The relationship between exocrine pancreatic function and plasma pancr
eatic Polypeptide levels was studied in 14 normal elderly subjects and
in ten elderly patients with exocrine pancreatic insufficiency determ
ined by the para - aminobenzoic acid test. There was a decrease in the
total pancreatic polypeptide response after a standard mixed meal in
the group with pancreatic insufficiency (t = 2.753, p = 0.01). An incr
ease above basal of less than 100% in plasma pancreatic polypeptide le
vels 30 min after a standard mixed meal is strongly associated with ex
ocrine pancreatic insufficiency (Fisher's exact test, p = 0.005).