Chávez Rossell Miguel
Servicio de Gastroenterologia, Hospital Nacional Arzobispo Loayza.
Rev Gastroenterol Peru. 2002 Jul-Sep;22(3):243-7.
In this paper we will try to compile briefly the most important historical facts on the pancreas, and how the concepts and classification about its major disorder, pancreatitis, has evolved. In older times, the pancreas was ignored, both as an organ and as a focus of disease. The first description of the pancreas is attributed to Herophilus. It was in the 18th century that the main duct of Wirsung was described as well as its first cannulations to perform studies on pancreatic secretion. In 1889, Fitz established pancreatitis as a nosdogic disease. In 1901, Opie proposed his "common channel" hypothesis. In 1927, Elman described the serum amylase test. In 1963, the first Marseilles Symposium favored a clinic pathologic classification of pancreatitis. In 1984 the second Marseilles Symposium revised that classification. Finally, in 1992, the Atlanta Symposium established a clinically based classification system for acute pancreatitis. In the years to come, we expect further refinements in the classifications, as MRI and innovative technologies become increasingly sophisticated.
在本文中，我们将简要梳理有关胰腺的最重要的历史事实，以及关于其主要病症胰腺炎的概念和分类是如何演变的。在过去，胰腺无论是作为一个器官还是作为疾病的焦点都被忽视了。胰腺的首次描述归功于希罗菲卢斯。18世纪，维尔松主胰管被描述，同时也进行了首次插管以研究胰腺分泌。1889年，菲茨将胰腺炎确立为一种疾病分类。1901年，奥皮提出了他的“共同通道”假说。1927年，埃尔曼描述了血清淀粉酶检测。1963年，第一届马赛研讨会倾向于对胰腺炎进行临床病理分类。1984年，第二届马赛研讨会修订了该分类。最后，1992年，亚特兰大研讨会建立了基于临床的急性胰腺炎分类系统。在未来几年，随着磁共振成像（MRI）和创新技术变得越来越先进，我们预计分类会进一步完善。
