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Query: UMLS:C0030305 (pancreatitis)
 16,014 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The authors report 3 cases and report the diagnostic usefulness of two signs of minor cholestasis described by one of them in 1966. A relative increase, in the absence of obvious virus hepatitis or cirrhosis, of the serum bilirubin, cholesterol, lipids and alkaline phosphatase, together with B.S.P. excretion. suggest minor cholestasis. The sign of "metacritical aggravation" when there is some suspicion of minor cholestasis, the supervision of the course of the disease, or a retrospective inquiry, permit, in the presence of minor symptoms, such as, pain, fever, jaundice, or pruritus, one to make the diagnosis of minor cholestasis. The latter is due either to the presence of small gall stones in the common bile duct, or to inflammation of the ampulla of Vater, or sphincter of Oddi, a Vaterian ampulloma, pancreatitis, or following damage to the common bile duct. In practice, liver biopsy confirms the diagnosis, and intravenous cholangiography, by the perfusion method, is usually able to demonstrate obstruction of the common bile duct.
Sem Hop 1975 Feb 14
PMID:[Relative increase and metacritic aggravation in the diagnosis of anicteric cholestasis]. 16 83

Massive ascites is are complication, but not exceptional, in pancreatitis. In a series of ten personal cases and a review of one hundred cases in the world literature, the authors attempt to define the main pathological and clinical characteristics of this disease and the best treatment. Ascites may follow abdominal trauma, involving the pancreas, sometimes it occurs during known chronic pancreatitis, often it is the first sign of pancreatic disease, whether acute or chronic. High levels of pancreatic enzymes in the ascitic fluid are the main factor in diagnosis of pancreatic ascites. The mechanism of formation of the ascites is loss of pancreatic fluid into the peritoneal cavity owing to a breach in the pancreas, the presence of enzyme-rich fluid, causing secondarily "chemical" peritonitis. Paracentesis abdominis or drainage of the fluid during exploratory laparotomy, permits one to obtain in certain cases, a cure of the ascites, but surgical drainage by an anastomosis between the pancreatic cyst and the digestive tract (pancreatico-digestive anastomosis), has the advantage of ensuring treatment of the ascites and of the responsible pancreatic disease.
Sem Hop 1975 Mar 20
PMID:[Massive ascites in pancreatitis. Review apropos of 10 personal cases]. 17 57

The authors report four cases of cardiovascular signs in pancreatitis in patients aged between 31 and 42 years. They then consider the main aspects observed. T-wave disorders, pericarditis, myocardial infarction and coronary heart disease and arterio-pancreatic syndrome. They consider the points in common between myocardial infarction and acute pancreatitis and then review the various pathogenic theories proposed.
Sem Hop 1975 Oct 09
PMID:[Cardiovascular manifestations of pancreatitis. Apropos of 4 cases]. 17 85

17 oral glucose tolerance tests with simultaneous estimation of plasma insulin, were carried out in 15 patients with chronic pancreatitis of which 7 were of calcific type. Among these patients, 10 had obvious diabetes and 3 chemical diabetes. The disorders of glucose regulation were more common in the calcific form of the disease. Serum insulin was then lower and not stimulant. The curves of plasma insulin obtained in non-calcific pancreatitis were variable. In hyperinsulinism, the oral glucose tolerance test showed flat or normal curves. In hypoinsulinism, the glucose tolerance tests were either normal or strongly pathological. This insulinism, as shown by this study of chronic pancreatitis, seems to be linked to an imbalance in the cell distribution of the islets of Langerhans. The role of glucagon appears preponderant.
Sem Hop 1976 Dec
PMID:[Study of insulin secretion in chronic pancreatitis]. 18 95

The authors report 5 cases (3 women and 2 men) of extrinsic stenosis of the coeliac axis by the arcuate ligament of the diaphragm. In one of the latter, the stenosis of the coeliac axis was associated with chronic calcific pancreatitis. These 5 patients were operated on. Division of the arcuate ligament gave on the whole very favourable results. (3 excellent results, one good and one average result). The authors then recall the clinical, angiographic and pathogenic data in this disease which remains exceptional. The diagnosis should be made and operation decided only after a fairly long period of observation during which one has elimiatned the diagnoses of gastro-intestinal, gall bladder, pancreatic and above all psychiatric disease by endoscopy, radiography and symptomatic medical treatment.
Sem Hop 1977 Jan 16
PMID:[Extrinsic compression of the celiac trunk by the arcuate ligament of the diaphragm. Apropos of 5 cases]. 18 28

We have studied a family in which three people, two child and an adult had hereditary pancreatitis. Hereditary pancreatitis is not a common disease. Abdominal pain is usually the first clinical sign in children. The knowledge of the existence of such a disease and familiarity with the family history of the child allow the pediatrician to make the diagnosis as soon as the first crisis appears. Surgery is thus avoided. Our studies show definitively that this disease is hereditary and is autosomal dominant with a strong decrease of the penetrance.
Sem Hop
PMID:[Hereditary chronic pancreatitis: an autosomal dominant disease (author's transl)]. 22 88

The association of chronic pancreatitis with diabetes is not very common. Men are the usual victims and ethylism the usual cause. The most common age of onset is between 40 and 50. Insulin treatment is much more frequent than for idiopathic diabetics. Diabetic heredity is probable. Calcifying pancreatitis is the most frequent form. Micro and macroangiopathic complications are found. A statistical comparative study with a matched series of idiopathic diabetics reveals no difference in the onset of vascular complications. The rate of triglycerides is statistically lower in pancreatitis (p less than 0.001). The other biological rates are the same (cholesterol, uricemy, alpha 2 macroglobulin). Diabetic stability is no more difficult to obtain than for idiopathic diabetics. In most cases the diet should be wide and alcohol must be prohibited.
Sem Hop
PMID:[Diabetes and chronic pancreatitis. Report of twenty cases (author's transl)]. 23 6

The authors report a series of 30 cases of acute pancreatitis associated with cholelithiasis. There were 9 cases of necrotizing pancreatitis and the latter group included the 4 deaths observed in this series. Clinical, radiological and laboratory data were in favor of this association in 24 out of the 30 cases. Cholelithiasis appeared to be directly responsible for initiating the pancreatitis in 1/3 of cases. In another 1/3 of cases the mecanism was thought to be related to scarring of the sphincter of Oddi. In the remaining 1/3 of cases no direct relationship could be found. On the basis of these findings, the authors recommend that emergency surgery be reserved for these cases in which cholelithiasis appears to be the etiology. (The biliary syndrome overshadowing the pancreatic syndrome) and to postpone treatment of pancreatic lesions. In all other cases, the authors suggest to keep elective surgery, for after a period of initial conservative treatment with the hope of then treating together biliary and pancreatic lesions.
Sem Hop
PMID:[Acute pancreatitis and cholelithiasis. A study of thirty cases (author's transl)]. 23 83

In this preliminary work, the first results concerning the cytodiagnostic of pancreatic diseases by needle aspiration are reported. 37 aspirations were carried out on 30 patients. 16 during the operation and 21 by transcutaneous way using arteriography in 16 cases, ultrasonic scanning in 3 cases, tomodensitometry in 2 cases, as a guide. In 7 patients, both way were used. Cancer of the pancreas was diagnosed by this technique in 10 cases out of 14, without accident. No results were falsely positive. Skill and good technique would seem to allow to decide between pancreatitis and cancer in doubtful cases and diagnose cancer of the pancreas sufficiently early.
Sem Hop
PMID:[Cytodiagnosis by needle aspiration-biopsy in pancreatic diseases : a preliminary study (author's transl)]. 625 47

Between January 1965 and February 2978, this 47 arteriographies of pancreas retrospective study has been achieved by three investigators expounding each case without clinical information. The authors observe that arteriography is a sensitive and specific investigation for pancreatic cancer (more than 90% correct diagnosis). They insist on its real interest into the cancer extension balance. So the achieved arterial mapping is also very useful to the surgeons before surgical intervention. In return, its interest is more limited for investigation of non tumorous pancreas and especially the chronical pancreatitis. Through the late data of the literature concerning the different technics especially echotomography and total body scanner, a strategy is revealed by the pancreatic cancers exploration.
Sem Hop
PMID:[Hyperselective arteriography value in pancreatic pathology. A retrospective study of 47 cases by 3 different investigations without any clinical information (author's transl)]. 626 57


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