Disease in captive wild mammals and birds : $b incidence, description, comparisonFox, Herbert
Science
Disease in captive wild mammals and birds : $b incidence, description, comparison
Fox, Herbert
Veterinary medicine
Further analysis of the data leads into a consideration of the anatomy
of the viscus in terms of the acceptable theories of the origin of the
lesion. It is commonly believed that infection of the gland occurs by
passage of organisms through the duct opening in the intestines,
especially when there is swelling of the mucosa of both. For the human
being the idea is current that infection or obstruction of the common
bile duct may spread to the pancreatic duct, and that mechanical or
inflammatory obstruction of the papilla of Vater may permit the bile to
pass up the pancreatic duct. This theory is based upon certain
observations, notably those of Opie, in cases, where a gall stone
obstructed the ampulla, bile entered the pancreas and acute pancreatitis
arose, partly by the activating action of the bile upon the pancreatic
juice and partly by bacteria introduced at the same time. This method of
origin is perhaps accepted in most quarters, but there are some who
believe that infection of the gland may occur by the infiltration of
lymphatics around the pancreas by disease of adjacent parts—gall-
bladder, stomach or lymph nodes. Quotation has already been given to
reference literature, and I shall not go further into theory except in
pointing out how our material may help to answer the question.
In the first place it seems perfectly obvious that infection might in
any animal travel from the intestine to the pancreas _via_ its ducts,
the main question to be settled being the relative importance of the
infection _via_ the bile duct. Let us now see if the variations in
anatomy will cast any light upon the matter.
Among the 1860 mammals, there are as far as I can determine 1275 which
have one pancreatic duct opening in conjunction with the bile duct, 585
in which the former has an intestinal opening independent of the latter.
Among this 1275 there are nineteen cases of pancreatitis, while among
the 585 there are eight cases, or as 14.9 to 13.6. All Aves have
separate biliary and pancreatic ducts and relatively little
pancreatitis, although frequently suffering with its most common
accompaniment, namely duodenitis. There is therefore some evidence that
more pancreatitis occurs when there is a physical proximity or
combination of bile and pancreatic ducts.
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