ภาวะตับอ่อนบกพร่องส่วนเอ็กโซไครน์ (EPI)

Key Facts

• Dogs: most common cause is pancreatic acinar atrophy (genetic); 70% are German Shepherds, 20% Rough Collies
• Cats: most common cause is chronic pancreatitis
• Signs: weight loss, greasy/voluminous diarrhea, dry dandruffy coat, vitamin B12 deficiency
• Diagnosis: serum trypsin-like immunoreactivity (TLI) blood test (fasting required)
• Treatment: lifelong enzyme powder supplementation mixed into food
• Vitamin B12 injections often required, especially in cats
• Raw beef or lamb pancreas is an alternative enzyme source (must be frozen, not cooked)
• High-digestibility, low-fiber diet recommended
• Bacterial overgrowth in intestines is a common complication
• Response to treatment usually seen within one week
• Species: dogs and cats