Chronic pancreatitis historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Please help WikiDoc by adding content here. It's easy! Click here to learn about editing. In 1652, Nicholaes Tulp of Amsterdam was credited with the first description of acute pancreatitis.

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 (acute pancreatitis). 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 (acute pancreatitis). 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.


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