Diseases of the Pancreas: Current Surgical Therapy

Front Matter....Pages I-XXII
Front Matter....Pages 1-1
Development of the Pancreas and Response to Disease....Pages 3-8
Congenital Anomalies of the Pancreas and the Extrahepatic Bile Ducts....Pages 9-17
Surgical Vascular Anatomy and Histology....Pages 19-28
Front Matter....Pages 29-29
Pancreatic Exocrine Secretion....Pages 31-35
Physiology and Pathophysiology of Endocrine Pancreatic Secretion....Pages 37-48
Sphincter of Oddi Physiology and Pathophysiology....Pages 49-58
Front Matter....Pages 59-59
Ultrasound....Pages 61-66
Contrast-Enhanced CT and MRI....Pages 67-74
Endoscopic Retrograde Cholangiopancreatography....Pages 75-84
Fine-Needle Aspiration Biopsy of the Pancreas....Pages 85-95
FDG-PET and PET/CT in Pancreatic Cancer....Pages 97-105
Laboratory Diagnosis of Exocrine and Endocrine Dysfunctions in Inflammatory and Neoplastic Lesions....Pages 107-118
Guidelines, Clinical Evaluation, Short Track....Pages 119-128
Front Matter....Pages 129-130
Etiology and Epidemiology of Acute Pancreatitis....Pages 131-142
Epidemiology and Intervention During the Clinical Course of Biliary Acute Pancreatitis....Pages 143-152
Pathogenesis and Pathophysiology of Acute Pancreatitis....Pages 153-162
Natural Course of Acute Pancreatitis....Pages 163-172
Classification of Severe Acute Pancreatitis....Pages 173-179
Biochemical Diagnosis, Staging, and Prediction....Pages 181-192
Imaging Diagnosis of Acute Pancreatitis....Pages 193-202
Front Matter....Pages 129-130
Nonsurgical Management of Acute Pancreatitis....Pages 203-210
Indications for the Surgical Management of Necrotizing Pancreatitis....Pages 211-217
Debridement and Closed Packing for the Treatment of Necrotizing Pancreatitis....Pages 219-224
Necrosectomy and Redressing....Pages 225-230
Necrosectomy and Closed Lavage....Pages 231-240
Infected Necrosis — Minimally Invasive Necrosectomy....Pages 241-248
Benefits and Limitations of Necrosectomy....Pages 249-252
Surgical Management of Pancreatic Abscess....Pages 253-258
Surgical Management of Pseudocysts after Acute Pancreatitis....Pages 259-270
Interventional Management of Pancreatic Fluid Collections and Abscesses....Pages 271-279
Pancreatic and Intestinal Fistulas....Pages 281-288
Late Outcome after Necrosectomy....Pages 289-292
Front Matter....Pages 293-294
Mechanisms of Pain in Chronic Pancreatitis....Pages 295-299
Natural Course of Chronic Pancreatitis....Pages 301-309
Chronic Pancreatitis: Inflammatory Mass in the Head of the Pancreas — Pacemaker of Chronic Pancreatitis....Pages 311-317
Diagnosis: Functional Testing, Radiological Work-up of Chronic Pancreatitis....Pages 319-330
Medical Management of Chronic Pancreatitis....Pages 331-347
Tropical Chronic Pancreatitis....Pages 349-359
Hereditary Chronic Pancreatitis: Diagnosis and Management....Pages 361-371
Endoscopic Interventional Treatment....Pages 373-379
Front Matter....Pages 293-294
Indication to Surgical Treatment of Chronic Pancreatitis....Pages 381-385
Pancreatic Duct Drainage Procedures....Pages 387-398
Duodenum-Preserving Pancreatic Head Resection....Pages 399-412
Pancreaticoduodenctomy for Chronic Pancreatitis — With or Without Pylorus Preservation....Pages 413-423
Central Pancreatectomy....Pages 425-440
Distal Pancreatectomy in Patients with Chronic Pancreatitis....Pages 441-451
Total Pancreatectomy....Pages 453-457
Surgical Treatment of Pseudocysts in Chronic Pancreatitis....Pages 459-475
Late Outcome After Medical and Surgical Treatment of Chronic Pancreatitis....Pages 477-486
Front Matter....Pages 487-488
Epidemiology of Pancreatic Cancer....Pages 489-496
Pathology of Pancreatic Cancer....Pages 497-511
Genetic Pathways in Pancreatic Tumorigenesis....Pages 513-526
The Clinical Assessment of Pancreatic Cancer....Pages 527-540
The Staging of Pancreatic Cancer....Pages 541-548
Oncological Management of Pancreatic Cancer in Advanced Stages....Pages 549-557
Indications for Resection of Pancreatic Cancer....Pages 559-565
The Kausch-Whipple Pancreatectomy....Pages 567-579
Pylorus-Preserving Pancreaticoduodenectomy....Pages 581-591
Management of Tumor Invasion/Adhesion to the Superior Mesenteric-Portal Vein During Pancreatectomy....Pages 593-609
Margin Status Following Pancreaticoduodenectomy for Pancreatic Adenocarcinoma: Implications of R Status....Pages 611-623
Front Matter....Pages 487-488
Subtotal Left Resection for Pancreatic Cancer....Pages 625-638
Total Pancreatectomy for Pancreatic Cancer....Pages 639-651
Laparoscopic Management of Pancreatic Neoplasms....Pages 653-664
Bypass Procedures in the Treatment of Nonresectable Carcinoma of the Head of the Pancreas....Pages 665-674
Resected Pancreatic Cancer....Pages 675-687
Management of Locally Advanced and Recurrent Pancreas Cancer....Pages 689-694
Survival After Medical and Surgical Treatment of Pancreatic Adenocarcinoma....Pages 695-704
Front Matter....Pages 705-705
Pancreatic Endocrine Tumors: Epidemiology, Pathology, Pathophysiology, and Diagnosis....Pages 707-713
Surgical Treatment of Insulinomas....Pages 715-721
Surgical Treatment of the Gastrinoma....Pages 723-734
Surgical Treatment of Rare Endocrine Tumors....Pages 735-747
Outcome after Surgical Treatment of Endocrine Pancreatic Tumors....Pages 749-752
Front Matter....Pages 753-753
Histopathology of Tumors of the Papilla of Vater....Pages 755-764
Clinical Diagnosis of Adenoma of the Papilla of Vater....Pages 765-770
Clinical Diagnosis of Periampullary Carcinoma....Pages 771-777
Endoscopic Management of Adenoma....Pages 779-787
Surgical Management of Adenoma....Pages 789-795
Surgical Treatment of Carcinoma of the Ampulla of Vater....Pages 797-806
Surgical Resection of Distal Common Bile Duct Carcinoma....Pages 807-815
Cancer of the Duodenum — Surgical Treatment....Pages 817-826
Front Matter....Pages 753-753
Long-Term Outcome After Resection of Periampullary Carcinoma....Pages 827-835
Front Matter....Pages 837-837
Cystic Neoplasms of the Pancreas — Pathological Aspects....Pages 839-842
Clinical Diagnosis and Staging....Pages 843-848
Surgical Treatment of Cystic Tumors of the Pancreas....Pages 849-869
Front Matter....Pages 871-871
Congenital Cysts: Diagnosis, Clinical Impact, and Management....Pages 873-879
Pancreas Divisum — Diagnosis and Endoscopic Management....Pages 881-889
Surgical Treatment of Pancreas Divisum....Pages 891-894
Biliopancreatic Maljunction: Classification, Diagnosis, and Treatment....Pages 895-901
Front Matter....Pages 903-903
Pancreatic Trauma: Diagnosis, Treatment, Complications, and Late Outcome....Pages 905-910
Front Matter....Pages 911-911
Islet Transplantation and Results....Pages 913-920
Pancreas Transplantation....Pages 921-936
Back Matter....Pages 937-949