Download e-book for iPad: Adrenal Glands Diagnostic Aspects and Surgical Therapy by Dimitrios A. Linos, Jon A. van Heerden

By Dimitrios A. Linos, Jon A. van Heerden

ISBN-10: 3642074324

ISBN-13: 9783642074325

- Over two hundred beautiful illustrations, starting from intraoperative photos, line drawings, diagnostic photos, pathology slides, tables and graphs can be found to make each one case mentioned understandable and straightforward to follow.
- conventional and novel healing techniques are introducedand the most recent advancements in minimal-access operative innovations are mentioned and reviewed.
- specializes in a teamwork orientated technique that identifies the required communications among the numerous scientific disciplines whilst facing adrenal issues.

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Extra resources for Adrenal Glands Diagnostic Aspects and Surgical Therapy

Example text

2 Surgical Anatomy Liver Gallbladder Adrenal gland Adrenal vein Inferior vena cava Right renal vein Kidney Fig. 13. Anatomical relationships of the right adrenal gland during a laparoscopic approach. (After [18, pp. Although these regions are small in comparison to many organs, they can lead to significant pathology from either primary or metastatic hyperfunctioning neoplasia or hyperplasia. The details of various adrenal disorders will be discussed in subsequent chapters. From the miraculous work of renowned surgeons like Mayo, Thorton and Young, adrenalectomy became a safe and effective therapy for adrenal disorders [12].

Gold PW, Gwirtsman H, Avgerinos P, et al (1986) Abnormal hypothalamic-pituitary-adrenal function in anorexia nervosa: Pathophysiologic mechanisms in underweight and weight-corrected patients. N Engl J Med 314:1335–1342 48. Gold PW, Loriaux DL, Roy A, et al (1986) Responses to the corticotropin-releasing hormone in the hypercortisolism of depression and Cushing’s disease: Pathophysiologic and diagnostic implications. N Engl J Med 314:1329–1335 49. Gomez MT, Magiakou MA, Mastorakos G, Chrousos GP (1993) The pituitary corticotroph is not the rate-limiting step in the postoperative recovery of the hypothalamic pituitary adrenal axis in patients with Cushing’s syndrome.

Lighting and activity. The adrenal cortex is the principal target organ for ACTH, which acts as the major regulator of cortisol and adrenal androgen production by the zonae fasciculata (central zone) and reticularis (inner zone), respectively. ACTH is also essential for aldosterone biosynthesis from the zona glomerulosa (outer zone), although aldosterone secretion is primarily under the control of the renin-angiotensin axis [4, 111]. The biologic activity of ACTH resides in the N-terminal portion, with the first 24 amino acids necessary for maximal activity.

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Adrenal Glands Diagnostic Aspects and Surgical Therapy by Dimitrios A. Linos, Jon A. van Heerden


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