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Chapter 14

            norepinephrine, whose functions are very similar but not identical. The adrenal medulla is derived
            embriogically from neural tissue. It has been likened to an overgrown sympathetic ganglion whose cell
            bodies do not send out nerve fibers, but release their active substances directly into the blood, thereby
            fulfilling the criteria for an endocrine gland. In controlling epinephrine secretion, the adrenal medulla
            behaves   just   like   any   sympathetic   ganglion,   and   is   dependent   upon   stimulation   by   sympathetic
            preganglionic fibers.

                 Epinephrine promotes several responses, all of which are helpful in coping with emergencies: the
            blood pressure rises, the heart rate increases, the glucose content of the blood rises because of glycogen
            breakdown,  the   spleen   contracts   and   squeezes   out   a  reserve  supply   of   blood,   the  clotting  time
            decreases, the pupils dilate, the blood flow to skeletal muscles increase, the blood supply to intestinal
            smooth  muscle  decreases   and   hairs   become   erect.   These   adrenal   functions,   which   mobilize   the
            resources of the body in emergencies, have been called the fight-or-flight response. Norepinephrine
            stimulates reactions similar to those produced by epinephrine, but is less effective in conversion of
            glycogen to glucose.


                 The significance of the adrenal medulla may seem questionable since the complete removal of the
            gland causes few noticeable changes; humans can still exhibit the flight-or-fight response. This occurs
            because the sympathetic nervous system complements the adrenal medulla in stimulating the fight-or-
            flight response, and the absence of the hormonal control will be compensated for by the nervous
            system.



            Pancreas


                 The pancreas is very important organ in the digestion system and the circulatory system because it
            helps to maintain our blood sugar levels. The pancreas is considered to be part of the gastrointestinal
            system. It produces digestive enzymes to be released into the small intestine to aid in reducing food
            particles to basic elements that can be absorbed by the intestine and used by the body. It has another
            very different function in that it forms insulin, glucagon and other hormones to be sent into the
            bloodstream to regulate blood sugar levels and other activities throughout the body.


                 It has a pear-shape to it and is approximately 6 inches long. It is located in the middle and back
            portion of the  abdomen.  The  pancreas  is  connected  to  the  first part  of  the small intestine, the
            duodenum, and lies behind the stomach. The pancreas is made up of glandular tissue: any substance
            secreted by the cells of the pancreas will be secreted outside of the organ.

                 The digestive juices produced by the pancreas are secreted into the duodenum via a Y-shaped duct,
            at the point where the common bile duct from the liver and the pancreatic duct join just before entering
            the duodenum. The digestive enzymes carried into the duodenum are representative of the exocrine
            function of the pancreas, in which specific substances are made to be passed directly into another
            organ.


                 The pancreas is unusual among the body's glands in that it                  Note:
            also has a very important endocrine function. Small groups of  The pancreas is both an exocrine and
            special cells called  islet cells  throughout the organ make the        an endocrine organ.
            hormones of insulin and glucagon. These, of course, are hormones that are critical in regulating blood
            sugar levels. These hormones are secreted directly into the bloodstream to affect organs all over the
            body.


            274 | Human Physiology
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