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October 14, 1950

Chirurgie des Pancreas

JAMA. 1950;144(7):595. doi:10.1001/jama.1950.02920070085052

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This monograph deals with the modern surgical aspects of the pancreas. It includes discussions pertaining to acute pancreatitis, chronic pancreatitis, pancreatolithiasis, correlation of pancreatic pathology with other organs and systems, pancreatic trauma, pancreatic cysts and fistulas, duodenopancreatic tumors, technical problems of pancreatoduodenal surgery, islet cell tumors, and hyperinsulinism and hypoinsulinism.

Chapters 2 and 3 deal with acute pancreatitis and are excellently written, especially the part pertaining to the physiopathology of the pancreatic ferments and enzymes. It is pointed out also that changes in the concentration of these enzymes might be found in diseases involving the liver and the parotid gland.

A new statistical study is presented which compares the mortality of operative and conservative therapy in cases of pancreatic necrosis. In one group, the operative mortality is 56 per cent as compared to 19 per cent in the group receiving conservative therapy. The importance of the delayed operation as a

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