Téma: 

Acute pancreatitis – new diagnostic procedures

Julius Špičák

The conditio sine qua non for therapeutic success is profound knowledge of all aspects of the disease. High-quality intensive care is of key importance with all endoscopic, imaging, and surgical methods available on a 24-hour basis. Among nutritional measures, enteral nutrition is generally preferred to parenteral one. The promise of a number of agents considered for inhibition therapy, based on animal experiments, failed to become a reality. Antibiotic therapy is one of the mainstays; however, it is only indicated in the necrotizing form of the disease. Widely used and accepted antibiotics imipenem, meropenem and cefoperazone exhibit—in addition to their adequate efficacy against the suspected pathogens—high rates of penetration into pancreatic tissue. With surgical therapy, it is non-invasive necrectomy and drainage in several modifications, which have found acceptance. A cautious approach is preferred, which postpones surgery long beyond the third week of hospitalization while completely ruling unscheduled surgery and revisions. Recently, there have been reports on the benefit of the less invasive endoscopic and mini-invasive methods, particularly for draining pancreatic effusion and well demarcated pancreatic necrosis.

Ročník 2004  Témy časopisu Gastroenterology for practice 1 / 2004

CHAIRMAN OF THE EDITORIAL BOARD
prof. MUDr. Rudolf Hyrdel, CSc.

MEMBERS OF THE EDITORIAL BOARD
doc. MUDr. Marian Bátovský, CSc., mim. prof. SZU
prof. MUDr. Juraj Bober, CSc.
MUDr. Ivan Bunganič
prof. MUDr. Petr Dítě, DrSc.
doc. MUDr. Martin Huorka, CSc.
doc. MUDr. Peter Makovník, CSc.
MUDr. Juraj Májek, PhD.
prof. MUDr. Peter Mlkvý, CSc.
MUDr. Tomáš Šálek
MUDr. Renata Szépeová, PhD.
prof. MUDr. Anton Vavrečka, CSc.
MUDr. Mária Zakuciová

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Ing. Danica Paulenová
e-mail: paulenova@amedi.sk

GRAPHIC LAYOUT AND TYPESETTING
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Mgr. Eva Doktorová

PROOFREADING OF ENGLISH TEXTS
Mgr. Jana Bábelová

SECTIONS

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Examples of citations:
1. Vaughan TL, Davis S, Kristal A, et al. Obesity, alcohol and tobacco risk factors for cancers of esophagus and gastric cardia :adenocarcinoma versus squamous cell carcinoma Cancer Epidemiol Biomarkers Prev 1995; 4: 85-92.
2. Gao YT, McLaughlin JT, Gridley T, et al. Risk factors for esophageal cancer in Shanghai, China. Role of diet and nutrients. Int J Cancer 1994; 58: 197-202.
3. Shaheen NJ, Crosby NA, Bozymski EM, et al. Is there publication bias in the reporting cancer risk in Barrett´ esophagus? Gastroenterology 2000; 119: 333-338.

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AUTODIDACTIC TEST

The editorial board reserves the right to make small stylistic changes in the paper. If it is necessary to shorten the paper, the consent of the author will be required. All articles are reviewed.

Origination of pigment stones is related to:
a. acute haemolysis
b. chronic haemolysis
c. hypercalcaemia
d. hyperlipoproteinaemia

The editorial board reserves the right to make small stylistic changes in the paper. If it is necessary to shorten the paper, the consent of the author will be required. All articles are double reviewed.

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