PANACREAS
Pancreas
The pancreas is a vital organ in the human body, playing a crucial role in both the digestive system and the endocrine system. It is located in the abdomen, behind the stomach, and is approximately six inches long. The pancreas has both exocrine and endocrine functions, which are essential for maintaining homeostasis.
Anatomy
The pancreas is divided into four main parts: the head, neck, body, and tail. The head of the pancreas is nestled in the curve of the duodenum, the first part of the small intestine. The neck is the narrow section between the head and the body. The body is the largest part of the pancreas, and the tail extends to the left side of the body, near the spleen.
Exocrine Function
The exocrine function of the pancreas involves the production of digestive enzymes. These enzymes are secreted into the duodenum through the pancreatic duct. The main enzymes produced include amylase, lipase, and proteases such as trypsin and chymotrypsin. These enzymes aid in the digestion of carbohydrates, fats, and proteins, respectively.
Endocrine Function
The endocrine function of the pancreas is carried out by the islets of Langerhans, which are clusters of cells scattered throughout the pancreas. These cells produce important hormones such as insulin, glucagon, and somatostatin. Insulin and glucagon are crucial for the regulation of blood glucose levels. Insulin lowers blood glucose levels, while glucagon raises them.
Diseases of the Pancreas
The pancreas can be affected by several diseases, including pancreatitis, pancreatic cancer, and diabetes mellitus.
Pancreatitis
Pancreatitis is the inflammation of the pancreas. It can be acute or chronic and is often caused by gallstones or excessive alcohol consumption. Symptoms include severe abdominal pain, nausea, and vomiting.
Pancreatic Cancer
Pancreatic cancer is a malignant neoplasm of the pancreas. It is one of the most aggressive forms of cancer and is often diagnosed at a late stage. Symptoms may include jaundice, weight loss, and abdominal pain.
Diabetes Mellitus
Diabetes mellitus is a group of metabolic disorders characterized by high blood sugar levels over a prolonged period. It is caused by either the pancreas not producing enough insulin or the body's cells not responding properly to insulin.
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Contributors: Prab R. Tumpati, MD
