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Table 1 Summary of key findings in the literature

From: Symptoms, burden, and unmet needs of patients living with exocrine pancreatic insufficiency: a narrative review of the patient experience

Topic of interest

Key findings

Abdominal pain

• Abdominal pain is a frequently reported symptom (e.g., reported by 84% of patients in 1 study)

GI symptoms

• Most commonly reported GI symptoms are bloating (64%), flatulence (33%), bowel movement/stool symptoms (e.g., diarrhea [75%], change in stool color [51%], fatty stools [49%], constipation [48%], bowel urgency [33%]), and dietary symptoms (e.g., weight loss [67%], loss of appetite [33%])

• Steatorrhea can only generally be reduced by 60–70% using PERT

HRQoL

• Severity of abdominal pain, chronic pancreatic diarrhea, low body weight, and loss of work independently contributed to the physical component score of the Short Form-36 (adjusted R2 = 33.8%)

Emotional functioning

• No articles related to emotional functioning related to EPI were located

Comorbidities

• Most common comorbidities included diabetes, pancreatic resections and other pancreatic interventions, severe/acute pancreatitis, chronic pancreatitis, and other GI disorders

PERT

• Commonly used efficacy endpoints included coefficient of fat absorption, body weight, HRQoL measures, and clinical symptoms

  1. Abbreviations EPI, exocrine pancreatic insufficiency; GI, gastrointestinal; HRQoL, health-related quality of life; PERT, pancreatic enzyme replacement therapy