Alkaade S, Vareedayah AA A primer on exocrine pancreatic insufficiency, fat malabsorption, and fatty acid abnormalities Am J Manag Care 17;23(suppl 12)S3S9 Lindkvist B, Phillips ME, DomínguezMuñoz JE Clinical, anthropometric and laboratory nutritional markers of pancreatic exocrine insufficiency prevalence and diagnostic use Methods evaluating digestion, such as fecal fat quantification and the 13 Cmixed triglycerides test, are the most accurate tests for pancreatic exocrine insufficiency, but the probability of the diagnosis can also be estimated based on symptoms, signs of malnutrition in blood tests, fecal elastase 1 levels and signs of morphologically severe chronic pancreatitis onExocrine pancreatic insufficiency (EPI) is described as a reduction in pancreatic enzyme activity below the normal digestive threshold level Clinical symptoms of EPI include steatorrhea, bloating, abdominal discomfort, and weight loss An alternate to the 72hour fecal fat test is the measurement of PE in s