Acute Pancreatitis.- Evaluation of Sonography in the Diagnosis of Acute Pancreatitis.- Early Objective Diagnosis and Staging of Acute Pancreatitis by Contrast-Enhanced Computed Tomography.- Biochemical Staging of Acute Pancreatitis.- Serum Ribonuclease for Detecting Pancreatic Cell Necrosis.- Peritoneal Fluid and the Diagnosis and Prognosis of Acute Pancreatitis.- Sepsis Indicators in Acute Pancreatitis.- Indications and Results of Fine Needle Aspiration of Pancreatic Exudate.- Staging and Prognosis.- Clinical Staging in Acute Pancreatitis.- Prognostic Indicators in Acute Pancreatitis: Clinical Experience and Limitations.- Prognostic Criteria in Necrotizing Pancreatitis.- Bacterial Toxins inAscites and Blood in Patients with Acute Pancreatitis.- Clinical Course of Acute Pancreatitis.- Haemodynamie Changes in Acute Pancreatitis.- Factors Influencing Pulmonary Function in Acute Pancreatitis.- Pancreatic Abscess and Infected Pancreatic Necrosis: Different Local Septic Complications in Acute Pancreatitis.- Biliary Pancreatitis.- Gallstone-Associated Acute Pancreatitis.- Biliary Pancreatitis: Endoscopic Diagnostic and Therapeutic Techniques.- A Strategy for the Surgical Management of Gallstone Pancreatitis.- Treatment of Biliary Pancreatitis: Approach, Technique, and Results.- Standards and Limits of Conservative Treatment.- Acute Pancreatitis: Standards of Conservative Treatment.- Baseline Management in Acute Pancreatitis.- Antiproteases: Effective Treatment with Gabexate Mesilate.- Peritoneal Lavage and Dialysis for the Treatment of Acute Pancreatitis.- Enteral and Parenteral Nutrition in Acute Pancreatitis.- Principles of Intensive Care of Patients with Acute Pancreatitis.- Clinical Management of Patients with Severe Acute Pancreatitis.- Medical and/or Surgical Treatment of Severe Acute Pancreatitis.- Indications for Surgery in Extended Pancreatic Necrosis.- Indications for Surgical Intervention in Necrotizing Pancreatitis with Extrapancreatic Necrosis.- Bacterial Infection of Pancreatic Necrosis.- Surgical Treatment of Necrotizing Pancreatitis.- Timing and Indication for Surgical Treatment in Necrotizing Pancreatitis.- Indication, Techniques, and Results of Resection of the Pancreas.- Necrosectomy and Postoperative Local Lavage in Patients with Necrotizing Pancreatitis: Results of a Prospective Clinical Trial.- Surgical Procedures for Acute Necrotizing Hemorrhagic Pancreatitis.- Management of Pancreatic Abscesses.- Results and Follow-Up Mter Acute Pancreatitis.- Follow-Up After Acute Pancreatitis: Morphology and Function.- Short-and Long-Term Results after Necrotizing Pancreatitis.- Causes of Death in Hemorrhagic Necrotizing Pancreatitis.- Substitution of Pancreatic Enzymes: Basic Information by In Vitro Investigations.
