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Pancreatic
The pancreas is an organ of the digestive system and endocrine system of vertebrates. In humans, it is located in the abdomen behind the stomach and functions as a gland. The pancreas is a mixed or heterocrine gland, i.e. it has both an endocrine and a digestive exocrine function. 99% of the pancreas is exocrine and 1% is endocrine. As an endocrine gland, it functions mostly to regulate blood sugar levels, secreting the hormones insulin, glucagon, somatostatin, and pancreatic polypeptide. As a part of the digestive system, it functions as an exocrine gland secreting pancreatic juice into the duodenum through the pancreatic duct. This juice contains bicarbonate, which neutralizes acid entering the duodenum from the stomach; and digestive enzymes, which break down carbohydrates, proteins, and fats in food entering the duodenum from the stomach. Inflammation of the pancreas is known as pancreatitis, with common causes including chronic alcohol use and gallstones. Because of it ...
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Insulin
Insulin (, from Latin ''insula'', 'island') is a peptide hormone produced by beta cells of the pancreatic islets encoded in humans by the ''INS'' gene. It is considered to be the main anabolic hormone of the body. It regulates the metabolism of carbohydrates, fats and protein by promoting the absorption of glucose from the blood into liver, fat and skeletal muscle cells. In these tissues the absorbed glucose is converted into either glycogen via glycogenesis or fats ( triglycerides) via lipogenesis, or, in the case of the liver, into both. Glucose production and secretion by the liver is strongly inhibited by high concentrations of insulin in the blood. Circulating insulin also affects the synthesis of proteins in a wide variety of tissues. It is therefore an anabolic hormone, promoting the conversion of small molecules in the blood into large molecules inside the cells. Low insulin levels in the blood have the opposite effect by promoting widespread catabolism, espe ...
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Digestive System
The human digestive system consists of the gastrointestinal tract plus the accessory organs of digestion (the tongue, salivary glands, pancreas, liver, and gallbladder). Digestion involves the breakdown of food into smaller and smaller components, until they can be absorbed and assimilated into the body. The process of digestion has three stages: the cephalic phase, the gastric phase, and the intestinal phase. The first stage, the cephalic phase of digestion, begins with secretions from gastric glands in response to the sight and smell of food. This stage includes the mechanical breakdown of food by chewing, and the chemical breakdown by digestive enzymes, that takes place in the mouth. Saliva contains the digestive enzymes amylase, and lingual lipase, secreted by the salivary and serous glands on the tongue. Chewing, in which the food is mixed with saliva, begins the mechanical process of digestion. This produces a bolus which is swallowed down the esophagus to ...
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Inferior Pancreaticoduodenal Artery
The inferior pancreaticoduodenal artery (the IPDA) is a branch of the superior mesenteric artery. It supplies the head of the pancreas, and the ascending and inferior parts of the duodenum. Rarely, it may have an aneurysm. Structure The inferior pancreaticoduodenal artery is a branch of the superior mesenteric artery. This occurs opposite the upper border of the inferior part of the duodenum. As soon as it branches, it divides into anterior and posterior branches. These run between the head of the pancreas and the lesser curvature of the duodenum. They then join ( anastomose) with the anterior and posterior branches of the superior pancreaticoduodenal artery. Variation The inferior pancreaticoduodenal artery may branch from the first intestinal branch of the superior mesenteric artery rather than directly from it. Function The inferior pancreaticoduodenal artery distributes branches to the head of the pancreas and to the ascending and inferior parts of the duodenum. Cli ...
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Pancreatic Polypeptide
Pancreatic polypeptide (PP) is a polypeptide secreted by PP cells in the endocrine pancreas. It regulates pancreatic secretion activities, and also impacts liver glycogen storage and gastrointestinal secretion. Its secretion may be impacted by certain endocrine tumours. Gene The PPY gene encodes an unusually short protein precursor. This precursor is cleaved to produce pancreatic polypeptide, pancreatic icosapeptide, and a 5- to 7- amino-acid oligopeptide. Structure Pancreatic polypeptide consists of 36 amino acids. It has a molecular weight about 4200 Da. It has a similar structure to neuropeptide Y. Synthesis Pancreatic polypeptide is synthesised and secreted by PP cells (also known as gamma cells or F cells) of the pancreatic islets of the pancreas. These are found predominantly in the head of the pancreas. Function Pancreatic polypeptide regulates pancreatic secretion activities by both endocrine and exocrine tissues. It also affects hepatic glycogen lev ...
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Anterior Superior Pancreaticoduodenal Artery
The superior pancreaticoduodenal artery is an artery that supplies blood to the duodenum and pancreas. Structure It is a branch of the gastroduodenal artery, which most commonly arises from the common hepatic artery of the celiac trunk, although there are numerous variations of the origin of the gastroduodenal artery. The pancreaticoduodenal artery divides into two branches as it descends, an anterior and posterior branch. These branches then travel around the head of the pancreas and duodenum, eventually joining with the anterior and posterior branches of the inferior pancreaticoduodenal artery. The inferior pancreaticoduodenal artery is a branch of the superior mesenteric artery. These arteries, together with the pancreatic branches of the splenic artery, form connections or anastomoses with one another, allowing blood to perfuse the pancreas and duodenum through multiple channels. The artery supplies the anterior and posterior sides of the duodenum and head of pancreas ...
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Posterior Superior Pancreaticoduodenal Artery
The superior pancreaticoduodenal artery is an artery that supplies blood to the duodenum The duodenum is the first section of the small intestine in most higher vertebrates, including mammals, reptiles, and birds. In fish, the divisions of the small intestine are not as clear, and the terms anterior intestine or proximal intestine m ... and pancreas. Structure It is a branch of the gastroduodenal artery, which most commonly arises from the common hepatic artery of the celiac trunk, although there are numerous variations of the origin of the gastroduodenal artery. The pancreaticoduodenal artery divides into two branches as it descends, an anterior and posterior branch. These branches then travel around the head of the pancreas and duodenum, eventually joining with the anterior and posterior branches of the inferior pancreaticoduodenal artery. The inferior pancreaticoduodenal artery is a branch of the superior mesenteric artery. These arteries, together with the panc ...
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Endocrine
The endocrine system is a messenger system comprising feedback loops of the hormones released by internal glands of an organism directly into the circulatory system, regulating distant target organs. In vertebrates, the hypothalamus is the neural control center for all endocrine systems. In humans, the major endocrine glands are the thyroid gland and the adrenal glands. The study of the endocrine system and its disorders is known as endocrinology. Glands that signal each other in sequence are often referred to as an axis, such as the hypothalamic-pituitary-adrenal axis. In addition to the specialized endocrine organs mentioned above, many other organs that are part of other body systems have secondary endocrine functions, including bone, kidneys, liver, heart and gonads. For example, the kidney secretes the endocrine hormone erythropoietin. Hormones can be amino acid complexes, steroids, eicosanoids, leukotrienes, or prostaglandins. The endocrine system can be c ...
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Pancreatic Bud
The ventral and dorsal pancreatic buds (or pancreatic diverticula) are outgrowths of the duodenum during human embryogenesis. They join to form the adult pancreas. The proximal portion of the dorsal pancreatic bud gives rise to the accessory pancreatic duct, while the distal portion of the dorsal pancreatic bud and ventral pancreatic bud give rise to the major pancreatic duct. The ventral pancreatic bud develops into the pancreatic head and uncinate process. Associated Disorders In pancreas divisum the ducts of the pancreas are not fused to form a full pancreas, but instead it remains as a distinct dorsal and ventral duct. Without the proper fusion of both ducts the majority of the pancreas drainage is mainly through the accessory papilla. Three different variations in pancreas divisum have been described: the first is the classic example of pancreas divisum in which the ventral duct is visualized but there is total failure of fusion; the second variation is with the absence ...
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Endocrine System
The endocrine system is a messenger system comprising feedback loops of the hormones released by internal glands of an organism directly into the circulatory system, regulating distant target organs. In vertebrates, the hypothalamus is the neural control center for all endocrine systems. In humans, the major endocrine glands are the thyroid gland and the adrenal glands. The study of the endocrine system and its disorders is known as endocrinology. Glands that signal each other in sequence are often referred to as an axis, such as the hypothalamic-pituitary-adrenal axis. In addition to the specialized endocrine organs mentioned above, many other organs that are part of other body systems have secondary endocrine functions, including bone, kidneys, liver, heart and gonads. For example, the kidney secretes the endocrine hormone erythropoietin. Hormones can be amino acid complexes, steroids, eicosanoids, leukotrienes, or prostaglandins. The endocrine system can be contrasted to ...
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Glucagon
Glucagon is a peptide hormone, produced by alpha cells of the pancreas. It raises concentration of glucose and fatty acids in the bloodstream, and is considered to be the main catabolic hormone of the body. It is also used as a medication to treat a number of health conditions. Its effect is opposite to that of insulin, which lowers extracellular glucose. It is produced from proglucagon, encoded by the ''GCG'' gene. The pancreas releases glucagon when the amount of glucose in the bloodstream is too low. Glucagon causes the liver to engage in glycogenolysis: converting stored glycogen into glucose, which is released into the bloodstream. High blood-glucose levels, on the other hand, stimulate the release of insulin. Insulin allows glucose to be taken up and used by insulin-dependent tissues. Thus, glucagon and insulin are part of a feedback system that keeps blood glucose levels stable. Glucagon increases energy expenditure and is elevated under conditions of stress. Glucagon belon ...
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Pancreaticoduodenal Veins
The pancreaticoduodenal veins accompany their corresponding arteries: the superior pancreaticoduodenal artery and the inferior pancreaticoduodenal artery The inferior pancreaticoduodenal artery (the IPDA) is a branch of the superior mesenteric artery. It supplies the head of the pancreas, and the ascending and inferior parts of the duodenum. Rarely, it may have an aneurysm. Structure The inferio ...; the lower of the two frequently joins the right gastroepiploic vein. References External links Veins of the torso {{circulatory-stub ...
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