Summary of Pancreas Club meeting: May 19,1991, New Orleans, Louisiana
Article Abstract:
The Pancreas Club is a group of physicians with a specialized interest in the pancreas. A summary of the papers presented at their informal May 1991 meeting is presented. An article by Grundfest and associates, suggests that risk of clot formation and pancreatic inflammation following pancreatic transplant may be due to inadequate ability of the patient's body to neutralize toxic products of oxygen metabolism. This may explain the susceptibility of pancreatic transplants to complications. A study by Widdison and associates reports that bacteria very frequently become established in the pancreas, but may or may not result in pancreatic infection. A report by Fedorak and associates shows the usefulness of differentiating between infected pseudocysts, pancreatic abscesses and infected necrosis; infected pseudocysts have a significantly lower death rate than pancreatic abscess or infected necrosis. A study undertaken by del Castillo and associates of 300 patients undergoing cardiopulmonary bypass surgery reveals that 11 percent of deaths were attributable to pancreatitis. They suggest that pancreatic injury may be associated with administration of large doses of calcium chloride. Alridge and associates investigates the significance of fluid collections in the pancreatic area found by ultrasound or computed tomographic scanning. They conclude that although more than half resolve spontaneously, one-third will form chronic collections of fluid. Transcutaneous drainage of this fluid was found to be of limited usefulness. Berger and associates discuss surgery for chronic pancreatitis; in their technique the head of the pancreas is removed but the duodenum is preserved. Two reports discuss the relation between diabetes and pancreatic cancer, while one describes methods of pain control in chronic pancreatitis. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: American Journal of Surgery
Subject: Health
ISSN: 0002-9610
Year: 1991
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Summary of Pancreas Club meeting: May 15, 1989 Washington, DC
Article Abstract:
Discussions which took place at the Pancreatic Club meeting on May 15, 1989 are summarized. The Pancreatic Club, a group of physicians with a special interest in the pancreas, is in the mainstream of surgical activity. There were four research-oriented sessions. The first included an evaluation of the usefulness of amylase, lipase and an isoenzyme in diagnosing acute pancreatitis, with the finding that isoenzyme P3 is the most accurate; and a discussion of somatostatin (hormone) analogue in managing external pancreatic fistulas. The second session dealt with management of pancreatic disease: identification and location of pancreatic necrosis (localized death of tissue) using dynamic CT angiography; use of dynamic pancreatography with contrast enhancement to identify necrosis; peritoneal lavage (washing) used to decrease pancreatic sepsis (major infection) and overall mortality; indications and timing of surgery in management of pancreatic necrosis. The third session dealt with surgical aspects: use of transcutaneous (through the skin) drainage of infected pancreatic fluid collections; aspects of transplantation of the pancreas. The fourth session discussed: experience with pancreatic duct excision for presumed cancer of the ampulla; morbidity in elderly patients undergoing surgery for pancreatic cancer; and assessment of 5-year follow-up of patients who underwent surgery for chronic pancreatitis. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: American Journal of Surgery
Subject: Health
ISSN: 0002-9610
Year: 1990
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