"Let this vague conception (the account of the pancreas given in
Johannes Müller's Text-book of Physiology) be compared with the
knowledge which we at present have of the several distinct
actions of the pancreatic juice, and of the predominant
importance of this fluid not only in intestinal digestion but in
digestion as a whole, and it will be at once seen what a great
advance has taken place in this matter since the early forties.
That advance we owe in the main to Bernard. Valentin, it is
true, had in 1844 not only inferred that the pancreatic juice
had an action on starch, but confirmed his view by actual
experiment with the juice expressed from the gland; and Eberlé
had suggested that the juice had some action on fat; but Bernard
at one stroke made clear its threefold action. He showed that it
on the one hand emulsified, and on the other hand split up, into
fatty acids and glycerine, the neutral fats; he clearly proved
that it had a powerful action on starch, converting it into
sugar; and lastly, he laid bare its remarkable action on proteid
matters." (Sir Michael Foster, _loc. cit._)
Finally came the discovery that the pancreas--apart from its
influences on digestion--contributes its share, like the ductless
glands, to the general chemistry of the body:--
"It was discovered, a few years ago, by von Mering and
Minkowski, that if, instead of merely diverting its secretion,
the pancreas is bodily removed, the metabolic processes of the
organism, and especially the metabolism of carbo-hydrates, are
entirely deranged, the result being the production of permanent
diabetes. But if even a very small part of the gland is left
within the body, the carbo-hydrate metabolism remains unaltered,
and there is no diabetes. The small portion of the organ which
has been allowed to remain (and which need not even be left in
its proper place, but may be transplanted under the skin or
elsewhere) is sufficient, by the exchanges which go on between
it and the blood generally, to prevent those serious
consequences to the composition of the blood, and the general
constitution of the body, which result from the complete removal
of this organ." (Prof. Schäfer, 1894.)
Public-domain text, read in full here on John Shaqi.
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