Fatty replacement of the pancreas commonly occurs in obese patients and it is not, by itself, a risk factor for pancreatic cancer (although obesity and diabetes ARE risk factor for pancreatic cancer).
I'm afraid that only your doctor can advise you as to why he/she wants you to undergo colonoscopy.
Sincerely/ Robert A. Wascher, MD, FACS
www.doctorwascher.com
www.oncoguard.com