What to Do with Tumors in the Liver?
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GASTROENTEROLOGY
Incidental Hepatic Lesions
Fig. 4.1 Differential diagnosis of incidental hepatic lesions based on imaging References 1. Reed SL. Amebiasis: An update. Clin Inf Dis. 1992;14:385–91. 2. Chen DS, Sung JL, Sheu JC, Lai…
Classification and Management of Pancreatic Cysts
Figure 5.1 MRI image of a main duct IPMN Figure 5.2 Resection specimen demonstrating a main duct IPMN Serous cystadenoma (SCA): SCAs make up about 16% of all resected pancreatic…
Drainage and Resection Surgery for Pancreatitis
Figure 16.1 Computed Tomography scan demonstrating chronic pancreatitis with diffuse parenchymal calcifications. A large stone within the pancreatic head is seen occluding the duct of Wirsung My Management 1. Proceed…
Pancreatectomy with Islet Autotransplant
Criterion Examples Poor response to maximal medical therapy Pancreatic enzyme replacement therapy, opiate analgesics, endoscopic decompression Preserved islet cell function Nondiabetic, C-peptide positive diabetes Debilitating pain Severe and intermittent vs….
Complications of Acute Pancreatitis
Figure 7.1 CT scan of the abdomen with extensive pancreatic necrosis, with a large amount of peripancreatic edema and several poorly organized fluid collections, the largest measuring 5.7 cm ×…
Palliative Care and Pancreatic Disease
Step Sample language Assess illness understanding (prognostic awareness) “What have you learned so far about your cancer diagnosis?” Assess information preferences “I’d like to assure that I am giving you…
Medical and Endoscopic Management of Chronic Pancreatitis
Figure 6.1 CT of the pancreas notes a pancreatic ductal head stone with proximal pancreatic duct dilation My Management A. Continue IV hydration and follow-up in GI clinic as an…
Hospital Management of Acute Pancreatitis
© Springer International Publishing AG 2017Timothy B. Gardner and Kerrington D. Smith (eds.)Pancreatology10.1007/978-3-319-53091-8_3 3. Hospital Management of Acute Pancreatitis Nigeen H. Janisch1 (1) Department of Gastroenterology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA …
Autoimmune Pancreatitis
Figure 9.1 CT scan demonstrating the classic sausage-shaped appearance of patients with type 1 AIP My Management 1. Serologic testing for IgG4 and CA 19-9 and CT imaging for evaluation…
