Updated: 03/11/08 01:22 PM
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Authors: G. Leinbach, B.J. Reid, D.R. Saunders, and T.D. Nguyen
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G. Key Points

  1. The pancreas has three main functions: to secrete sodium bicarbonate to neutralize gastric acid; to secrete digestive enzymes; and to secrete endocrine hormones to regulate intermediary metabolism.


  2. In pancreatitis, it is believed that digestive enzymes become activated within acinar cells. Autodigestion, inflammatory mediators, ischemia, and secondary infection account for pathological and clinical consequences.


  3. More than 75% of pancreatic tissue must be destroyed before features of pancreatic insufficiency become obvious.


  4. Pancreatic cancer is now the fourth leading cause of cancer death in the U.S.


  5. Patients with cystic fibrosis have defective secretory chloride channels.
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