sprache deutsch  -  sprache englisch  -  sprache russisch  -  sprache arabisch



Chronic Pancreatitis and Pancreas Cancer



Carcinomas of the pancreas

The exact causes for pancreas carcinomas are still largely unknown. It can be assumed that there are genetic reasons for the development of such a carcinoma, but smoking as well as an alimentation rich in fat and protein are looked upon as being risk factors. The main importance is ascribed to the carcinoma of the glandular duct. It develops from its mucosal cells and accounts for 80% of pancreas carcinoma.

Chronic Pancreatitis

The pancreatitis is characterized by an intermittently reappearing inflammation of the organ, in most cases in the region of the head of the pancreas. Because of the repeated inflammation, the tissue of the pancreas is damaged in the long run. It is also degraded and substituted by scar tissue and calcifications.

How does the pancreas function?

This highly complex organ can be well compared with a chemical factory, which produces in two different kinds of gland seven diverse substances (hormones and enzymes). The greater part of the tissue consists of glands, which produce an alkaline liquid (1.5 litres per day). It contains enzymes and flows through the Ductus Wirsunganus into the duodenum to crack the absorbed food into fats, proteins, and carbohydrates. Embedded and scattered in this tissue are the islets of Langerhans, which produce the vital insulin that regulates our glucose level. In case of a serious disease of the pancreas accompanied by a disturbed function of the gland, the patient may show the following symptoms:

1. The missing gastric juice results in vitamin deficiency, loss of weight, and fatty stool as the absorbed food cannot be cracked any more.

2. Less insulin is produced, the glucose level cannot be adequately regulated any more, and the patient gets into a situation of diabetic metabolism.






Where is the pancreas located?

The pancreas is a 15 cm long, slender and filigree gland, which is located crossways in the upper abdomen and whose form is similar to a walking stick with a thick handle. If one takes the spine as the middle of the body, then the thick handle (head of the pancreas) is located to the right of and in front of the spine. The body of the pancreas extends to the left (body and tail of the pancreas) across and past the spine. Fortunately, this tender organ is bedded like a thick sandwich in our upper abdomen: in the back, the bony spine is located, which is lined by the great blood vessels (aorta and vein) that run below the head of the pancreas. At the front side, the pancreas is covered by the stomach; to the right, the head of the pancreas is enclosed by the duodenum; and to the left, the tail of the pancreas is enclosed by the spleen. The tissue of the pancreas consists of many delicate small lobes, which again are made up of glandular cells. Their exits unite and discharge into the main duct, called the Ductus Wirsunganus, which runs horizontally through the pancreas and ends together with the great bile duct in the duodenum.





© 2017 Baermed. All rights reserved                                                                                                Webdesign by Andreas Dirks