Where it is
Lies across the back of the abdomen, with its head in the curve of the duodenum and its tail near the spleen.
What it does
Exocrine: enzymes (amylase, lipase, trypsin) and bicarbonate for the duodenum. Endocrine: the islets of Langerhans release insulin (beta cells) and glucagon (alpha cells).
Clinical relevance
- Pancreatitis causes severe epigastric pain radiating to the back and raises lipase and amylase.
- Damage to the islets can cause diabetes.
- Pancreatic enzyme supplements are taken with meals and snacks.
Nursing focus
- In acute pancreatitis, monitor glucose and calcium and watch for hypovolemic shock.
- Position of comfort is often sitting up and leaning forward or curled on the side.