12 Facts About the Pancreas

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iStock.com/ericsphotography

You could live without your pancreas, but it wouldn’t be easy. For one, you would need to give yourself insulin shots on a daily basis because you would develop diabetes. A helping of enzyme pills would also be needed to help you digest food. It's clear that the 6-inch-long pancreas, located behind your stomach, has crucial functions—and that's why diseases like pancreatic cancer and pancreatitis are often so devastating. Here are a few other important facts to know about the pancreas.

1. Pancreas means “all flesh” in Greek.

Around 300 BCE, a surgeon in ancient Greece named Herophilus became the first person to formally describe the pancreas as a gland. However, the organ didn’t get its name until about 400 years later, when another Greek surgeon and anatomist named Ruphos dubbed it the pankreas, meaning “all flesh”—possibly because of its lack of bone or cartilage. (The plural of pancreas, by the way, is pancreata or pancreases.) Later, in the 16th century, people started referring to a dish of cooked calf or lamb pancreas as “sweetbreads.” That name possibly stems from bræd, the Old English word for “flesh.”

2. The pancreas has a head and a tail.

The pancreas has four main parts: the head, neck, body, and tail. The widest part is the head, which is attached to the first part of the small intestine, known as the duodenum. In cases where a pancreatic tumor is present, the head is usually the part that’s affected. However, according to one study from 2008, people with tumors in the body or tail of the pancreas had lower survival rates than those with cancer in the head of the pancreas.

3. The man who discovered the pancreatic duct may have been murdered for his work.

The pancreatic duct is a tiny tube that runs the length of the pancreas and carries digestive juices to the duodenum. Although the ancient Greeks knew about the pancreas, its function and anatomy weren’t fully understood for centuries. That started to change in 1642, when German anatomist Johann Georg Wirsung discovered the pancreatic duct after performing a dissection on a man who had been hanged for murder. He named it the “duct of Wirsung” after himself, which may have upset some people. Wirsung was murdered the following year, allegedly over a disagreement as to who had actually discovered the duct.

4. It functions as both an endocrine and exocrine gland.

Although food never enters the pancreas, the organ does play a key role in digestion. It produces pancreatic fluid, which gets piped through the pancreatic duct to the duodenum. Once it’s in the digestive tract, the enzymes in the fluid help break down fat, protein, and carbohydrates. By sending a substance through ducts to other parts of the body, it functions as an exocrine gland. At the same time, it also functions as an endocrine gland by secreting two hormones directly into the bloodstream to help control blood sugars. Insulin is released when you have too much sugar, and glucagon is released when you don’t have enough sugar.

5. The pancreas can “taste” sugar.

The pancreas has taste receptor cells that let it sense the presence of sugar. It can “taste” artificial sweeteners, too. However, unlike the taste buds on our tongue, it doesn’t relay these sensations back to the brain. Instead, this sensory information helps the pancreas balance out the hormones and maintain healthy glucose levels in the body.

6. Diabetes is the result of damage to pancreatic cells.

For reasons that remain a scientific mystery, people with type 1 diabetes have immune systems that attack the insulin-producing cells in their pancreas. This prevents the cells from making insulin, and without insulin, other cells can't access the glucose in the bloodstream for energy. Sugar then builds up unhealthily in the bloodstream. People with type 2 diabetes, on the other hand, can still produce some insulin, but it’s not enough. Their cells become resistant to insulin (often as a result of obesity), which causes glucose to accumulate in the bloodstream.

7. The pancreas can digest itself.

Pancreatitis refers to the inflammation of the pancreas, but more alarmingly, what’s actually happening is that the digestive enzymes in the gland are going rogue and “digesting the pancreas itself,” according to Medline Plus. Heavy alcohol consumption is the most common cause of the disease, but other causes may include gallstones, cystic fibrosis, or high levels of fats or calcium in the blood. Most people with acute pancreatitis end up in the hospital, and it often goes away in a couple of days. Chronic pancreatitis can result in more serious complications.

8. Scorpion stings can cause pancreatitis.

The venom of a Brazilian scorpion, Tityus serrulatus, can cause pancreatitis, according to researchers at North Carolina State University. One particular enzyme in the venom attacks certain proteins in the gland, which impairs the pancreatic cells' functions and leads to inflammation. In a separate study of a related species (T. stigmurus), researchers found that “acute pancreatitis due to scorpion is usually transient [and] self-limited ... but it could progress to hemorrhagic pancreatitis and lead to death.”

9. Ruth Bader Ginsburg beat the odds and survived pancreatic cancer.

Ten years after she recovered from colon cancer, Ruth Bader Ginsburg received bad news following a routine check-up in 2009: She had pancreatic cancer. Fortunately, surgeons were able to remove the tumor, and at 85 years old (and counting), Ginsburg is now the oldest Justice on the U.S. Supreme Court. However, most people with pancreatic cancer aren’t so lucky. Although it’s less prevalent than skin, breast, and prostate cancers, it’s one of the deadliest. Just 8 percent of pancreatic cancer patients in the U.S. live longer than five years, according to the American Cancer Society.

James Cleary, an oncologist at the Dana-Farber Cancer Institute in Boston, says it’s very hard to catch in the early stages. “The reason pancreatic cancer can be so difficult to catch is number one, it’s a fast-moving cancer and can grow very rapidly,” he tells Mental Floss. “And number two, it can grow in a spot where you don’t get any symptoms until it’s too late.” In some cases, the cancer may start in the pancreas and spread to the liver or lining of the abdomen without any symptoms showing up.

10. Pancreatic surgery is extremely difficult to pull off.

Sometimes, patients with pancreatic cancer will undergo a complicated surgery called a Whipple procedure, which involves the removal of the head of the pancreas, part of the small intestine, the gallbladder and bile duct, and sometimes part of the stomach, too. However, very few people with pancreatic cancer are candidates for surgery—even if the cancer hasn’t yet spread to neighboring organs. That’s because cancer cells sometimes surround important blood vessels, making it “a tricky area” to operate on, according to Cleary. “The pancreas plays a really important role in digestion, and because of that, it’s very close to several important blood vessels and it’s very close to the stomach and small intestine,” he says.

11. There are genetic components to pancreatic cancer.

More than 90 percent of pancreatic cancers involve a mutation of the KRAS gene, which is also responsible for about half of all human cancers, according to Cleary. However, a drug hasn’t been invented yet to turn this particular gene off. “Finding a way to make a drug successfully target KRAS is one of holy grails of oncology," Cleary says. "It is of such great importance to oncology that a Nobel Prize could be awarded to whoever figures out how to make effective KRAS targeted therapy."

Mutations of DNA repair genes occur in up to 20 percent of pancreatic cancer cases. Some of these mutated genes, like BRCA1 and BRCA2, can run in families. This is why some families have several members who end up suffering from pancreatic cancer. Jimmy Carter, for example, lost his father, brother, and two sisters to pancreatic cancer. His mother had breast cancer that migrated to her pancreas. PARP inhibitors (drugs that block a particular enzyme) have been used to target DNA repair genes in breast and ovarian cancers, and there is now hope that they may also be effective in treating pancreatic cancer.

12. An aggressive form of chemotherapy is helping pancreatic cancer patients live longer.

A chemotherapy regimen called FOLFIRINOX has made significant improvements in the care of pancreatic cancer patients ever since it was introduced in 2010 as a treatment for patients with metastatic disease. Before 2010, “It was very, very rare to see anyone with metastatic cancer living longer than one year,” Cleary says. With FOLFIRNOX, it's not uncommon to see patients with metastatic pancreatic cancer living two years. A huge step forward came in June 2018 when researchers from France found that giving FOLFIRINOX after surgery could increase survival by a median of 20 months longer compared to the standard chemotherapy. Now, researchers are conducting trials to see if FOLFIRINOX can effectively be administered before a patient undergoes surgery. Considering that most patients aren’t eligible for surgery at diagnosis, pre-operative FOLFIRINOX could shrink the pancreatic tumor and increase the number of patients that are able to safely receive surgery.

25 Amazing Facts About the Human Body

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iStock.com/kali9

The human body is an amazing piece of machinery—with a few weird quirks.

  1. It’s possible to brush your teeth too aggressively. Doing so can wear down enamel and make teeth sensitive to hot and cold foods.

  2. Goose bumps evolved to make our ancestors’ hair stand up, making them appear more threatening to predators.

Woman's legs with goosebumps
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  1. Wisdom teeth serve no purpose. They’re left over from hundreds of thousands of years ago. As early humans’ brains grew bigger, it reduced space in the mouth, crowding out this third set of molars.

  2. Scientists aren't exactly sure why we yawn, but it may help regulate body temperature.

  3. Your fingernails don’t actually grow after you’re dead.

  4. If they were laid end to end, all of the blood vessels in the human body would encircle the Earth four times.

  5. Humans are the only animals with chins.

    An older woman's chin
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    1. As you breathe, most of the air is going in and out of one nostril. Every few hours, the workload shifts to the other nostril.

    2. Blood makes up about 8 percent of your total body weight.

    3. The human nose can detect about 1 trillion smells.

    4. You have two kidneys, but only one is necessary to live.

    5. Belly buttons grow special hairs to catch lint.

      A woman putting her hands in a heart shape around her belly button
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      1. The satisfying sound of cracking your knuckles comes from gas bubbles bursting in your joints.

      2. Skin is the body’s largest organ and can comprise 15 percent of a person’s total weight.

      3. Thumbs have their own pulse.

      4. Your tongue is made up of eight interwoven muscles, similar in structure to an elephant’s trunk or an octopus’s tentacle.

      5. On a genetic level, all human beings are more than 99 percent identical.

        Identical twin baby boys in striped shirts
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        1. The foot is one of the most ticklish parts of the body.

        2. Extraocular muscles in the eye are the body’s fastest muscles. They allow both of your eyes to flick in the same direction in a single 50-millisecond movement.

        3. A surgical procedure called a selective amygdalohippocampectomy removes half of the brain’s amygdala—and with it, the patient’s sense of fear.

        4. The pineal gland, which secretes the hormone melatonin, got its name from its shape, which resembles a pine nut.

        5. Hair grows fast—about 6 inches per year. The only thing in the body that grows faster is bone marrow.

          An African-American woman drying her hair with a towel and laughing
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          1. No one really knows what fingerprints are for, but they might help wick water away from our hands, prevent blisters, or improve touch.

          2. The heart beats more than 3 billion times in the average human lifespan.

          3. Blushing is caused by a rush of adrenaline.

12 Intriguing Facts About the Intestines

When we talk about the belly, gut, or bowels, what we're really talking about are the intestines—long, hollow, coiled tubes that comprise a major part of the digestive tract, running from the stomach to the anus. The intestines begin with the small intestine, divided into three parts whimsically named the duodenum, jejunum, and ileum, which absorb most of the nutrients from what we eat and drink. Food then moves into the large intestine, or colon, which absorbs water from the digested food and expels it into the rectum. That's when sensitive nerves in your rectum create the sensation of needing to poop.

These organs can be the source of intestinal pain, such as in irritable bowel syndrome, but they can also support microbes that are beneficial to your overall health. Here are some more facts about your intestines.

1. The intestines were named by medieval anatomists.

Medieval anatomists had a pretty good understanding of the physiology of the gut, and are the ones who gave the intestinal sections their names, which are still used today in modern anatomy. When they weren't moralizing about the organs, they got metaphorical about them. In 1535, the Spanish doctor Andrés Laguna noted that because the intestines "carry the chyle and all the excrement through the entire region of the stomach as if through the Ocean Sea," they could be likened to "those tall ships which as soon as they have crossed the ocean come to Rouen with their cargoes on their way to Paris but transfer their cargoes at Rouen into small boats for the last stage of the journey up the Seine."

2. Leonardo da Vinci believed the intestines helped you breathe.

Leonardo mistakenly believed the digestive system aided respiratory function. In 1490, he wrote in his unpublished notebooks, "The compressed intestines with the condensed air which is generated in them, thrust the diaphragm upwards; the diaphragm compresses the lungs and expresses the air." While that isn't anatomically accurate, it is true that the opening of the lungs is helped by the relaxation of stomach muscles, which does draw down the diaphragm.

3. Your intestines could cover two tennis courts ...

Your intestines take up a whole lot of square footage inside you. "The surface area of the intestines, if laid out flat, would cover two tennis courts," Colby Zaph, a professor of immunology in the department of biochemistry and molecular biology at Melbourne's Monash University, tells Mental Floss. The small intestine alone is about 20 feet long, and the large intestine about 5 feet long.

4. ... and they're pretty athletic.

The process of moving food through your intestines requires a wave-like pattern of muscular action, known as peristalsis, which you can see in action during surgery in this YouTube video.

5. Your intestines can fold like a telescope—but that's not something you want to happen.

Intussusception is the name of a condition where a part of your intestine folds in on itself, usually between the lower part of the small intestine and the beginning of the large intestine. It often presents as severe intestinal pain and requires immediate medical attention. It's very rare, and in children may be related to a viral infection. In adults, it's more commonly a symptom of an abnormal growth or polyp.

6. Intestines are very discriminating.

"The intestines have to discriminate between good things—food, water, vitamins, good bacteria—and bad things, such as infectious organisms like viruses, parasites and bad bacteria," Zaph says. Researchers don't entirely know how the intestines do this. Zaph says that while your intestines are designed to keep dangerous bacteria contained, infectious microbes can sometimes penetrate your immune system through your intestines.

7. The small intestine is covered in "fingers" ...

The lining of the small intestine is blanketed in tiny finger-like protrusions known as villi. These villi are then covered in even tinier protrusions called microvilli, which help capture food particles to absorb nutrients, and move food on to the large intestine.

8. ... And you can't live without it.

Your small intestine "is the sole point of food and water absorption," Zaph says. Without it, "you'd have to be fed through the blood."

9. The intestines house your microbiome. 

The microbiome is made up of all kinds of microorganisms, including bacteria, viruses, fungi, and protozoans, "and probably used to include worm parasites too," says Zaph. So in a way, he adds, "we are constantly infected with something, but it [can be] helpful, not harmful."

10. Intestines are sensitive to change.

Zaph says that many factors change the composition of the microbiome, including antibiotics, foods we eat, stress, and infections. But in general, most people's microbiomes return to a stable state after these events. "The microbiome composition is different between people and affected by diseases. But we still don't know whether the different microbiomes cause disease, or are a result in the development of disease," he says.

11. Transferring bacteria from one gut to another can transfer disease—or maybe cure it.

"Studies in mice show that transplanting microbes from obese mice can transfer obesity to thin mice," Zaph says. But transplanting microbes from healthy people into sick people can be a powerful treatment for some intestinal infections, like that of the bacteria Clostridium difficile, he adds. Research is pouring out on how the microbiome affects various diseases, including multiple sclerosis, Parkinson's, and even autism.

12. The microbes in your intestines might influence how you respond to medical treatments.

Some people don't respond to cancer drugs as effectively as others, Zaph says. "One reason is that different microbiomes can metabolize the drugs differently." This has huge ramifications for chemotherapy and new cancer treatments called checkpoint inhibitors. As scientists learn more about how different bacteria metabolize drugs, they could possibly improve how effective existing cancer treatments are.

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