Diagnostic Procedures in Pancreatic Disease

1. Functional Methods

   1. Serum and Urinary Pancreatic Enzymes in Differential Diagnosis of Acute Pancreatitis

      • J. Møller-Petersen, J. Lausten, M. Klærke

      Pages 95-106

2. Prognostic Evaluation

   1. Front Matter

      Pages 107-107

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   2. Which Factors are of Value in the Prognosis of Acute Pancreatitis?

      • C. W. Imrie

      Pages 109-116

   3. Antiproteases and Nonspecific Inflammatory Parameters in the Monitoring of Acute Pancreatitis

      • M. J. McMahon

      Pages 117-122

   4. Correlation of Imaging Procedures, Biochemical Parameters, and Clinical Stage in Acute Pancreatitis

      • M. Büchler, P. Malfertheiner, H. G. Beger

      Pages 123-129

   5. Outcome of Necrotizing Pancreatitis in Relation to Morphological Parameters

      • H. G. Beger, M. Büchler

      Pages 130-132

3. Chronic Pancreatitis

   1. Front Matter

      Pages 133-133

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   2. Pathomorphology of Chronic Pancreatitis

      • G. Klöppel

      Pages 135-139

4. Imaging Procedures

   1. Front Matter

      Pages 141-141

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   2. Ultrasound in Chronic Pancreatitis

      • M. Otte

      Pages 143-148

   3. Critical Evaluation and Controversial Points of Ultrasound Findings in Chronic Pancreatitis

      • L. Bolondi, S. Gaiani, P. Casanova, V. Santi, G. Labò

      Pages 149-154

   4. Computed Tomography in Chronic Pancreatitis

      • W. Maier

      Pages 155-160

   5. Critical Evaluation and Controversial Points of Computed Tomography Findings in Chronic Pancreatitis

      • W. R. Lees

      Pages 161-168

   6. Endoscopic Retrograde Pancreatography Findings and Their Grading in Chronic Pancreatitis

      • J. Sahel

      Pages 169-174

   7. Limitations in the Interpretation of Endoscopic Retrograde Pancreatography Findings in Chronic Pancreatitis

      • G. Cavallini, A. Riela, G. P. Angelini, E. Lavarini, A. Castagnini, G. Brocco et al.

      Pages 175-184

   8. Ultrasound, Computed Tomography and Endoscopic Retrograde Pancreatography in the Diagnosis of Chronic Pancreatitis: A Comparative Evaluation

      • E. P. DiMagno

      Pages 185-191

5. Function Tests

   1. Front Matter

      Pages 193-193

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   2. Regulation of Enzyme, Electrolyte, and Fluid Secretion in the Exocrine Pancreas

      • I. Schulz

      Pages 195-200

   3. Pancreatic Function Test by Means of Duodenal Intubation

      • L. Gullo

      Pages 201-207

   4. Biochemical Markers of Chronic Pancreatitis

      • L. Multigner, A. De Caro, G. Montalto, M. Provansal-Cheylan, H. Sarles

      Pages 208-214

The development and improvement of new technologies have made pancreatic disease more accessible to diagnosis in the last decade. The cooperation and coordination of experts in the fields of gastro­ enterology, radiology, biochemistry, immunology, and pathology are necessary if the methods are to be made available and the progress made to be fully exploited. Each of the new methods requires special training, and extensive experience is needed to guarantee high standards in the diagnosis of pancreatic disease. New methods have to be tested carefully against established diagnostic procedures, though at the same time we must be ready to adopt a new approach to diagnosis. The aim of this book is to update the material already published and to focus on the various imaging methods and functional tests currently available, the features specific for each, and their integrative potential in the detection of pancreatic disease. The various pathologic findings are analyzed with reference to the clinical stages of pancreatic disease. As an introduction to the morphological and functional features of acute pancreatitis, chronic pancreatitis, and pancreatic cancer revealed by the different imaging methods and functional tests, basic knowledge of the patho-physiological and pathomorphological events is provided by research workers. This knowledge is essential for the understanding and interpretation of the diagnostic findings recorded in pancreatic diseases.

• cancer
• chronic pancreatitis
• imaging
• imaging techniques
• immunology
• pancreatic cancer
• pathology
• radiology
• hepatology
• abdominal surgery

• Abteilung Innere Medizin II, Medizinische Universitätsklinik, Ulm/Donau, Germany

  Peter Malfertheiner, Hans Ditschuneit

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