| SECTION I: ACUTE PANCREATITIS |
| Question 1 | How Much Fluid Should Be Given During the Initial Management of Acute Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 2 | Should I Check a C-Reactive Protein During All Admissions for Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 3 | When Should I Consider Performing a Computed Tomography of the Abdomen in Patients With Acute Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 4 | When Would You Use Antibiotics in Acute Pancreatitis, and Which Antibiotics Would You Use? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 5 | What Can Be Done to Minimize Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 6 | What Is the Best Approach to Nutrition in Acute Pancreatitis? |
| Shishir K. Maithel, MD and Charles M. Vollmer, Jr, MD |
| Question 7 | When Should Gallstones Be Considered the Etiology of Acute Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 8 | When Should an Endoscopic Retrograde Cholangiopancreatography Be Performed in Acute Gallstone Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 9 | My Patient Had a Single Episode of Uncomplicated Gallstone Pancreatitis. Should He Have a Cholecystectomy, and, if so, When? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 10 | Should a Cholecystectomy Be Performed on Patients With Acute Pancreatitis, No Gallstones, but Sludge in the Gallbladder? |
| Benjamin E. Young II, MD |
| Question 11 | When Would You Perform Surgery in Acute Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 12 | What Should Be the Sequence of Investigations for a Patient With Recurrent, Unexplained Acute Pancreatitis? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 13 | How Is Hypertriglyceridemia Treated When Suspected in Causing Acute Pancreatitis? |
| Susan Ramdhaney, MD and Scott Tenner, MD, MPH |
| Question 14 | My Patient With Crohn's Disease Developed Pancreatitis on Imuran. Can He Take 6-MP? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 15 | My Patient With Acute Pancreatitis Has a Computed Tomography Scan With Thrombosis of the Splenic Vein. Is It Safe to Anticoagulate Him? |
| Susan Ramdhaney, MD and Alphonso Brown, MD, MS Clin Epi |
| SECTION II: CHRONIC PANCREATITIS |
| Question 16 | How Is the Diagnosis of Chronic Pancreatitis Established? |
| Jonathan Ari Erber, MD and Frank G. Gress, MD |
| Question 17 | What Is the Best Method of Treating Pain in Patients With Chronic Pancreatitis? |
| Kumaravel Perumalsamy, MD and Scott Tenner, MD, MPH |
| Question 18 | Is There a Role of Pancreatic Enzymes to Treat Pain in Patients With Chronic Pancreatitis? |
| Sagar Garud, MD, MS and Alphonso Brown, MD, MS Clin Epi |
| Question 19 | What Is the Pathophysiology of Alcohol-Induced Injury to the Pancreas? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 20 | When Should One Suspect Autoimmune Pancreatitis as a Cause of Acute or Chronic Pancreatitis? |
| Jonathan Ari Erber, MD and William Franklin Erber, MD |
| Question 21 | What Are the Complications of Chronic Pancreatitis? |
| Jonathan Ari Erber, MD and Frank G. Gress, MD |
| SECTION III: CYSTIC PANCREATIC LESIONS |
| Question 22 | My Patient Is a Middle-Aged Woman With an Asymptomatic 5-cm Fluid-Filled Cyst in the Tail of the Pancreas, Found Incidentally on Abdominal Computed Tomography Scanning. What to Do Next? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 23 | What Is the Best Approach to a Cystic Lesion in the Tail vs Head of the Pancreas When the Diagnosis Cannot Be Clearly Established? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 24 | Endoscopic Ultrasound-Guided Fine Needle Aspiration of a Pancreatic Cyst in This Patient Yielded Fluid With an Amylase of 4500 and a Carcinoembryonic Antigen of 20. Is This Normal? |
| Ilan Aharoni, MD and Scott Tenner, MD, MPH |
| Question 25 | Why Is It Important to Distinguish Serous Cystadenoma and Mucinous Cystadenoma? |
| Hani Abdallah, MD and Alphonso Brown, MD, MS Clin Epi |
| Question 26 | My Hospital Does Not Have an Endoscopic Ultrasonographer. Is It Safe for Me to Use Computed Tomography-Guided Fine Needle Aspiration for a Pancreatic Lesion? |
| Richard O'Farrell, MD |
| Question 27 | How Does One Manage Pseudocysts? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 28 | How Do I Determine When a Pseudocyst Has Become Infected? How Do I Manage This? |
| Nison Badalov, MD and Robin Baradarian, MD, FACG |
| Question 29 | My Patient Has a Large Pancreatic Cyst. Should I Involve a Surgeon in the Evaluation and Management of This Situation? |
| John D. Christein, MD |
| Question 30 | When Should Endoscopic Therapy of the Pseudocyst and/or Organized Necrosis in Acute Pancreatitis Be Applied? |
| Nison Badalov, MD and Robin Baradarian, MD, FACG |
| SECTION IV: PANCREATIC CANCER |
| Question 31 | What Are the Risk Factors for the Development of Pancreatitic Cancer? |
| Nison Badalov, MD and Robin Baradarian, MD, FACG |
| Question 32 | What Is the Best Approach to Staging Pancreatic Cancer? |
| Nison Badalov, MD and Robin Baradarian, MD, FACG |
| Question 33 | What Are the Treatment Options for Early and Locally Advanced Pancreatic Cancer? |
| Paul S. Sepe, MD |
| SECTION V: OTHER PANCREATIC NEOPLASMS |
| Question 34 | In a Patient With Recurrent Hypoglycemia, How Does One Evaluate for an Insulinoma? |
| Susan Ramdhaney, MD and Alphonso Brown, MD, MS Clin Epi |
| Question 35 | My Patient Has Chronic Diarrhea and Extensive Work-Up Has Been Negative. How to Establish a Diagnosis in a Patient Suspected of Having VIPoma? |
| Jack P. Braha, DO; Robin Baradarian, MD, FACG; and Nison Badalov, MD |
| Question 36 | My Patient Has Reflux Esophagitis in Spite of Daily Omeprazole. His Serum Gastrin on Omeprazole Is 750. What Is the Next Step in Evaluation for Gastrinoma? |
| Susan Truong, HMS III and Alphonso Brown, MD, MS Clin Epi |
| Question 37 | What Masses Mimic Pancreatic Cancer? |
| Susan Truong, HMS III and Alphonso Brown, MD, MS Clin Epi |
| SECTION VI: BILIARY |
| Question 38 | What Is the Role of Cholangiopancreatoscopy in Pancreaticobiliary Disease? |
| Greg Guthrie, MD and Young Lee, MD |
| Question 39 | My Patient Had a Magnetic Resonance Cholangiopancreatography to Evaluate for Common Bile Duct Stones, but the Reading Includes a "Double Duct Sign." What Does This Mean? Does It Need Endoscopic Retrograde Cholangiopancreatography? |
| Hui Hing (Jack) Tin, MD and Jai Mirchandani, MD |
| Question 40 | How Should I Discuss the Risks of Post-Procedure Pancreatitis With a Patient Whom I Am Consenting for Endoscopic Retrograde Cholangiopancreatography? Do I Really Have to Tell Him He Could Die? |
| Susan Ramdhaney, MD and Alphonso Brown, MD, MS Clin Epi |
| Question 41 | In a Patient With Gallstone Pancreatitis, When Should an Endoscopic Retrograde Cholangiopancreatography and/or Magnetic Resonance Cholangiopancreatography Be Performed Preoperatively? |
| Nison Badalov, MD and Robin Baradarian, MD, FACG |
| Question 42 | I Have a Patient With Suspected Primary Sclerosing Cholangitis. What Do I Need to Know and How Do I Establish the Diagnosis? |
| Ronald Concha-Parra, MD and Frank G. Gress, MD |
| Question 43 | Caroli's Disease, What Do I Need to Know? |
| Mustafa A. Tiewala, MD and Frank G. Gress, MD |
| Question 44 | Choledochal Cyst, What to Do? Watch, Ignore, or Operate? |
| Yuriy Tsirlin, MD and Frank G. Gress, MD |
| Question 45 | What to Do in a Patient Suspected of Having Cholangiocarcinoma? |
| Hui Hing (Jack) Tin, MD and Robin Baradarian, MD, FACG |
| Question 46 | How Often Should I Perform Endoscopic Retrograde Cholangiopancreatography in Order to Retain an Adequate Level of Skill? |
| Susan Ramdhaney, MD and Alphonso Brown, MD, MS Clin Epi |
| SECTION VII: MISCELLANEOUS |
| Question 47 | What Is the Best Approach to the Patient With Suspected Sphincter of Oddi Dysfunction? |
| Nison Badalov, MD and Scott Tenner, MD, MPH |
| Question 48 | When Should a Pancreatic Duct Stent Be Used? |
| Ian Wall, DO and Robin Baradarian, MD, FACG |
| Question 49 | How Do I Evaluate for and Treat Patients With Autoimmune Pancreatitis? |
| Shishir K. Maithel, MD and Charles M. Vollmer, Jr, MD |