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Pancreatitis is a common disease of the digestive system with a high mortality and complication rate. The successful management of patients requires a multidisciplinary team of gastroenterologists, surgeons, interventional radiologists, and specialists in critical care medicine and nutrition. The odyssey in managing pancreatitis is a notable example of how evidence-based knowledge leads to improvement in patient care. In the last decades, operative treatment has moved towards minimally invasive techniques such as laparoscopy and endoscopic or percutaneous retroperitoneal approaches. New insights into nutritional and anesthesiology management have further improved the treatment and outcomes of pancreatitis. This book provides a comprehensive overview of this condition with chapters on physiology and pathophysiology, surgical and endoscopic management, enteral and parenteral nutritional interventions, and much more.
The basic researches and clinical studies on biliary tree diseases continue to advance at a rapid pace. The articles in this book were written by recognized medical experts and researchers from North America, Europe, Asia, and Africa and aim to provide state-of-the-art reviews on the current knowledge and advances in the surgery of the biliary tree. It includes the most recent advances in that field, particularly cholangiocarcinoma, biliary tree injuries, and biliary cysts.
Cholangiocarcinoma is a type of malignant tumor that affects the biliary system. It can arise anywhere in the bile ducts, manifesting itself as obstructive jaundice. It has an annual incidence of 1-2 cases per 100,000 people. One variety of the disease, the Klatskin tumor, occurs in the hepatic hilum and is characterized by poor prognosis. Generally, cholangiocarcinomas are slow-growing tumors with late metastases. Localized tumors are treated surgically, but intervention is discouraged when they are extensive. The disease affects both sexes, but most cases occur in patients aged over 60 years. Primary sclerosing cholangitis, chronic biliary infection, and choledochal cysts are associated with an increased risk of cholangiocarcinoma.
Pancreatitis is a common disease of the digestive system with a high mortality and complication rate. This book provides a comprehensive discussion of the anatomy and physiology of the pancreas, acute and chronic pancreatitis, and minimally invasive treatment in pancreatitis. The target audience comprises scholars and specialists in the field.