Advances in the Diagnosis and Treatment of Pancreatic by David C. Whitcomb MD PhD, Adam Slivka MD, Kenneth K. Lee

By David C. Whitcomb MD PhD, Adam Slivka MD, Kenneth K. Lee

Problems of the pancreas have, long ago, been very complicated as the analysis used to be usually made past due throughout the illness and no considerably valuable interventions have been to be had. this example is speedily altering as new insights from a number of views are built-in and serious about every one step of this complicated tactics. This factor of Gastroenterology Clinics of North the United States highlights a couple of parts of speedy growth in inflammatory and neoplastic problems of the pancreas. each one bankruptcy represents the built-in wisdom and point of view of specialists within the box, and signify the hottest research of those state-of-the-art ways to complicated matters within the overview and therapy of pancreatic problems.

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33] Morell A, Skvaril F, van Loghem E, et al. Human IgG subclasses in maternal and fetal serum. Vox Sang 1971;21(6):481–92. [34] Shirakata Y, Shiraishi S, Sayama K, et al. Subclass characteristics of IgG autoantibodies in bullous pemphigoid and pemphigus. J Dermatol 1990;17(11):661–6. [35] Aalberse RC, Van Milligen F, Tan KY, et al. Allergen-specific IgG4 in atopic disease. Allergy 1993;48(8):559–69. [36] Khabiri AR, Bagheri F, Assmar M, et al. Analysis of specific IgE and IgG subclass antibodies for diagnosis of Echinococcus granulosus.

47] Hirano K, Kawabe T, Yamamoto N, et al. Serum IgG4 concentrations in pancreatic and biliary diseases. Clin Chim Acta 2006;367(1–2):181–4. [48] Egawa N, Irie T, Tu Y, et al. A case of autoimmune pancreatitis with initially negative autoantibodies turning positive during the clinical course. Dig Dis Sci 2003;48(9):1705–8. [49] Nishino T, Toki F, Oyama H, et al. Long-term outcome of autoimmune pancreatitis after oral prednisolone therapy. Intern Med 2006;45(8):497–501. [50] Kamisawa T, Egawa N, Nakajima H, et al.

0027) [1]. A recent prospective study of 1000 patients undergoing balloon dilation of an intact biliary sphincter for bile duct stones removal, however, did not show an increase in the rate of postprocedural pancreatitis. 1 years, underwent ERCP with successful removal of bile duct stones using only endoscopic papillary balloon dilation. 8% of all 1000 patients developed post-ERCP pancreatitis, and only one patient developed severe pancreatitis [16]. Pancreatic sphincterotomy has also proved to be an independent risk factor for post-ERCP pancreatitis.

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