pancreatic insufficiency

Etiology: pancreatitis Clinical manifestations: 1) malabsorption 2) chronic diarrhea 3) diabetes mellitus type 1 if islets of Langerhans sustain sufficient injury Laboratory: - bentiromide test Management: 1) pancrelipase (Viokase, Pancrease, Cotazym, Ku-Zyme) 1-3 tabs PO with meals 2) amylase/lipase/protease

References

UpToDate, Online 10.3, 2002 http://www.uptodate.com