Exocrine pancreatic insufficiency (EPI)

         It is the inability to properly digest food due to a lack of digestive enzymes made by               the pancreas. EPI is found in humans afflicted with cystic fibrosis and Shwachman–              Diamond syndrome

         What are the symptoms of exocrine pancreatic insufficiency?

• Frequent diarrhea. EPI can cause problems with undigested food moving too quickly through the digestive tract.
• Gas and bloating. ...
• Stomach pain. ...
• Foul-smelling, greasy stools (steatorrhea) ...
• Weight loss.
  
  How do you test for pancreatic insufficiency?

1. Fecal elastase test. This test measures the amount of elastase, an enzyme produced by the pancreas, in your stool. ...
2. Fecal fat test. This test checks the amount of fat in your stool. ...
3. Direct pancreatic function test.

Symptoms and Signs :

• anemia (Vitamin B12, iron, folate deficiency)
• bleeding disorders (Vitamin K malabsorption)
• edema (hypoalbuminemia)
• fatigue
• flatulence and abdominal distention (bacterial fermentation of unabsorbed food)
• hypocalcemia
• metabolic bone disease (Vitamin D deficiency)
• neurologic manifestation
• steatorrhea
• weight loss

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