Exocrine pancreas

Negligible effects on pancreas zinc concentration and on pancreas exocrine function (Lu and Combs 1988a). 

People of western culture ingest about 100 g of triacylglycerol per day. The digestion and absorption of this lipid, together with the ingested phospholipids, depend on secretions from the pancreas (exocrine) and a flow of bile from the gall-bladder. The important constituents of the pancreatic secretions are enzymes, and those of the bile are the bile salts (Chap. 6). 

In the pediatric population, pancreatic tumors are very unusual entities. They account for less than 5% of all malignancies in children. These tumors may arise from the exocrine or endocrine pancreas. Exocrine neoplasias include ductal adenocarcinoma, acinar adenocarcinoma, pancreaticoblastoma, or infantile adenocarcinoma. Endocrine tumors or islet cell tumors are named after the hormone produced, with insulinoma being the most common in children (Walker 1996). 

Pancreas Oral cholecysto-graphic agent iopanoate ( ) experimental Unknown excretion into pancreatic duct Schmiedl U etal (1994) Imaging of exocrine pancreatic function investigation of the bioavailability of weak organic acids as potential pancreatic contrast agents for computed tomography. Invest Radiol 29 689-694... 

Pancreatic secretion for many, if not most, species is regulated in order to insure adequate protein digestion. Correspondingly, protease inhibitors have a greater impact on pancreatic secretion than do inhibitors of amylase and lipase (Toskes, 1986). The secretory response of the exocrine pancreas to protease inhibitors can be rapid (< 10 min), does not involve parallel increases in the secretion of all enzymes (Holm et al., 1992), and is probably mediated by a signaling pathway (see below). 

The pancreas is a gland in the abdomen lying in the curvature of the stomach as it empties into the duodenum. The pancreas functions primarily as an exocrine gland, although it also has endocrine function. The exocrine cells of the pancreas are called acinar cells. They produce an alkaline fluid known as pancreatic... 

As patients lose exocrine function of the pancreas, they have decreased ability to absorb lipids and protein ingested with normal dietary intake. Weight loss from nutritional malabsorption is a common symptom of chronic pancreatitis not often seen in acute pancreatitis. Fatty- or protein-containing stools are also common carbohydrate absorption is usually unaffected. Even though patients with chronic pancreatitis have decreased ability to absorb lipid from the gastrointestinal tract, there does not appear to be an increased incidence of fat-soluble vitamin deficiency in these patients.34... 

The pancreas is a small retroperitoneal organ located behind the stomach on the posterior abdominal wall.1,3 The pancreas has both exocrine and endocrine functions. The exact nationwide prevalence of all diseases of the pancreas has not been fully quantified however, DM, both types 1 and 2, affect nearly 21 million people in the United States alone. Some reasons for pancreas transplants include ... 

Kidney glomeruli, GI tract mucosa, exocrine and endocrine glands, certain tumors, pertibular capillaries, choroid plexus, pancreas, intestinal wall Sinusoidal... 

The pancreas is an exocrine gland and an endocrine gland. The exocrine tissue produces a bicarbonate solution and digestive enzymes. These substances are transported to the small intestine where they play a role in the chemical digestion of food. These functions are fully discussed in Chapter 18 on the digestive system. 

Exocrine glands within the pancreas secrete an aqueous fluid referred to as pancreatic juice. This fluid is alkaline and contains a high concentration of bicarbonate ion it is transported to the duodenum by the pancreatic duct. 

Kleene, R. et al. (2000) SH3 binding sites of ZG29p mediate an interaction with amylase and are involved in condensation sorting in the exocrine rat pancreas. Biochemistry 39, 9893-9900. 

Casellas F, Guamer L, Vaquero E, Antolin M, de Gracia X, Malagelada JR I Iydrogen breath test with glucose in exocrine pancreatic insufficiency. Pancreas 1998 16 481 186. 

Uncommon causes of diabetes (1% to 2% of cases) include endocrine disorders (e.g., acromegaly, Cushing s syndrome), gestational diabetes mellitus (GDM), diseases of the exocrine pancreas (e.g., pancreatitis), and medications (e.g., glucocorticoids, pentamidine, niacin, and a-interferon). 

Initial treatment usually involves withholding food or liquids to minimize exocrine stimulation of the pancreas. 

Pancreas A mixed exocrine and endocrine gland situated transversely across the posterior abdominal wall in the epigastric and hypochondriac regions. The endocrine portion is comprised of the Islets of Langerhans, while the exocrine portion is a compound acinar gland that secretes digestive enzymes. [NIH]... 

Cystic fibrosis (CF) is a hereditary disease of abnormal fluid secretion. It affects cells of the exocrine glands, such as intestine, sweat glands, pancreas, reproductive tract, and especially the respiratory tract. The disease affects about 1 in 2500 infants of the Caucasian population to varying degrees of seriousness. Patients produce thickened mucus that is difficult to get out of the airway. This leads to chronic lung infection, which progressively destroys pulmonary function. 

Vasoactive intestinal peptide Exocrine pancreas secretion Inhibition of bile flow Inhibition of mesenteric blood flow Decreased gastrointestinal motility... 

Denker SP, McCaffery JM, Palade GE, Insel PA, Farquhar MG (1996) Differential distribution of alpha subunits and beta gamma subunits of heterotrimeric G proteins on Golgi membranes of the exocrine pancreas. J Cell Biol 133 1027-1040... 

Exocrine pancreatic insufficiency is most commonly caused by cystic fibrosis, chronic pancreatitis, or pancreatic resection. When secretion of pancreatic enzymes falls below 10% of normal, fat and protein digestion is impaired and can lead to steatorrhea, azotorrhea, vitamin malabsorption, and weight loss. Pancreatic enzyme supplements, which contain a mixture of amylase, lipase, and proteases, are the mainstay of treatment for pancreatic enzyme insufficiency. Two major types of preparations in use are pancreatin and pancrelipase. Pancreatin is an alcohol-derived extract of hog pancreas with relatively low concentrations of lipase and proteolytic enzymes, whereas pancrelipase is an enriched preparation. On a per-weight basis, pancrelipase has approximately 12 times the lipolytic activity and more than 4 times the proteolytic activity of pancreatin. Consequently, pancreatin is no longer in common clinical use. Only pancrelipase is discussed here. 

Melmed, R.N., Elaaser, A.A.A., and Holt, S J. (1976). Hypertrophy and hyperplasia of neonatal rat exocrine pancreas induced by orally administered soybean trypsin-inhibitor. Biochimica Et Biophysica Acta, 421, 280-288. 

Otsuki, M., Ohki, A., Okabayashi, Y., Suehiro, I., and Baba, S. (1987). Effect of synthetic protease inhibitor camostate on pancreatic exocrine function in rats. Pancreas, 2, 164-169. 

Gogelein, H., Dahlem, D., Englert, H. C., Lang, H. J. Flufenamic acid, mefenamic acid and niflumic acid inhibit single nonselective cation channels in the rat exocrine pancreas, FEBS Lett. 1990,268, 79-82. 

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