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Effects of CF: Pancreas/Gastrointestinal Tract: Pancreatic Problems

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The pancreas, located behind the stomach in the center of the abdomen, extends into the left side of the abdomen. It is connected to the first part of the intestine, the duodenum. The pancreas secretes enzymes that aid food digestion and help to regulate blood sugar.

Start the Normal Pancreatic Function animation by clicking on the "Play" button above or select one of the other topics to play: Pancreatic Insufficiency, Pancreatitis or Diabetes.

Abnormal Function in CF

In CF, the altered transport of electrolytes across pancreatic tissues leads to abnormal production of digestive enzymes. Decreased production of sodium bicarbonate makes pancreatic secretions dehydrated and thickened, blocking the pancreatic ducts. Despite these blockages, the pancreas continues to make more enzymes required for food digestion. These abundant enzymes damage the pancreatic tissue, eventually leading to fibrosis of the pancreas until it is no longer able to produce enough enzymes to properly digest food.

Vitamin Deficiencies
Vitamin A
Visual and skin changes
Vitamin B12
Anemia
Vitamin D
Bone abnormalities
Vitamin E
Neurological problems
Vitamin K
Blood clotting problems

Pancreatic Insufficiency

Pancreatic insufficiency occurs when the pancreas loses about 90 percent of its ability to secrete digestive enzymes. Patients become unable to digest food properly, which leads to the malabsorption of nutrients, or even malnutrition. Vitamins, such as A, B12, D, E, and K, and fats, are the most important nutrients that are not absorbed when a patient has pancreatic insufficiency. 

The impaired absorption of fats causes diarrhea, weight loss, and malnutrition, but supplemental pancreatic enzymes can help with digestion of fats and reduce diarrhea. Approximately 80 percent of CF patients develop pancreatic insufficiency.

Pancreatitis

Pancreatic duct blockages can lead to pancreatitis, an inflammatory process that can cause severe abdominal pain, vomiting, and diarrhea. Patients who have intact pancreatic function tend to develop pancreatitis more commonly than those patients who have pancreatic insufficiency. However, pancreatitis is uncommon, occurring in less than 10 percent of patients.