Although diseases of the pancreas were well known to clinicians for a long time and described under the name "lientery," an exact diagnosis could hardly be made during life until recently.
Operations, performed by surgeons during the last two decades, as well as functional examinations of the digestive tract and particularly the pancreas, have brought these conditions nearer to recognition. The diagnosis of chronic pancreatitis is even now rarely made, because the symptoms are so variable.
I should like to describe a few cases in which I have thought the diagnosis of chronic pancreatitis to be justified. In most of them the new methods of testing the pancreatic function were used and considered in making the diagnosis. Only three were brought to operation; in two of these the diagnosis of pancreatitis was made by the surgeon from the macroscopic appearance (the pancreas being thickened, enlarged, and harder than normal); in
EINHORN M. A CLINICAL CONTRIBUTION TO OUR KNOWLEDGE OF CHRONIC PANCREATITIS. JAMA. 1915;LXV(2):149-153. doi:10.1001/jama.1915.02580020015005