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Chronic pancreatitis is a painful inflammatory disease affecting the exocrine and endocrine pancreas. Pancreatic failure may ultimately supervene, along with complications involving the surrounding viscera and vasculature. Alcohol remains the commonest aetiology although there are many other causes, including toxins, structural abnormalities, autoimmune inflammation and genetic predisposition. This...
The field of gastrointestinal endoscopy has progressed significantly in the last few decades. There has been a tremendous expansion leading not only to improved diagnosis but treatment of gastrointestinal disorders, especially early neoplasia. Many gastrointestinal disorders originally requiring surgical intervention are now being managed using less and minimally invasive means. In terms of the management...
Gallstones are common, but most are asymptomatic and need no treatment. Typical presentations include biliary colic and acute cholecystitis. Chronic symptoms overlap with irritable bowel syndrome and non-ulcer dyspepsia, which may lead to uncertainty in identifying the cause of the symptoms. Complications of gallstones include empyema and mucocoele of the gallbladder, acute pancreatitis and obstructive...
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