Skip to main content

State of Art

  • Conference paper
Facing the Pancreatic Dilemma
  • 55 Accesses

Abstract

In most patients, the cause of pancreatitis is readily diagnosed and in most countries, the major causes are either alcohol, or have an association with gallstones. There are a number of less common causes of pancreatitis, but in a small percentage of patients, the aetiology is unknown and the diagnosis of idiopathic pancreatitis is given. If as often occurs, this condition becomes recurrent, then it is labelled as idiopathic recurrent pancreatitis. The true prevalence of the condition is unknown, as in certain cases, the pancreatitis might be due to very small calculi that have been otherwise undetected. However, there is no doubt that an idiopathic condition does exist as has been shown on the results of outcome of specific treatment of a number of well documented cases.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Arndorfer RC, Staff JJ, Dodds WJ, Linehan JH, Hogan WJ (1977) Improved infusion system for intraluminal oesophageal manometry. Gastroenterology 73:23–27

    PubMed  CAS  Google Scholar 

  • Bolondi L, Gaiani S, Gullo L, Labo G (1984) Secretin administration induces a dilatation of the main pancreatic duct. Dig Dis Sci 29:802–808

    Article  PubMed  CAS  Google Scholar 

  • Geenen JE, Hogan WJ, Dodds WJ, Steward ET, Arndorfer RC (1980) Intraluminal pressure recording from the human sphincter of Oddi. Gastroenterology 78:317–324

    PubMed  CAS  Google Scholar 

  • Geenen JE, Hogan WJ, Dodds WJ, Toouli J, Venu RP (1989) The efficacy of endoscopic sphincterotomy in post-cholecystectomy patients with sphincter of Oddi dysfunction. N Engl J Med 320:82–87

    Article  PubMed  CAS  Google Scholar 

  • Moody FG, Becker JM, Potts JR (1983) Transduodenal sphincteroplasty and transampullary septectomy for post-cholecystectomy pain. Ann Surg 197:627–636

    Article  PubMed  CAS  Google Scholar 

  • Okazaki K, Yamamoto Y, Nishimori I et al. (1988) Motility of the sphincter of Oddi and pancreatic main ductal pressure in patients with alcoholic gallstone-associated and idiopathic chronic pancreatitis. Am J Gastroenterol 83:820–826

    PubMed  CAS  Google Scholar 

  • Radderwi HM, Geenen JE, Hogan WJ, Dodds WJ, Venu RP, Johnson GK (1991) Pressure measurements from biliary and pancreatic segments of sphincter of Oddi. Dig Dis Sci 36:71–74

    Article  Google Scholar 

  • Roberts-Thomson IC, Toouli J (1985) Abnormal responses to morphine neostigmine in patients with undefined biliary type pain. Gut 26:1367–1372

    Article  Google Scholar 

  • Rolny P, Arleback A, Funch-Jensen P, Kruse A, Jarnerot G (1989) Clinical significance of manometric assessment of both pancreatic duct and bile duct sphincter in the same patient. Scand J Gastroenterol 24:751–754

    Article  PubMed  CAS  Google Scholar 

  • Ros E, Navaro S, Bru C, Garcia-Puges A, Valdrerrama R (1991) Occult microlithiasis in “idiopathic” acute pancreatitis: prevention of relapses by cholecystectomy or ursodeoxycholic acid therapy. Gastroenterology 101:1701–1709

    PubMed  CAS  Google Scholar 

  • Toouli J, Hogan WJ, Geenen JE, Dodds WJ, Arndorder RC (1982) Action of cholecystokinin octapeptide on sphincter of Oddi basal pressure and phasic wave activity in humans. Surgery 92:497–503

    PubMed  CAS  Google Scholar 

  • Toouli J, Roberts-Thomson IC, Dent J, Lee J (1985) Sphincter of Oddi motility disorders in patients with idiopathic recurrent pancreatitis. Br J Surg 72:859–863

    Article  PubMed  CAS  Google Scholar 

  • Toouli J, Roberts-Thomson IC, Dent J, Lee J (1985) Manometric disorders in patients with suspected sphincter of Oddi dysfunction. Gastroenterology 88:1243–1250

    PubMed  CAS  Google Scholar 

  • Venu RP, Geenen JE, Hogan WJ, Stone J, Johnson GK, Soergel K (1989) Idiopathic recurrent pancreatitis: an approach to diagnosis and treatment. Dig Dis Sci 34:56–60

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Toouli, J. (1994). State of Art. In: Pederzoli, P., Cavallini, G., Bassi, C., Falconi, M. (eds) Facing the Pancreatic Dilemma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79167-3_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-79167-3_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-58284-7

  • Online ISBN: 978-3-642-79167-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics