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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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