LIPASE DEFICIENCY • Impaired secretion – chronic pancreatitis • Inactivation – excess gastric acid

BILE DEFICIENCY • Underproduction – liver disease • Obstruction – obstructive jaundice • Increased degradation – bacterial overgrowth

MUCOSAL DISEASE • Coeliac disease • Ileal resection • Crohn’s disease

IMPAIRED FAT TRANSPORT • Abetalipoproteinaemia

LYMPHATIC DEFICIENCY • Lymphoma • Whipple’s disease