Curbside Consultation of the Pancreas: 49 Clinical Questions
Tenner, Scott — Brown, Alphonso
ISBN-13: 9781556428142
SLACK
Noviembre / 2009
1ª Edición
Inglés
250 pags
1000 gr
x x cm
Recíbelo en un plazo De 2 a 3 semanas
Are you looking for concise, practical answers to questions that are often left unanswered by traditional pancreatic disease references? Are you seeking brief, evidence-based advice for complicated cases or complications? Curbside Consultation of the Pancreas: 49 Clinical Questionsprovides quick and direct answers to the thorny questions commonly posed during a "curbside consultation" between colleagues.
Dr. Scott Tenner, Dr. Alphonso Brown, and Dr. Frank Gress have designed this unique reference, which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with pancreatic disease. The unique Q&A format provides quick access to current information related to pancreatic disease with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the treatment of pancreatic disease patients.
Curbside Consultation of the Pancreas: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Gastroenterologists, fellows and residents in training, surgical attendings, and surgical residents will benefit from the user-friendly and casual format and the expert advice contained within.
Some of the questions that are answered:
- How much fluid should be given during the initial management of acute pancreatitis?
- When would you use antibiotics in acute pancreatitis, and which antiobiotics would you use?
- What is the best method of treating pain in patients with chronic pancreatitis?
- How does one manage pseudocysts?
Contents
Dedication
About the Editors
Contributing Authors
| SECTION I: ACUTE PANCREATITIS | |
| Question 1 | How Much Fluid Should Be Given During the Initial Management of Acute Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 2 | Should I Check a C-Reactive Protein During All Admissions for Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 3 | When Should I Consider Performing a Computed Tomography of the Abdomen in Patients With Acute Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 4 | When Would You Use Antibiotics in Acute Pancreatitis, and Which Antibiotics Would You Use? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 5 | What Can Be Done to Minimize Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 6 | What Is the Best Approach to Nutrition in Acute Pancreatitis? |
| Shishir K. Maithel, MD and Charles M. Vollmer, Jr, MD | |
| Question 7 | When Should Gallstones Be Considered the Etiology of Acute Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 8 | When Should an Endoscopic Retrograde Cholangiopancreatography Be Performed in Acute Gallstone Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 9 | My Patient Had a Single Episode of Uncomplicated Gallstone Pancreatitis. Should He Have a Cholecystectomy, and, if so, When? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 10 | Should a Cholecystectomy Be Performed on Patients With Acute Pancreatitis, No Gallstones, but Sludge in the Gallbladder? |
| Benjamin E. Young II, MD | |
| Question 11 | When Would You Perform Surgery in Acute Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 12 | What Should Be the Sequence of Investigations for a Patient With Recurrent, Unexplained Acute Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 13 | How Is Hypertriglyceridemia Treated When Suspected in Causing Acute Pancreatitis? |
| Susan Ramdhaney, MD and Scott Tenner, MD, MPH | |
| Question 14 | My Patient With Crohn's Disease Developed Pancreatitis on Imuran. Can He Take 6-MP? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 15 | My Patient With Acute Pancreatitis Has a Computed Tomography Scan With Thrombosis of the Splenic Vein. Is It Safe to Anticoagulate Him? |
| Susan Ramdhaney, MD and Alphonso Brown, MD, MS Clin Epi | |
| SECTION II: CHRONIC PANCREATITIS | |
| Question 16 | How Is the Diagnosis of Chronic Pancreatitis Established? |
| Jonathan Ari Erber, MD and Frank G. Gress, MD | |
| Question 17 | What Is the Best Method of Treating Pain in Patients With Chronic Pancreatitis? |
| Kumaravel Perumalsamy, MD and Scott Tenner, MD, MPH | |
| Question 18 | Is There a Role of Pancreatic Enzymes to Treat Pain in Patients With Chronic Pancreatitis? |
| Sagar Garud, MD, MS and Alphonso Brown, MD, MS Clin Epi | |
| Question 19 | What Is the Pathophysiology of Alcohol-Induced Injury to the Pancreas? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 20 | When Should One Suspect Autoimmune Pancreatitis as a Cause of Acute or Chronic Pancreatitis? |
| Jonathan Ari Erber, MD and William Franklin Erber, MD | |
| Question 21 | What Are the Complications of Chronic Pancreatitis? |
| Jonathan Ari Erber, MD and Frank G. Gress, MD | |
| SECTION III: CYSTIC PANCREATIC LESIONS | |
| Question 22 | My Patient Is a Middle-Aged Woman With an Asymptomatic 5-cm Fluid-Filled Cyst in the Tail of the Pancreas, Found Incidentally on Abdominal Computed Tomography Scanning. What to Do Next? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 23 | What Is the Best Approach to a Cystic Lesion in the Tail vs Head of the Pancreas When the Diagnosis Cannot Be Clearly Established? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 24 | Endoscopic Ultrasound-Guided Fine Needle Aspiration of a Pancreatic Cyst in This Patient Yielded Fluid With an Amylase of 4500 and a Carcinoembryonic Antigen of 20. Is This Normal? |
| Ilan Aharoni, MD and Scott Tenner, MD, MPH | |
| Question 25 | Why Is It Important to Distinguish Serous Cystadenoma and Mucinous Cystadenoma? |
| Hani Abdallah, MD and Alphonso Brown, MD, MS Clin Epi | |
| Question 26 | My Hospital Does Not Have an Endoscopic Ultrasonographer. Is It Safe for Me to Use Computed Tomography-Guided Fine Needle Aspiration for a Pancreatic Lesion? |
| Richard O'Farrell, MD | |
| Question 27 | How Does One Manage Pseudocysts? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 28 | How Do I Determine When a Pseudocyst Has Become Infected? How Do I Manage This? |
| Nison Badalov, MD and Robin Baradarian, MD, FACG | |
| Question 29 | My Patient Has a Large Pancreatic Cyst. Should I Involve a Surgeon in the Evaluation and Management of This Situation? |
| John D. Christein, MD | |
| Question 30 | When Should Endoscopic Therapy of the Pseudocyst and/or Organized Necrosis in Acute Pancreatitis Be Applied? |
| Nison Badalov, MD and Robin Baradarian, MD, FACG | |
| SECTION IV: PANCREATIC CANCER | |
| Question 31 | What Are the Risk Factors for the Development of Pancreatitic Cancer? |
| Nison Badalov, MD and Robin Baradarian, MD, FACG | |
| Question 32 | What Is the Best Approach to Staging Pancreatic Cancer? |
| Nison Badalov, MD and Robin Baradarian, MD, FACG | |
| Question 33 | What Are the Treatment Options for Early and Locally Advanced Pancreatic Cancer? |
| Paul S. Sepe, MD | |
| SECTION V: OTHER PANCREATIC NEOPLASMS | |
| Question 34 | In a Patient With Recurrent Hypoglycemia, How Does One Evaluate for an Insulinoma? |
| Susan Ramdhaney, MD and Alphonso Brown, MD, MS Clin Epi | |
| Question 35 | My Patient Has Chronic Diarrhea and Extensive Work-Up Has Been Negative. How to Establish a Diagnosis in a Patient Suspected of Having VIPoma? |
| Jack P. Braha, DO; Robin Baradarian, MD, FACG; and Nison Badalov, MD | |
| Question 36 | My Patient Has Reflux Esophagitis in Spite of Daily Omeprazole. His Serum Gastrin on Omeprazole Is 750. What Is the Next Step in Evaluation for Gastrinoma? |
| Susan Truong, HMS III and Alphonso Brown, MD, MS Clin Epi | |
| Question 37 | What Masses Mimic Pancreatic Cancer? |
| Susan Truong, HMS III and Alphonso Brown, MD, MS Clin Epi | |
| SECTION VI: BILIARY | |
| Question 38 | What Is the Role of Cholangiopancreatoscopy in Pancreaticobiliary Disease? |
| Greg Guthrie, MD and Young Lee, MD | |
| Question 39 | My Patient Had a Magnetic Resonance Cholangiopancreatography to Evaluate for Common Bile Duct Stones, but the Reading Includes a "Double Duct Sign." What Does This Mean? Does It Need Endoscopic Retrograde Cholangiopancreatography? |
| Hui Hing (Jack) Tin, MD and Jai Mirchandani, MD | |
| Question 40 | How Should I Discuss the Risks of Post-Procedure Pancreatitis With a Patient Whom I Am Consenting for Endoscopic Retrograde Cholangiopancreatography? Do I Really Have to Tell Him He Could Die? |
| Susan Ramdhaney, MD and Alphonso Brown, MD, MS Clin Epi | |
| Question 41 | In a Patient With Gallstone Pancreatitis, When Should an Endoscopic Retrograde Cholangiopancreatography and/or Magnetic Resonance Cholangiopancreatography Be Performed Preoperatively? |
| Nison Badalov, MD and Robin Baradarian, MD, FACG | |
| Question 42 | I Have a Patient With Suspected Primary Sclerosing Cholangitis. What Do I Need to Know and How Do I Establish the Diagnosis? |
| Ronald Concha-Parra, MD and Frank G. Gress, MD | |
| Question 43 | Caroli's Disease, What Do I Need to Know? |
| Mustafa A. Tiewala, MD and Frank G. Gress, MD | |
| Question 44 | Choledochal Cyst, What to Do? Watch, Ignore, or Operate? |
| Yuriy Tsirlin, MD and Frank G. Gress, MD | |
| Question 45 | What to Do in a Patient Suspected of Having Cholangiocarcinoma? |
| Hui Hing (Jack) Tin, MD and Robin Baradarian, MD, FACG | |
| Question 46 | How Often Should I Perform Endoscopic Retrograde Cholangiopancreatography in Order to Retain an Adequate Level of Skill? |
| Susan Ramdhaney, MD and Alphonso Brown, MD, MS Clin Epi | |
| SECTION VII: MISCELLANEOUS | |
| Question 47 | What Is the Best Approach to the Patient With Suspected Sphincter of Oddi Dysfunction? |
| Nison Badalov, MD and Scott Tenner, MD, MPH | |
| Question 48 | When Should a Pancreatic Duct Stent Be Used? |
| Ian Wall, DO and Robin Baradarian, MD, FACG | |
| Question 49 | How Do I Evaluate for and Treat Patients With Autoimmune Pancreatitis? |
| Shishir K. Maithel, MD and Charles M. Vollmer, Jr, MD | |
Index
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