Latest Book on Diseases of the Pancreas
by Markus W. Büchler, Waldemar Uhl, Peter Malfertheiner and M.G. Sarr


Markus W. Büchler (Heidelberg), Waldemar Uhl (Bochum), Peter Malfertheiner (Magdeburg) Sarr, M.G. (Rochester, Minn.) Diseases of the Pancreas Completely revised second edition 212 pages (plus XII pages introduction), 168 illustrations (68 in color), 87 tables; pu blished in 2004; hard cover

Language: English
Status: availiable

Diseases of the Pancreas
ISBN 3-8055-7613-7

The standard textbook for study and practice

Clearly structured text, presented with the corresponding illustrations on a two-page spread

 

  
Compiled by a team of authors with many years' experience in the field of diseases of the pancreas, this book is an ideal combination of evidence-based literature and the authors' expertise.
 

An interdisciplinary approach to the basis, diagnosis and treatment of diseases of the pancreas has been chosen, and the succinct and clearly structured text is consistently linked with the corresponding illustrations on a two-page spread. The division into three major parts (acute pancreatitis, chronic pancreatitis and pancreatic tumors) further enhances the clarity of the text.
In the chapter 'Acute pancreatitis', along with the new markers of necrosis, several major topics of imaging via nuclear magnetic resonance and the different randomized controlled studies addressing treatment are covered. In the section on chronic pancreatitis, clinical aspects, pancreatic function and imaging, and recent clinical studies receive special attention. Finally, in the section on tumors of the pancreas, particular emphasis has been placed on imaging with the newer techniques of spiral computed tomography and ultra-rapid magnetic resonance imaging in the 'all-in-one' technique. Furthermore, molecular biology, which in the future will become increasingly important, and the concept of gene polymorphisms underlying many diseases have received special attention.
This clearly laid out and easily readable encyclopedia is aimed particularly at general practitioners and students in their clinical years, as well as at specialists who desire a more in-depth knowledge of the pancreas, such as internists, gastroenterologists, surgeons, radiologists, oncologists, pathologists and pediatricians. But others will also find this to be a comprehensive reference book on the subject.

For further iInformation and for downloads www.karger.com
 
   
Gastroenterologe 2006 · 1:34–42 DOI 10.1007 / s11377-006-0007-z
© Springer Medizin Verlag 2006
O. Belyaev · T. Herzog · A. Chromik · C. Müller · W. Uhl

Pankreaschirurgie · Der Chirurg als entscheidender Prognosefaktor

Zusammenfassung
Die operative Therapie bei Patienten mit Pankreastumoren
bietet die einzige Chance auf
Heilung. Auch bei Patienten mit akuter oder
chronischer Pankreatitis ist ein operatives
Vorgehen zur Behandlung von Komplikationen
oft indiziert. Neben zahlreichen weiteren
Einflussfaktoren ist es mittlerweile allgemein
anerkannt, dass der Pankreaschirurg
bezüglich der lokalen Befundbeurteilung
(z. B. beim Karzinom richtige Einschätzung
der Resektabilität), der operativen Ergebnisse,
dem postoperativen Komplikationsmanagement,
der Lebensqualität und Prognose
dieser Patienten eine zentrale Schlüsselposition
als unabhängiger Prognosefaktor einnimmt.
Durch mehrere Studien konnte beispielsweise
gezeigt werden, dass in Zentren
mit niedrigen Fallzahlen (≤3 resezierende
Pankreaseingriffe pro Jahr) die Mortalität bei
über 15% liegt, während in Zentren mit sehr
hohen Fallzahlen (≥16) diese weniger als 5%
beträgt. Darüber hinaus konnte gezeigt werden,
dass in diesen so genannten „High-volume-
Krankenhäusern“ die Kosten pro Patient
im Vergleich zu „Low-volume-Krankenhäusern“
geringer sind. Aufgrund seiner persönlichen
Erfahrung und aufgrund seines technischen
Könnens hat der Pankreaschirurg
deshalb in einem spezialisierten multidisziplinären
Team eine entscheidende und wesentliche
Beratungs- und Führungsfunktion.
Schlüsselwörter
Pankreaschirurgie · Prognosefaktor · Pankreaszentrum
· Chirurgische Erfahrung · Interdisziplinäre
Versorgung

 Surgery of the pancreas · The surgeon as the crucial prognostic factor

Abstract
Pancreatic surgery offers the sole chance
for cure in patients with pancreatic tumors,
and is often inevitable in cases of acute and
chronic pancreatitis. Among the long list of
prognostic factors, the central place of the
surgeon is now recognized as a key, independent
prognostic factor for the outcome and
quality of life of these patients. The volumeoutcome
effect in pancreatic surgery will lead
to new policies aiming to improve patient
safety and health care quality by the creation
of pancreas units, i.e. centers of excellence
where patients can be treated by multidisciplinary
teams which have developed a high
expertise in the management of diseases of
the pancreas. Numerous studies have shown
that postoperative mortality after major pancreatic
surgery is reduced in centers performing
≥16 resections per year with a mortality
rate of <5% compared with hospitals doing
≤3 resections per year with a mortality
rate >15%. A further effect is that the cost per
patient is reduced in high volume hospitals
compared to those with a low volume. The
pancreatic surgeon plays a key role not only
due to personal experience and technical
skills, but also as a leader in a specialized multidisciplinary
team.
Keywords
Pancreatic surgery · Prognostic factors · Pancreas
units · Surgeon experience · Multidisciplinary
approach
Der Gastroenterologe 1 · 2006 | 37