Patient must have one of the following two features:
Presence of pancreatic calcification as demonstrated by CT scan or KUB imaging
Presence of five out of nine criteria of pancreatic injury by endoscopic ultrasound in conjunction with a positive secretin stimulation test to confirm pancreatic insufficiency.
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Patient to be excluded from the study if they have one of the following features:
Age less than 18 years
Comorbidities including end-stage cancer (estimated survival < 6 months), HIV (T4 cell count < 50), end-stage congestive heart failure, end-stage chronic obstructive pulmonary disease, uncompensated cirrhosis, renal failure (on dialysis or with CrCl <25), or pre-existing diabetes mellitus
Prisoners
Non-English speaking
Former smokers
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