Paul G. Lankisch - Böcker
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3 produkter
1 092 kr
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This book reviews the special role of pancreatic enzymes in normal digestion and gives practical advice for pancreatic enzyme treatment in pancreatic disorders. Pancreatic enzymes play a decisive role in the digestion of fat, protein and carbohydrates. However, they experience a nonparallel decrease during their aboral transit. This physiological role has implications for enzyme treatment in the diseased pancreas. There is no doubt that pancreatic enzymes are necessary for pancreatic enzyme substitution in exocrine pancreatic insufficiency. However, such a treatment may be ineffective under special conditions. Recent investigations have shown that the efficacy of pancreatic enzyme substitution depends on the size of the enzymes required for simultaneous transport with food and on their protection against gastric acid inactivation and inactivation by protolytic enzymes. Other investigations have shown that, because of a negative feedback mechanism, pancreatic enzymes may ameliorate pancreatic pain. This evidence indicates that the main symptoms of chronic pancreatitis - pain, exocrine and endocrine pancreatic insufficiency - may thus be combated by pancreatic enzyme treatment.This book of proceedings on internal medicine, gastroenterology and metabolic diseases is intended for clinicians and practitioners.
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This symposium volume summarizes research that has advanced our understanding of both the basic mechanisms of pancreatic physiology and pathophysiology and the diagnosis and treatment of the diseases of the exocrine pancreas. By doing so, it serves to give direction to future research. Diseases discussed include acute and chronic pancreatitis, cystic fibrosis, and pancreatic cancer. The volume also reflects a central concern of the symposium: to stimulate young persons embarking on a career in this area.
1 092 kr
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As we began to plan this book about 10 years ago, we wanted to write a practical book for medical students, doctors in training, internists, gas and surgeons faced with everyday clinical problems in troenterologists, the care of patients with acute and chronic pancreatitis. Now, 10 years lat er, our book has become much more than what we had originally intend ed, with so many new findings that have expanded our knowledge of pancreatic diseases, not to mention new imaging procedures and con trolled studies on the effectiveness of various therapies. Consequently, we decided to include: • The state-of-the-art on diagnosis and therapy in inflammatory pan creatic diseases • Recommendations for diagnosis and therapy based on the published results from experienced clinicians. In the many areas still untested we have relied on the decades of experience of the two authors on both sides of the Atlantic • A discussion of unanswered questions for future research by physi cians interested in pancreatitis who can draw upon our bibliography of almost 1900 references complete through 1996. We also wanted to demonstrate with this work that two authors from two continents can come to common conclusions that can help physicians and students in their everyday clinical work and their clinical research. It is with deep gratitude that we acknowledge the assistance of Mrs. Gisela Ropte for years of patient cooperation, great precision, and initia tive, as well as that of Dr. Dr.