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August 11, 1917


Author Affiliations


JAMA. 1917;LXIX(6):434-437. doi:10.1001/jama.1917.02590330018006

The pancreas is the most important of the digestive organs. Not until recently, however, have the frequency and importance of its diseases been recognized. The peculiarities of its situation, anatomy and function exercise a profound influence on the etiology and course of the inflammations which attack this organ and must be understood in order to treat these affections on rational lines.

It has been sufficiently emphasized that pancreatitis is in the majority of instances due to infection propagated from some adjacent focus, in most instances the biliary tract. For a time this close interdependence was thought to be due to the fact that the terminal ducts of the liver and pancreas either anastomose in the ampulla of Vater or lie in immediate proximity, thus affording an opportunity for descending inflammation of the one duct to become an ascending inflammation of the other. While this method of infection may be the

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