Acute Pancreatitis: Research and Clinical Management

Front Matter....Pages I-XIV
Front Matter....Pages 1-1
Acute Pancreatitis: A Brief Introduction of the Pathology....Pages 3-6
The Pathophysiological Relevance of Adiponecrosis in Acute Pancreatitis....Pages 7-11
Ultrastructure of Human Acute Pancreatitis....Pages 12-22
Front Matter....Pages 23-23
Epidemiology of Acute Pancreatitis....Pages 25-31
Hyperlipoproteinemia in the Pathogenesis of Acute Pancreatitis....Pages 32-40
Immunologic Aspects of Acute Pancreatitis....Pages 41-44
Front Matter....Pages 45-45
Changes in Duct and Vascular Permeability: The Key to the Development of Acute Pancreatitis....Pages 47-52
Enzyme Activation and Liberation: Intracellular/Extracellular Events....Pages 53-60
Pancreatitis-Associated Proteins....Pages 61-62
Release of Vasoactive Substances in Ascites and Blood in Acute Pancreatitis....Pages 63-70
Phospholipase A 2 in Acute Pancreatitis....Pages 71-78
The Significance of Bacterial Infection in Acute Pancreatitis....Pages 79-86
Bacterial Contamination of the Pancreas with Intestinal Germs: A Cause of Acute Suppurative Pancreatitis?....Pages 87-89
Influence of E. Coli on the Course of Acute Pancreatitis in Mini Pigs....Pages 90-99
Front Matter....Pages 101-101
Clinical Symptoms and Signs and Diagnostic Requirements in Acute Pancreatitis....Pages 103-109
Elastase 1 in Acute Pancreatitis....Pages 110-117
Evaluation of Sonography in the Diagnosis of Acute Pancreatitis....Pages 118-131
Early Objective Diagnosis and Staging of Acute Pancreatitis by Contrast-Enhanced Computed Tomography....Pages 132-140
Biochemical Staging of Acute Pancreatitis....Pages 143-153
Serum Ribonuclease for Detecting Pancreatic Cell Necrosis....Pages 154-158
Front Matter....Pages 101-101
Peritoneal Fluid and the Diagnosis and Prognosis of Acute Pancreatitis....Pages 159-163
Sepsis Indicators in Acute Pancreatitis....Pages 164-170
Indications and Results of Fine Needle Aspiration of Pancreatic Exudate....Pages 171-174
Front Matter....Pages 175-175
Clinical Staging in Acute Pancreatitis....Pages 177-180
Prognostic Indicators in Acute Pancreatitis: Clinical Experience and Limitations....Pages 181-197
Prognostic Criteria in Necrotizing Pancreatitis....Pages 198-200
Bacterial Toxins in Ascites and Blood in Patients with Acute Pancreatitis....Pages 201-204
Front Matter....Pages 205-205
Haemodynamic Changes in Acute Pancreatitis....Pages 207-210
Factors Influencing Pulmonary Function in Acute Pancreatitis....Pages 211-215
Pancreatic Abscess and Infected Pancreatic Necrosis: Different Local Septic Complications in Acute Pancreatitis....Pages 216-223
Front Matter....Pages 225-225
Gallstone-Associated Acute Pancreatitis....Pages 227-232
Biliary Pancreatitis: Endoscopic Diagnostic and Therapeutic Techniques....Pages 233-241
A Strategy for the Surgical Management of Gallstone Pancreatitis....Pages 242-250
Treatment of Biliary Pancreatitis: Approach, Technique, and Results....Pages 251-256
Front Matter....Pages 257-257
Acute Pancreatitis: Standards of Conservative Treatment....Pages 259-265
Baseline Management in Acute Pancreatitis....Pages 266-271
Antiproteases: Effective Treatment with Gabexate Mesilate....Pages 272-277
Peritoneal Lavage and Dialysis for the Treatment of Acute Pancreatitis....Pages 278-284
Enteral and Parenteral Nutrition in Acute Pancreatitis....Pages 285-288
Principles of Intensive Care of Patients with Acute Pancreatitis....Pages 289-292
Front Matter....Pages 293-293
Medical and/or Surgical Treatment of Severe Acute Pancreatitis....Pages 295-302
Indications for Surgery in Extended Pancreatic Necrosis....Pages 305-309
Indications for Surgical Intervention in Necrotizing Pancreatitis with Extrapancreatic Necrosis....Pages 310-313
Bacterial Infection of Pancreatic Necrosis....Pages 314-317
Front Matter....Pages 319-319
Timing and Indication for Surgical Treatment in Necrotizing Pancreatitis....Pages 321-327
Indication, Techniques, and Results of Resection of the Pancreas....Pages 328-334
Necrosectomy and Postoperative Local Lavage in Patients with Necrotizing Pancreatitis: Results of a Prospective Clinical Trial....Pages 335-346
Surgical Procedures for Acute Necrotizing Hemorrhagic Pancreatitis....Pages 347-353
Management of Pancreatic Abscesses....Pages 354-363
Front Matter....Pages 365-365
Follow-Up After Acute Pancreatitis: Morphology and Function....Pages 367-374
Short-and Long-Term Results After Necrotizing Pancreatitis....Pages 375-376
Causes of Death in Hemorrhagic Necrotizing Pancreatitis....Pages 377-382
Substitution of Pancreatic Enzymes: Basic Information by In Vitro Investigations....Pages 383-386
Back Matter....Pages 387-394