Causes of a low fecal elastase
Abnormal pancreatic ...

Causes of a low fecal elastase

Abnormal pancreatic imaging:

Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection, Pancreatic atrophy, Acute pancreatitis, Congenital absence (often associated with absence of left kidney) or malformation (eg, annular pancreas), Genetic causes, for example, cystic fibrosis, Shwachman-Diamond syndrome

Normal Pancreatic Imaging:

Spurious result-watery diarrhoea, Coeliac disease, Diabetes mellitus, Bile acid diarrhoea, Irritable bowel syndrome, Inflammatory bowel disease, Small bowel bacterial overgrowth, HIV infection and antiviral drugs, Rheumatological disorders, Chronic kidney disease, Use of orlistat

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Contributed by

Dr. Michael Chew
GrepMed Gastroenterology-Hepatology Editor, Academic Hospitalist UC Davis Medical Center Internal Medicine, Yale Gastroenterology Fellow '22

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