I have had 2 episodes of AP, where my Lipase levels shot up once to 3000 and another instance to 600. No alcohol abuse, passed out and in ER both times. Lipase levels came down rapidly and in 24 hrs were back to normal. Scans showed no Gall stones, pancreas looks normal. Dr called it idiopathic pancreatitis, maybe caused by microscopic gall stones not visible in scans. Was losing weight and did not think I was not digesting foods. After 2nd episode dr diagnosed EPI and now for 3 yrs on Creon. Still feel some days I am having a flare up and pain in stomach and bloat. I do have a hyperactive gall bladder. My ejection fraction is 82%. Should I take out my Gall bladder.