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REFERENCE TEXTBOOK FOR ACUTE PAN CREA TITIS
Acute pancreatitis - Diagnosis and Therapy, edited by Edward L Bradley HI (1993). Raven Press, 1185 Avenue of the Americas, New York, NY 10036. 312 pages; US$125.
Dr Bradley has prepared a publication
based on an international symposium on acute pancreatitis that was conducted in Atlanta in September 1992. Participants
in that symposium were invited international authorities in multidisciplinary as
pects of acute pancreatic disease. The
contributions to that symposium have been organized in an effective format ro
deliver in-depth and current knowledge about all facets of acute pancreatitis and many of the complications.
This text is a h.igh quality publication with extensive illustrations of radiographs, phocomicrographs and clinical examples.
Chapters arc extensively cabled, and references arc extensive throughout the seven sections. TI1e organization of the publica
tion flows smoothly fro m the introductory sections co the reviews of complications.
A new feature in this presentation is an international perspective on the varying
fom1s of acute pancreatic inflammation and a parallel introduct ion of regional preferences for therapies. Contributions from
the disciplines of surgery, medicine, basic science and imaging give the reader a broad profile of the content of each section.
The first section, entitled 'Introduction to acute pancrcatitis', deals with the
pathogenesis of acute pancreatitis, and evaluates several of the stratification systems for prognosticating severity of acute
pancreatitis. Although Bradley's aim was to establish a clear classification of acute
pancreatitis and its complications, one is left with rhe impression char clarity of definition is not feasible with the progression
from severe pancreatitis through the variab le septic complications.
1n the second section, on severe acute pancreatitis, the concriburors assign spe
cific tools of evaluation (including serology, imaging and endoscopy) and then move smoothly through the spectrum of medical and surgical management with appropriate reviews of indications and effectiveness of noninterventional and
BOOKS interventional treatments. The third sec
tion reviews the severe form of pancreaticis from an international perspective.
The term 'pancreatic abscess' has cre
ated confusion and inappropriate therapy for many years. Section 4 artcmpcs to de
fine this complication of severe pancreaticis, and presents a separate section on
percutaneous treatment by an inLerventional radiologist compared separately with open surgical management o( this complication.
Having dealt with the severe forms of
the disease and the relevant septic complications, the editor has chosen to focus the fifth St.--ction on 'pscudocyscs' wherein con tri
butions deal with epidemiology and pathology, and expectant therapy compared
with percutaneous or surgical drainage. internatio nal contributions reflect the experience of managing pseudocyscs in Australia, Japan and Sweden.
The final clinical sec tion deals with the mild form of acute pancreatitis, and has appropriate contributions on the classical
components of epidemiology, pathology, imaging and clinical diagnosis, and three
sections on treatment and variations from international centres.
This excellent textbook should be of reference value to surgeons, gastroenrerologists and interventional rnc.liologists, and
may be considered a reference text for all surgical resident libraries. I recommend it to any surgeon who has subspecialry inter
ests in c.liseases of the pancreas and biliary trace. The contributors to this publication are recognized authorities in the field.
Roger G Keith MD FRCSC FRCS
Chainnan, Departmem of Surgery Royal UniWTsity Hospital Saskatoon , Saskacchewan
IN-DEPTH LOOK AT THE LIVER The Human Liver: A Scanning Electron Microscopic Atlas, by Franz-Josef Vonnahme ( l993). Karger AG, Allschwilerstrasse 10 PO Box Postfacb, CH-4009 Basel, Switzerland. 100 pages; SFr 82.
Scanning electron microscopy, providing
three-dimens ional, close-up views of anatomy, revisits the renaissance quest of un
c.lerscanc.ling funct ion through a knowledge
of structure. The resulting pictures are among the most beautiful in mL,c.Jicine. Al-
CAN) GASTROENTEROL VOL 8 No 3 MAYnUNE l994
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