Diagnostic Procedures in Pancreatic Disease

Introductory Remarks.- Revised Marseille Classification of Pancreatitis.- Clinical Symptoms and Signs in Pancreatic Diseases.- A. Acute Pancreatitis.- Pathomorphology of Acute Pancreatitis in Relation to Its Clinical Course and Pathogenesis.- I. Imaging Procedures.- Ultrasound in Acute Pancreatitis.- Controversies and Limitations of Ultrasonography in Acute Pancreatitis.- Computed Tomography in Acute Pancreatitis.- Grading of Acute Pancreatitis by Computed Tomography Morphology.- Preoperative Endoscopic Retrograde Pancreatography in Acute Pancreatitis.- How do Imaging Methods Influence the Surgical Strategy in Acute Pancreatitis?.- II. Functional Methods.- Entry of Pancreatic Enzymes into the Circulation.- Role of Pancreatic Enzymes in Acute Pancreatitis.- Methodological Progress in Pancreatic Enzyme Determination.- Immunochemical Methods of Pancreatic Enzyme Determination.- Value of Pancreatic Serum Enzyme Determination for Diagnosis of Acute Pancreatitis.- Is There a Most Useful Parameter for the Diagnosis of Acute Pancreatitis?.- Serum and Urinary Pancreatic Enzymes in Differential Diagnosis of Acute Pancreatitis.- III. Prognostic Evaluation.- Which Factors are of Value in the Prognosis of Acute Pancreatitis?.- Antiproteases and Nonspecific Inflammatory Parameters in the Monitoring of Acute Pancreatitis.- Correlation of Imaging Procedures, Biochemical Parameters, and Clinical Stage in Acute Pancreatitis.- Outcome of Necrotizing Pancreatitis in Relation to Morphological Parameters.- B. Chronic Pancreatitis.- Pathomorphology of Chronic Pancreatitis.- I. Imaging Procedures.- Ultrasound in Chronic Pancreatitis.- Critical Evaluation and Controversial Points of Ultrasound Findings in Chronic Pancreatitis.- Computed Tomography in Chronic Pancreatitis.- Critical Evaluation and Controversial Points of Computed Tomography Findings in Chronic Pancreatitis.- Endoscopic Retrograde Pancreatography Findings and Their Grading in Chronic Pancreatitis.- Limitations in the Interpretation of Endoscopic Retrograde Pancreatography Findings in Chronic Pancreatitis.- Ultrasound, Computed Tomography and Endoscopic Retrograde Pancreatography in the Diagnosis of Chronic Pancreatitis: A Comparative Evaluation.- II. Function Tests.- Regulation of Enzyme, Electrolyte, and Fluid Secretion in the Exocrine Pancreas.- Pancreatic Function Test by Means of Duodenal Intubation.- Biochemical Markers of Chronic Pancreatitis.- Indirect Pancreatic Function Test with NBT-PABA.- The Indirect Pancreatic Function Test "Pancreolauryl" in Chronic Pancreatitis.- Fecal Chymotrypsin in Chronic Pancreatitis Disease.- Fat Digestion Tests: Stool Analysis and Radiolabelled Tests.- Serum Enzymes in Diagnosis of Chronic Pancreatitis.- Endocrine Parameters in the Diagnosis of Chronic Pancreatitis.- Combined Functional and Morphological Diagnostic Approach in Chronic Pancreatitis.- Correlation of Morphological Lesions, Functional Changes, and Clinical Stages in Chronic Pancreatitis.- C. Pancreatic Cancer.- Pathomorphology of Pancreatic Cancer.- Parenchymal Imaging in Pancreatic Cancer.- Ductal Imaging in Pancreatic Cancer.- Ultrasound-Guided Fine-Needle Biopsy in the Diagnosis of Pancreatic Tumors.- Cytological Diagnosis of Pancreatic Tumors.- New Antigens and Monoclonal Antibodies for Serological Diagnosis, Follow-up, and Scintigraphic Localization in Pancreatic Cancer.- Monoclonal Antibodies in Pancreatic Cancer: New Developments.