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February 11, 1939

Functional Activities of the Pancreas and Liver: A Study of Objective Methods for the Estimation of Function Levels in Health and Disease

JAMA. 1939;112(6):575. doi:10.1001/jama.1939.02800060091034

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Abstract

This interesting textbook deals with the normal physiology of the external pancreatic secretion, the effects of various stimuli on the external secretory activity, the chemistry of the duodenal contents, and the clinical application of the various tests for pancreatic disease. A small chapter on achylia gastricaand its relation to pancreatic and liver diseases is included.

A second section of the book is devoted to diseases of the liver with a study of hepatic function based on duodenal contents in addition to the usual liver functional tests showing abnormal derangements of the liver. The treatment of the disturbed liver function is discussed in detail. The author chooses to use the so-called nonsurgical drainage and apparently in his hands it has given good results. However, no comparable data are offered when the magnesium sulfate is given by mouth instead of by duodenal tube, showing that the patients would probably have just as

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