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April 30, 1904


JAMA. 1904;XLII(18):1147. doi:10.1001/jama.1904.02490630033008

The importance of the pancreatic functions in the maintenance of health is now universally recognized, and in consequence, the pathologic conditions affecting the gland are being more thoroughly investigated and their clinical effects more keenly studied and appreciated. The symposium on "The Pancreas and Pancreatic Diseases," at the last Congress of American Physicians and Surgeons,1 epitomized the general knowledge of the subject, and if little addition was made to its extent the more glaring defects were strikingly emphasized. It was demonstrated that various abnormal conditions affecting the ducts and the parenchyma of the pancreas were usually productive of rather indefinite signs and symptoms, and which were, moreover, frequently difficult of differentiation from those resulting from pathologic processes involving neighboring structures. Certain lesions (e. g., acute pancreatitis, chronic obstruction of the common bile and pancreatic ducts) usually give positive indications for the institution of procedures that will almost certainly lead

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