Pancreatic Insufficiency
I. What every physician needs to know. In the normal physiologic state, the pancreas secretes about 1.5 liters of fluid daily that contains enzymes needed for digestion of fats, protein, and carbohydrates. The secretion of this fluid is controlled by hormonal (i.e. secretin, cholecystokinin) and neuronal signals. Exocrine pancreatic insufficiency occurs when there is inadequate…