It is with much pleasure that I introduce this first volume in a series
of Topics in Gastroenterology aimed at the intelligent clinician. Dr.
Peter Banks is first and foremost a clinician and teacher and therefore
an ideal lead-off author. His very helpful review of pancreatitis is
based not only on a thorough assimilation of clinical and experimental
evidence but also on his long clinical practice in university hospitals
and in private practice. Dr. Banks understands what we clinicians need
to know about the patho- physiology of this challenging disorder. I
found much practical informa- tion in this volume to help me in thinking
about my own patients, and I recommend it with enthusiasm. Howard M.
Spiro, M.D. vii Preface In the preparation of this book, I have made a
special effort to provide detailed clinical information on the care of
the patient with pancreatitis. The usefulness of newer diagnostic tests
such as amylase/creatinine clearance ratio, ERCP, diagnostic ultrasound,
and C-T scan has been carefully evaluated. Particular attention has been
devoted to the manage- ment of the more difficult therapeutic problems
such as severe protracted pancreatitis, pancreatitis of unknown
etiology, pancreatic pseudocyst, and pancreatic insufficiency. Points of
controversy regarding medical and surgical alternatives in the treatment
of acute and chronic pancreatitis have been reviewed with specific
recommendations for therapy. In all discussions, emphasis has been
placed on basic physiological principles that govern treatment. A
comprehensive and current bibliography accom- panies each chapter.