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February 10, 1962

Surgical Diseases of the Pancreas

Author Affiliations

Excerpted from Arch Intern Med 108:807 (Dec.) 1961.

JAMA. 1962;179(6):473. doi:10.1001/jama.1962.03050060083030

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Abstract

The book is quite complete, up-to-date, and very well documented. Although several sections have been written by different authors, there is a commendable degree of continuity and readability.

The first part of the book deals with basic ideas of the pancreas. Both important facts and fancies are highlighted and considered at some length.

The value and limitations of enzyme (amylase and lipase) determinations is considered in some detail and it is emphasized that the diagnosis of acute pancreatitis cannot be made on the basis of the enzyme tests alone. The usefulness of the peritoneal tap and analysis of the peritoneal enzyme content is discussed, and it would appear that this technique may become a very important diagnostic measure in the future. The treatment of acute pancreatitis described is the accepted conservative approach which is altered when the diagnosis is in doubt or when specific complications develop. The mortality from acute

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