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Pancreas

  • The pancreas is a vital organ that lies in the abdomen, behind the stomach and in close proximity to the duodenum.

  • It plays a crucial role in both the digestive system and the endocrine system, making it unique in its functions and importance to overall health.

Pancreas

Structure of Pancreas

1. Location and Appearance:

  • Elongated organ located behind the stomach, stretching across the back of the abdomen.

2. Parts of the Pancreas:

  • Head: Widest part, nestled in the curve of the duodenum.

  • Body: Extends toward the left side of the body.

  • Tail: Narrow part, extending to the spleen.

3. Tissue Composition:

  • Exocrine tissue: Clusters of acini cells produce digestive enzymes.

  • Endocrine tissue: Islets of Langerhans secrete hormones directly into the bloodstream.

Function of Pancreas

1. Exocrine Function:

  • The pancreas produces digestive enzymes, including lipase, protease, and amylase, which are secreted into the small intestine to assist in the digestion of fats, proteins, and carbohydrates, respectively.

2. Endocrine Function:

  • The islets of Langerhans secrete:

    • Insulin: Lowers blood glucose by helping cells absorb glucose.

    • Glucagon: Raises blood glucose by prompting the liver to release stored glucose.

Disorders of Pancreas

1. Diabetes Mellitus: 

  • Type 1: Autoimmune destruction of insulin-producing beta cells, leading to insulin deficiency.

  • Type 2: Insulin resistance and relative insulin deficiency.

2. Pancreatitis: 

  • Inflammation of the pancreas:

    • Acute: Caused by gallstones or alcohol, leading to sudden abdominal pain.

    • Chronic: Long-term inflammation causing permanent damage.

3. Pancreatic Cancer: 

  • Aggressive cancer often detected in late stages. Risk factors include smoking, chronic pancreatitis, and diabetes.

4. Cystic Fibrosis:

  • A genetic disorder that affects the exocrine function of the pancreas, among other organs.

  • It leads to the production of thick, sticky mucus that can block the pancreatic ducts, inhibiting the release of digestive enzymes and leading to malnutrition and poor growth.

5. Insulinoma: 

  • Rare tumor causing excessive insulin production, leading to hypoglycemia.

Treatment of Pancreas

1.Diabetes:

  • Managed through blood glucose monitoring, diet and lifestyle changes, insulin injections, or oral medications.

2.Acute Pancreatitis:

  • Requires hospitalization for pain management, hydration, and sometimes surgery to remove blockages.

3.Chronic Pancreatitis:

  • Managed with pain relief, pancreatic enzyme supplements, and dietary adjustments.

4.Pancreatic Cancer:

  • Treated with surgery, chemotherapy, and radiation therapy depending on the stage and location of the cancer.

5.Cystic Fibrosis:

  • Focuses on symptom management, including pancreatic enzyme supplements to aid digestion and prevent complications.


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