A 55-year-old man with chronic pancreatitis has bulky, foul-smelling stools and weight loss. CT shows pancreatic calcifications. Fecal elastase is

Question

A 55-year-old man with chronic pancreatitis has bulky, foul-smelling stools and weight loss. CT shows pancreatic calcifications. Fecal elastase is low. He no longer drinks alcohol. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Start pancreatic enzyme replacement with meals

Answer

Start lactulose

Answer

Perform total colectomy

Answer

Give oral iron as sole treatment

Answer

Prescribe long-term broad-spectrum antibiotics

Chronic pancreatitis — USMLE Step 3 MCQ

A 55-year-old man with chronic pancreatitis has bulky, foul-smelling stools and weight loss. CT shows pancreatic calcifications. Fecal elastase is low. He no longer drinks alcohol. Which of the following would you recommend at the follow-up visit?