“…Rich and Duff confirmed this work and described specific vascular lesions which they found in all their cases of pancreatitis whether human or experimental; commercial trypsin injected subcutaneously in dogs produced the same vascular lesions. Keith, Barnes, and Denkewalter (1958) showed that acute pancreatitis could be produced regularly in dogs by injecting trypsin into the pancreatic interstitial tissue, but trypsinogen did not have the same effect. In contrast, some workers have doubted the importance of activation of enzymes in pancreatitis on the basis of experiments in which bile is injected forcibly into the pancreatic duct (Jenson, Imamoglu, Root, and Wangensteen, 1961;Beck, Pinter, Solymar, McKenna, and Ritchie, 1962); as bile does not activate trypsinogen these experiments could not be expected to prove anything.…”