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Abstracts

Pancreatic Imaging*

Patrick C. Freeny, MD

This lecture will discuss the techniques and applications of the newest pancreatic cross-sectional imaging modalities. The specific modalities that will be discussed include helical CT with dual-phase imaging and three-dimensional computer rendering techniques, magnetic resonance imaging and magnetic resonance cholangiopancreatography, and radionuclide scintigraphy using positron emission scanning and somastatin-receptor imaging.

Helical CT (dual or single phase) currently is the technique of choice for imaging the pancreas in patients with suspected pancreatic carcinoma or acute or chronic pancreatitis. It is highly reliable for diagnosis, staging, and can be used to guide interventional techniques, such as percutaneous biopsy or catheter drainage. MR and MRCP serve as useful adjunctive techniques if intravenous contrast is contraindicated for use with CT or if definition of pancreatic or biliary duct anatomy is needed.

Radionuclide imaging using PET scanning may be useful for staging patients with pancreatic carcinoma or for differentiation of inflammatory and neoplastic masses. Somatostatin receptor imaging is useful for evaluation of patients with suspected neuroendocrine neoplasms.
Abstracts

"Dome Down" Laparoscopic Cholecystectomy
Glenn L. Sandler, MD

Endoscopic Drainage of Pancreatic Pseudocyst
Gary C. Vitale, MD

Thoracoscopic Splanchnicectomy for Pancreatic Pain
Henry L. Laws, MD


CT Guided Percutaneous Drainage of Infected Acute Necrotizing Pancreatitis
Patrick C. Freeny, MD

Management of Metastatic Carcinoma
T. S. Ravikumar, MD

Management of Liver Trauma
Juan C. Asensio, MD

Management of Benign Liver Tumors
Leslie H. Blumgart, MD, FRCS

Role and Techniques of "Dome-Down" Laparoscopic Cholecystectomy
Glenn L. Sandler, MD

Thoracoscopic Splanchnicectomy for Pancreatic Pain
Henry L. Laws, MD

Current ConceptsæAdequate Pain Management
Young K. Choi, MD

Prevention and Management of Infection Complicating Acute Pancreatitis
Henry L. Laws, MD

Indication for and Timing of ERCP in Biliary Pancreatitis
John Baillie, MB, ChB, FRCP

Timing of Laparoscopic Cholecystectomy After Biliary Pancreatitis
Gary C. Vitale

Magnetic Resonance Angiography
Martin R. Prince, MD, PhD

Pancreatic Imaging
Patrick C. Freeny, MD


Endoscopic Ultrasonography
Charles Noyer, MD

Limited Gastric Resection
Jo Buyske, MD

Current ConceptsæManagement of Pancreatic Carcinoma
Henry A. Pitt, MD

Watchful Waiting in the Management of Inguinal Hernia
Robert J. Fitzgibbons, MD

Treatment of Incisional (Ventral) Hernias: Open Repair
Maximo Deysine, MD, FACP

Treatment of Incisional (Ventral) Hernias: Laparoscopic Repair
Adrian E. Park, MD

Indications for Converting to Open Operation
John G. Hunter, MD

Medicolegal Implications of Common Bile Duct Injury During Laparoscopic Cholecystectomy
Kenneth A. Kern, MD, FACS

Role and Technique of Pylorus Preserving Pacreatectomy
Henry A. Pitt, MD