Sisman P, et al. – This study was undertaken to investigate whether pancreatic exocrine function declines due to chronic hypercalcemia by measuring fecal elastase levels. The obtained data indicate that chronic hypercalcemia in primary hyperparathyroidism did not decrease the fecal elastase level, which is an indirect indicator of chronic pancreatitis; therefore, chronic hypercalcemia in PHPT may not cause chronic pancreatitis.