By William R. Jarnagin MD
Extensively revised with new illustrations, new scientific pictures, and bonus movies from Dr. Blumgart’s personal assortment, this two-volume vintage textual content continues to be the such a lot finished and updated source on surgical procedure of the hepatobiliary and pancreatic region. Dr. William Jarnagin and his group of the world over famous surgeons proceed the Blumgart’s culture of excellence, bringing you the most recent advances in diagnostic and surgical thoughts. You’ll locate updates at the latest minimally invasive surgical procedures, new interventional diagnostic strategies, and whole assurance of all suitable ailments, together with these noticeable within the tropics.
- Considers all world wide reviews and ways to administration,
- Includes bonus movies of surgical procedures from Dr. Blumgart’s personal records, in addition to operative video clips from the Memorial Sloan Kettering video library, exhibiting you the way to continue step-by-step for optimum sufferer outcomes.
- Covers precisely what you want to be aware of,
- Expert seek advice™ e-book model integrated with purchase.
and contains key info on surgical results to higher tell your scientific decision-making.
balancing simple technology with details on medical perform.
This enhanced booklet experience permits you to seek all the textual content, figures, video clips, and references from the booklet on numerous units.
- Presents innovative information on pathology, diagnostics, surgical procedure and non-operative intervention of the liver, biliary tract, and pancreas in a single, accomplished reference.
- Covers the newest non-surgical treatments for pancreatic melanoma, microwave ablation, and different rising technologies.
- Brings you brand new with fresh advancements
- Features an widely revised artwork and representation application, with new anatomical line drawings (including 1000s now in color), greater than 750 new medical images, extra schematic diagrams that summarize details, and new graphs and algorithms throughout.
in transplantation, minimally invasive surgical procedure, percutaneous units, pre- and post-care, blood transfusion, and surgical suggestions for the spleen.
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Additional info for Blumgart's Surgery of the Liver, Pancreas and Biliary Tract
Case RM, Argent BE, 1993: Pancreatic duct cell secretion: control and mecha nisms of transport. In Go VLW, et al (eds): The Pancreas: Biology, Pathobiol ogy, and Disease, 2nd ed. New York, Raven Press, pp 301-350. Chen WL, et al, 1989: Clinical usefulness of dual-label Schilling test for pancre atic exocrine function. Gastroenterology 96:1337-1345. Chowdhury RS, Forsmark CE, 2003: Review article: pancreatic function testing. Aliment Pharmacol Ther 17:733-750. Creutzfeldt W, 1979: The incretin concept today.
The indirect tests are the least invasive and most widely available of the tests, but they also are the least sensitive, and such tests are most likely to be normal in patients with mild degrees of pancreatic functional loss. Indirect Pancreatic Function Tests Conceptually, fecal fat analysis is the simplest of the indirect pancreatic function tests. It is based on the fact that pancreatic lipase is the enzyme responsible for most fat digestion, and diminished lipase secretion results in fat malabsorption.
In many species, including mice, the maximal concentration of HCO3− in pancreatic juice is only 80 mmol/L, which can be achieved by secretion of HCO3− via the HCO3−/Cl− exchanger SLC26A6. In humans and guinea pigs, however, maximal HCO3− concentrations in pancreatic juice can reach 140 mmol/L; to achieve these high concentrations, another mechanism is required—secretion via CFTR in response to activation by cAMP (Ishiguro et al, 2009). In an overall sense, the secretion of HCO3− at the luminal surface generates a net negative trans epithelial current and an ionic gradient, and these changes draw Na+ and water into the lumen via paracellular pathways.