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 #fecal #elastase #low #differential #diagnosis #causes #gastroenterology
