Chronic pancreatitis historical perspective

Jump to navigation Jump to search

Chronic pancreatitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Chronic pancreatitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Abdominal X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

American Pancreatic Association Practice Guidelines

APA Clinical Practice Guidelines for Chronic pancreatiits

Chronic pancreatitis historical perspective On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Chronic pancreatitis historical perspective

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Chronic pancreatitis historical perspective

CDC on Chronic pancreatitis historical perspective

Chronic pancreatitis historical perspective in the news

Blogs on Chronic pancreatitis historical perspective

Directions to Hospitals Treating Chronic pancreatitis

Risk calculators and risk factors for Chronic pancreatitis historical perspective

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]

Overview

The concept of pancreas and pancreatic duct was first described by Johannes Wirsung of Padua in 1642. In 1761, Giovanni Morgagni described the clinical syndrome of severe upper abdominal pain, vomiting, and collapse. He is also credited with the earliest pathological recognition of cancer of the pancreas. In 1948, Eliason and Welty described distal pancreatectomy (DP). In 1980, Beger described duodenal-preserving pancreatic head resection (DPPHR) technique for chronic pancreatitis to decrease the morbidity of pancreatic head resection.

Historical Perspective

The historical landmarks in the diagnostic evaluation and management of acute pancreatitis are as follows:[1][2]

  • In 1642, Johannes Wirsung of Padua first described the pancreatic duct and the concept of the pancreas as a secretory organ.
  • In 1652, Nicholaes Tulp was credited with the first description of acute pancreatitis.
  • In 1737, Giovanni Santorini of Venice identified a second, accessory duct and was credited with primacy in the discovery of the ampulla of Vater.
  • In 1887, Rugero Oddi published his observations of the structure and function of the choledochal sphincter in Archives Italiennes de Biologie that laid the basis for understanding its role in pancreatic and biliary disease.
  • In the 16th century, Sylvius Franciscus de la Boe Sylvius found that the pancreas discharged a fluid that mixed with the partly digested food and bile in the intestine causing an effervescence ("effervescentia intestinalis") which liquefied food.
  • In the 16th century, Regnier de Graaf of Delft devised novel surgical techniques to create pancreatic fistulas (center) to collect this juice for analysis.
  • In 1761, Giovanni Morgagni described the clinical syndrome of severe upper abdominal pain, vomiting, and collapse. He is also credited with the earliest pathological recognition of cancer of the pancreas.
  • In 1842, Karl von Rokitansky, the premier pathologist of Vienna (Wiener Allgemeines Krankenhaus) was the first one to recognize acute hemorrhagic pancreatitis.
  • In late 18th century, Reginald Fitz described 3 forms of acute pancreatitis (hemorrhagic, suppurative, and gangrenous) and proposed that fat necrosis was a sequel of severe pancreatitis.
  • In late 18th century, Nicholas Senn of Chicago, not only addressed the mechanisms of acute pancreatitis but also provided rational insight into the validity of surgical techniques for its treatment.
  • In 1948, Eliason and Welty described distal pancreatectomy (DP).[3]
  • In 1980, Beger described duodenal-preserving pancreatic head resection (DPPHR) technique for chronic pancreatitis to decrease the morbidity of pancreatic head resection.[4][5][6][4][7][8]

References

  1. Pannala R, Kidd M, Modlin IM (2009). "Acute pancreatitis: a historical perspective". Pancreas. 38 (4): 355–66. doi:10.1097/MPA.0b013e318199161c. PMID 19390402.
  2. Fitz, Reginald H. (1889). "Acute Pancreatitis". The Boston Medical and Surgical Journal. 120 (8): 181–187. doi:10.1056/NEJM188902211200801. ISSN 0096-6762.
  3. Eliason EL, Welty RF (1948). "Pancreatic Calculi". Ann. Surg. 127 (1): 150–7. PMC 1513761. PMID 17859057.
  4. 4.0 4.1 Beger HG, Schlosser W, Friess HM, Büchler MW (1999). "Duodenum-preserving head resection in chronic pancreatitis changes the natural course of the disease: a single-center 26-year experience". Ann. Surg. 230 (4): 512–9, discussion 519–23. PMC 1420900. PMID 10522721.
  5. Klempa I, Spatny M, Menzel J, Baca I, Nustede R, Stöckmann F, Arnold W (1995). "[Pancreatic function and quality of life after resection of the head of the pancreas in chronic pancreatitis. A prospective, randomized comparative study after duodenum preserving resection of the head of the pancreas versus Whipple's operation]". Chirurg (in German). 66 (4): 350–9. PMID 7634946.
  6. Beger HG, Krautzberger W, Bittner R, Büchler M, Limmer J (1985). "Duodenum-preserving resection of the head of the pancreas in patients with severe chronic pancreatitis". Surgery. 97 (4): 467–73. PMID 3983823.
  7. Beger HG, Büchler M, Bittner RR, Oettinger W, Roscher R (1989). "Duodenum-preserving resection of the head of the pancreas in severe chronic pancreatitis. Early and late results". Ann. Surg. 209 (3): 273–8. PMC 1493931. PMID 2923514.
  8. Büchler MW, Friess H, Bittner R, Roscher R, Krautzberger W, Müller MW, Malfertheiner P, Beger HG (1997). "Duodenum-preserving pancreatic head resection: Long-term results". J. Gastrointest. Surg. 1 (1): 13–9. PMID 9834325.


Template:WikiDoc Sources