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Report Overview

Exocrine pancreatic insufficiency remains closely linked to chronic pancreatitis in the United States, where 42-73 cases per 100,000 underscore its growing clinical relevance, highlighting the need for improved awareness, diagnosis, and timely intervention. According to exocrine pancreatic insufficiency epidemiology forecast by Expert Market Research indicates that the condition is not a single disease but rather a clinical consequence of many underlying pancreatic and non-pancreatic conditions. Pancreatic cancer contributes significantly to the global burden of EPI.

2025

Base Year

2019-2025

Historical Period

2026-2035

Forecast Period

Exocrine Pancreatic Insufficiency (EPI) – Number of Cases by Year

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Exocrine Pancreatic Insufficiency (EPI) Epidemiology Forecast Report Coverage

Expert Market Research's “Exocrine Pancreatic Insufficiency (EPI) Epidemiology Forecast Report 2026-2035” offers comprehensive information on the prevalence and demographics of exocrine pancreatic insufficiency (EPI). It projects the future incidence and prevalence rates of exocrine pancreatic insufficiency (EPI) cases across various populations. The study covers age, gender, and type as major determinants of the exocrine pancreatic insufficiency (EPI) population. The report highlights patterns in the prevalence of exocrine pancreatic insufficiency (EPI) over time and projects future trends based on multiple variables.

The report provides a comprehensive overview of the disease, as well as historical and projected data on the epidemiology of exocrine pancreatic insufficiency (EPI) in the 8 major markets.

Regions Covered

  • The United States
  • Germany
  • France
  • Italy
  • Spain
  • The United Kingdom
  • Japan
  • India

Exocrine Pancreatic Insufficiency (EPI) Understanding: Disease Overview

Exocrine pancreatic insufficiency (EPI) occurs when the pancreas fails to produce sufficient digestive enzymes, resulting in impaired nutrient absorption. It commonly arises from chronic pancreatitis, cystic fibrosis, pancreatic cancer, pancreatic surgery, and sometimes long-standing diabetes. EPI leads to steatorrhea, weight loss, vitamin deficiencies, bloating, and malnutrition. Disease progression varies depending on underlying etiology, with chronic inflammatory and fibrotic pancreatic changes being major contributors. Early diagnosis is essential, yet EPI remains underrecognized, particularly in mild or slowly progressive cases, leading to significant nutritional and metabolic complications.

Exocrine Pancreatic Insufficiency (EPI) Epidemiology Perspective

The exocrine pancreatic insufficiency (EPI) epidemiology division offers information on the patient pool from history to the present as well as the projected trend for each of the 8 major markets. Expert Market Research provides both current and predicted trends for exocrine pancreatic insufficiency (EPI) epidemiology scenario by examining a wide range of studies. Additionally, the report covers the diagnosed patient pool for exocrine pancreatic insufficiency (EPI) and their trends. The data is broken down into specific categories, such as total prevalent cases in males and females, and total diagnosed cases across different age groups and patient pools.

  • Exocrine pancreatic insufficiency is most commonly associated with chronic pancreatitis, where 60% to 90% of patients develop EPI within a decade of diagnosis.
  • Episodes of acute pancreatitis significantly increase the risk of EPI, with prevalence reaching 62% during hospitalization and stabilizing near 35% during follow-up. Severe or recurrent acute pancreatitis, pancreatic necrosis, diabetes, and alcohol-related disease substantially increase long-term EPI risk.
  • In cystic fibrosis (CF), EPI follows a very different and far more immediate trajectory. Due to genetically driven obstruction of pancreatic ducts, 80–90% of people with CF develop EPI, many within the first months of life.
  • Diabetes contributes to a notable secondary burden of EPI. Approximately 10-30% of individuals with type 1 diabetes and 5-46% of those with type 2 diabetes show varying degrees of EPI, although most cases are mild to moderate. In type 2 diabetes, meta-analytic evidence shows that about 22% of patients have measurable exocrine insufficiency, with severe EPI occurring in around 8%. Prevalence varies across regions, reaching as high as 35% in some Asian populations.
  • EPI prevalence is extremely high among patients with advanced pancreatic cancer (66-92%) due to profound exocrine tissue loss. Additionally, 14-74% of individuals with inflammatory bowel disease may develop EPI. Bariatric surgery patients and individuals with HIV infection also show elevated prevalence, estimated at 26-45%, highlighting the diverse etiologic pathways contributing to global EPI incidence.

Exocrine Pancreatic Insufficiency (EPI) – Number of Cases by Country

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Country-wise Exocrine Pancreatic Insufficiency (EPI) Epidemiology

The exocrine pancreatic insufficiency (EPI) epidemiology data and findings for the United States, Germany, Spain, Italy, France, the United Kingdom, Japan, and India are also provided in the epidemiology section.

The United States continues to observe a rising clinical awareness of exocrine pancreatic insufficiency, particularly due to its strong association with chronic pancreatitis. Current estimates show that chronic pancreatitis affects 42 to 73 individuals per 100,000, positioning it as the leading pancreatic disorder contributing to EPI development nationwide. As diagnostic tools improve and recognition expands across healthcare settings, understanding the evolving epidemiological landscape remains essential for strengthening patient management and informing future therapeutic priorities in the United States.

Exocrine Pancreatic Insufficiency (EPI): Treatment Overview

Treatment for exocrine pancreatic insufficiency focuses on replacing missing digestive enzymes and correcting nutritional deficits. Pancreatic enzyme replacement therapy (PERT) is the standard, delivering lipase, amylase, and protease to improve fat and nutrient absorption. Therapy is often combined with dietary modifications, fat-soluble vitamin supplementation, and management of underlying causes such as chronic pancreatitis or cystic fibrosis. Optimizing dosage, timing with meals, and adherence significantly improves symptoms and quality of life. Adjunctive therapies, including proton-pump inhibitors, may enhance enzyme activity in select patients. Long-term follow-up ensures nutritional stability.

Key Questions Answered

  • What are the key findings of exocrine pancreatic insufficiency (EPI) epidemiology in the 8 major markets?
  • What will be the total number of patients with exocrine pancreatic insufficiency (EPI) across the 8 major markets during the forecast period?
  • What was the country-wise exocrine pancreatic insufficiency (EPI) epidemiology scenario in the 8 major markets in the historical period?
  • Which country will have the highest number of exocrine pancreatic insufficiency (EPI) patients during the forecast period of 2026-2035?
  • Which key factors would influence the shift in the patient population of exocrine pancreatic insufficiency (EPI) during the forecast period of 2026-2035?
  • What are the currently available treatments for exocrine pancreatic insufficiency (EPI)?
  • What are the disease risks, signs, symptoms, and unmet needs of exocrine pancreatic insufficiency (EPI)?

Scope of the Exocrine Pancreatic Insufficiency (EPI) Epidemiology Report

  • The report covers a detailed analysis of signs and symptoms, causes, risk factors, pathophysiology, diagnosis, treatment options, and classification/types of exocrine pancreatic insufficiency (EPI) based on several factors.
  • Exocrine Pancreatic Insufficiency (EPI) Epidemiology Forecast Report covers data for the eight major markets (the US, France, Germany, Italy, Spain, the UK, Japan, and India).
  • The exocrine pancreatic insufficiency (EPI) report helps to identify the patient population, and the unmet needs are highlighted along with an assessment of the disease's risk and burden.

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*While we strive to always give you current and accurate information, the numbers depicted on the website are indicative and may differ from the actual numbers in the main report. At Expert Market Research, we aim to bring you the latest insights and trends in the market. Using our analyses and forecasts, stakeholders can understand the market dynamics, navigate challenges, and capitalize on opportunities to make data-driven strategic decisions.*

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Please note that the figures mentioned in the description serve as estimates and may vary from the actual figures presented in the final report.

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Base Year 

2025

Historical Period

2019-2025

Forecast Period

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Epidemiology Statistics Provided

  • Diagnosed Prevalent Cases
  • Type-Specific Cases
  • Gender-Specific Cases
  • Age-Specific Cases

Segmentation Provided

  • Epidemiology by Age Group
  • Epidemiology by Gender
  • Epidemiology by Type of Disease
  • Epidemiology by Region

Geographies Covered 

  • United States
  • Germany
  • Italy
  • France
  • Spain
  • United Kingdom
  • Japan
  • India

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