“…Hypersecretion of exocrine pancreas was previously attributed to the increased cholecystokinin (CCK) level in chronic alcoholics [12]. However, the basal plasma concentrations of CCK and secretin remain unchanged in chronic alcohol-treated animals [13,14] and humans [15]. Regardless, a direct link between CCK and acinar cell trypsin activation is hard to imagine under any physiological circumstances since concentrations of CCK approaching 0.1 ÌM must be used to activate zymogens within acinar cells in vitro [16].…”