Curbside Consultation of the Pancreas: 49 Clinical Questions

Scott Tenner, MD, MPH; Alphonso Brown, MD, MS Clin Epi; Frank Gress, MD

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• Question 1: How Much Fluid Should Be Given During The Initial Management Of Acute Pancreatitis?
• Question 2: Should I Check A C-Reactive Protein During All Admissions For Pancreatitis?
• Question 3: When Should I Consider Performing A Computed Tomography Of The Abdomen In Patients With Acute Pancreatitis?
• Question 4: When Would You Use Antibiotics In Acute Pancreatitis, And Which Antibiotics Would You Use?
• Question 5: What Can Be Done To Minimize Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis?
• Question 6: What Is The Best Approach To Nutrition In Acute Pancreatitis?
• Question 7: When Should Gallstones Be Considered The Etiology Of Acute Pancreatitis?
• Question 8: When Should An Endoscopic Retrograde Cholangiopancreatography Be Performed In Acute Gallstone Pancreatitis?
• Question 9: My Patient Had A Single Episode Of Uncomplicated Gallstone Pancreatitis. Should He Have A Cholecystectomy, And, If So, When?
• Question 10: Should A Cholecystectomy Be Performed On Patients With Acute Pancreatitis, No Gallstones, But Sludge In The Gallbladder?
• Question 11: When Would You Perform Surgery In Acute Pancreatitis?
• Question 12: What Should Be The Sequence Of Investigations For A Patient With Recurrent, Unexplained Acute Pancreatitis?
• Question 13: How Is Hypertriglyceridemia Treated When Suspected In Causing Acute Pancreatitis?
• Question 14: My Patient With Crohn’S Disease Developed Pancreatitis On Imuran. Can He Take 6-Mp?
• Question 15: My Patient With Acute Pancreatitis Has A Computed Tomography Scan With Thrombosis Of The Splenic Vein. Is It Safe To Anticoagulate Him?
• Question 16: How Is The Diagnosis Of Chronic Pancreatitis Established?
• Question 17: What Is The Best Method Of Treating Pain In Patients With Chronic Pancreatitis?
• Question 18: Is There A Role Of Pancreatic Enzymes To Treat Pain In Patients With Chronic Pancreatitis?
• Question 19: What Is The Pathophysiology Of Alcohol-Induced Injury To The Pancreas?
• Question 20: When Should One Suspect Autoimmune Pancreatitis As A Cause Of Acute Or Chronic Pancreatitis?
• Question 21: What Are The Complications Of Chronic Pancreatitis?
• 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?
• 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?
• 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?
• Question 25: Why Is It Important To Distinguish Serous Cystadenoma And Mucinous Cystadenoma?
• 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?
• Question 27: How Does One Manage Pseudocysts?
• Question 28: How Do I Determine When A Pseudocyst Has Become Infected? How Do I Manage This?
• Question 29: My Patient Has A Large Pancreatic Cyst. Should I Involve A Surgeon In The Evaluation And Management Of This Situation?
• Question 30: When Should Endoscopic Therapy Of The Pseudocyst And/Or Organized Necrosis In Acute Pancreatitis Be Applied?
• Question 31: What Are The Risk Factors For The Development Of Pancreatic Cancer?
• Question 32: What Is The Best Approach To Staging Pancreatic Cancer?
• Question 33: What Are The Treatment Options For Early And Locally Advanced Pancreatic Cancer?
• Question 34: In A Patient With Recurrent Hypoglycemia, How Does One Evaluate For An Insulinoma?
• 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?
• 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?
• Question 37: What Masses Mimic Pancreatic Cancer?
• Question 38: What Is The Role Of Cholangiopancreatoscopy In Pancreaticobiliary Disease?
• 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?
• 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?
• Question 41: In A Patient With Gallstone Pancreatitis, When Should An Endoscopic Retrograde Cholangiopancreatography And/Or Magnetic Resonance Cholangiopancreatography Be Performed Preoperatively?
• Question 42: I Have A Patient With Suspected Primary Sclerosing Cholangitis. What Do I Need To Know And How Do I Establish The Diagnosis?
• Question 43: Caroli’S Disease, What Do I Need To Know?
• Question 44: Choledochal Cyst, What To Do? Watch, Ignore, Or Operate?
• Question 45: What To Do In A Patient Suspected Of Having Cholangiocarcinoma?
• Question 46: How Often Should I Perform Endoscopic Retrograde Cholangiopancreatography In Order To Retain An Adequate Level Of Skill?
• Question 47: What Is The Best Approach To The Patient With Suspected Sphincter Of Oddi Dysfunction?
• Question 48: When Should A Pancreatic Duct Stent Be Used?
• Question 49: How Do I Evaluate For And Treat Patients With Autoimmune Pancreatitis?

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• $92.95
• ISBN 10 1-55642-814-6
• ISBN 13 978-1-55642-814-2
• 264 pp Soft Cover
• Pub. Date: 2010
• Order# 78146