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From embryology to epidemiology, pathophysiology, diagnosis,
complications, treatment and prognosis, this book provides a
comprehensive overview and the latest evidence-based data on
pancreaticobiliary maljunction (PBM), a congenital malformation in
which the pancreatic and bile ducts join anatomically outside the
duodenal wall. Resulting in various pathologic conditions, such as
biliary cancer and pancreatitis, immediate prophylactic surgery is
recommended upon diagnosis. The standard operative procedure for
congenital biliary dilatation (CBD) is extrahepatic bile duct
resection with bilioenteric anastomosis, but the optimal treatment
of adult patients with PBM without biliary dilatation remains
highly debatable. This book, written by pioneering editors and
authors provides latest data, sheds new light on the disease. With
abundant figures to aid understanding, Pancreaticobiliary
Maljunction and Congenital Biliary Dilatation appeals to a wide
readership, especially adult and pediatric surgeons, physicians
including gastroenterologists and endoscopists, as well as
radiologists and pathologists.
This book provides up-to-date information on all aspects of
autoimmune pancreatitis, a unique form of pancreatitis
characterized clinically by frequent presentation with obstructive
jaundice and dramatic response to steroids, histologically by a
lymphoplasmacytic infiltrate with fibrosis, and radiologically by
pancreatic enlargement. Current concepts regarding the disease and
its classification into subtypes 1 and 2 are explained, and
clinical, serological, and histopathological findings are carefully
described. Imaging features on all the relevant modalities are
illustrated, covering both the pancreas and other involved organs.
Current and emerging therapeutic strategies, including steroids,
immunomodulatory drugs, and rituximab, are then discussed. The
reader will find the book to be an excellent aid to the diagnosis
of autoimmune pancreatitis and its differentiation from
pancreatobiliary malignancies, as well as a clear guide to
treatment.
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