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Hammer, HF.
An update on pancreatic pathophysiology (do we have to rewrite pancreatic pathophysiology?).
Wien Med Wochenschr. 2014; 164(3-4):57-62
Doi: 10.1007/s10354-013-0260-y
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- Führende Autor*innen der Med Uni Graz
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Hammer Heinz
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- Abstract:
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This review focuses on seven aspects of physiology and pathophysiology of the exocrine pancreas that have been intensively discussed and studied within the past few years: (1) the role of neurohormonal mechanisms like melatonin, leptin, or ghrelin in the stimulation of pancreatic enzyme secretion; (2) the initiation processes of acute pancreatitis, like fusion of zymogen granules with lysosomes leading to intracellular activation of trypsinogen by the lysosomal enzyme cathepsin B, or autoactivation of trypsinogen; (3) the role of genes in the pathogenesis of acute pancreatitis; (4) the role of alcohol and constituents of alcoholic beverages in the pathogenesis of acute pancreatitis; (5) the role of pancreatic hypertension, neuropathy, and central mechanisms for the pathogenesis of pain in chronic pancreatitis; (6) the relation between exocrine pancreatic function and diabetes mellitus; and (7) pathophysiology, diagnosis and treatment of pancreatic steatorrhea.
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Cathepsin B - physiology
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Diabetes Mellitus - genetics Diabetes Mellitus - physiopathology
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Ghrelin - physiology
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Leptin - physiology
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Melatonin - physiology
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Pancreas - physiopathology
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Pancreatic Juice - secretion
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Pancreatitis, Acute Necrotizing - genetics Pancreatitis, Acute Necrotizing - physiopathology
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Pancreatitis, Alcoholic - genetics Pancreatitis, Alcoholic - physiopathology
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Pancreatitis, Chronic - genetics Pancreatitis, Chronic - physiopathology
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Trypsinogen - metabolism