title: [Echographic early diagnosis of chronic alcoholic pancreatitis? (author's transl)].
abstract: The normal size of the pancreas should be checked and classified in a large collection of abstinent people of various ages. We are of the opinion that abstinent persons have a pancreas less than 1.5 cm thick and that great deviations are of exogenous origin. Alcohol presumably leads to edema of the pancreas. If alcohol is abused increasingly and/or persistently, a low-echo enlargement of the pancreas of more than 2.5 cm appears. A clinically detectable pancreatic insufficiency only occurs when the lymph drainage in the acini of the pancreas is damaged through decompensation and a reduction of secretion results. This process seems to have a course of 6-10 years and to run parallel with the consumption of alcohol.
mesh_terms: D000367:Age Factors; D000437:Alcoholism / Q000150:complications*; D002908:Chronic Disease; D004487:Edema / Q000209:etiology; D010188:Exocrine Pancreatic Insufficiency / Q000209:etiology; D006801:Humans; D010179:Pancreas / Q000473:pathology*; D010195:Pancreatitis / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D014463:Ultrasonography; D005723:gamma-Glutamyltransferase / Q000378:metabolism
chemical_list: D005723:gamma-Glutamyltransferase
vernacular_title: Sonographische Früherkennung der chronisch-alkoholi-schen Pankreatitis?