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Pancreatic elastase is a digestive enzyme that is produced by the pancreas and released into the small intestine. Laboratory testing of pancreatic elastase allows a statement to be made about the formation of digestive enzymes. A deficiency of digestive enzymes is associated with serious gastrointestinal problems such as smelly flatulence, fatty stools and upper abdominal pain. Weight loss and a deficiency of important minerals and vitamins are also common.