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26661 Pancreatic Elastase, Fecal

Pancreatic Elastase, Fecal
Test Code: PANELA
Synonyms/Keywords

​PE1, Elastase, Pancreatic, Pancreatic Elastase​

Useful For

​Diagnosis or the exclusion of exocrine pancreatic insufficiency, which may be associated with chronic pancreatitis, cystic fibrosis, carcinoma of the pancreas, diabetes mellitus type 1 (insulin-dependent diabetes mellitus), Shwachman-Diamond syndrome, and other etiologies of pancreatic insufficiency. ​

Specimen Requirements

Specimen TypePreferred Container/TubeAcceptable Container/TubeSpecimen VolumeSpecimen Minimum Volume
(allows for 1 repeat)
​Stool (unpreserved, random)
​Sage container (screw-capped plastic vial)
​Sterile container
​3 grams
​1 gram (This volume does not allow for repeat testing)
Collection Processing Instructions

​Do not contaminate outside of container. Do not overfill container. Do not use a preservative. Specimens should be transported refrigerated (ice packs) or frozen if transport temperature is expected to exceed​ 40°C (104°F).

Specimen Stability Information
Specimen TypeTemperatureTime

​​
Stool​
​

​

​Ambient
​8 hours
​Refrigerate
​7 days
​Frozen
​12 months
​Freeze/thaw cycle
​Stable x 2
Note: Pancreatic elastase can be performed on the same extracted stool sample as Fecal Calprotectin (CALP). Extracted stool samples will be kept 7 days from Final report. If PANELA is requested as an add-on, please call the lab for more information. ​​​​
Rejection Criteria

Serum or plasma received

Stool contaminated with urine

Preserved stool received

Specimens outside of the stability requirements

Very hard stool

Stool with excess mucous

Performing Laboratory Information
Performing LocationDay(s) Test PerformedAnalytical TimeMethodology/Instrumentation
Marshfield​
​Tuesday, Thursday
​1 day
​Chemiluminescence Immunoassay/ Liaison XL
Reference Range Information
Performing LocationReference Range
Marshfield​
​
​Normal:
​>200 ug elastase/g fecal material
​Moderate pancreatic insufficiency:
​100-200 ug elastase/g fecal material
​Severe pancreatic insufficiency:
​<100 ug elastase/g fecal material

Outreach CPTs
CPTModifier
(if needed)		QuantityDescriptionComments
​​82653
​​1
​​
Synonyms/Keywords

​PE1, Elastase, Pancreatic, Pancreatic Elastase​

Ordering Applications
Ordering ApplicationDescription
​Cerner
​Pancreatic Elastase, Fecal
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements

Specimen TypePreferred Container/TubeAcceptable Container/TubeSpecimen VolumeSpecimen Minimum Volume
(allows for 1 repeat)
​Stool (unpreserved, random)
​Sage container (screw-capped plastic vial)
​Sterile container
​3 grams
​1 gram (This volume does not allow for repeat testing)
Collection Processing

​Do not contaminate outside of container. Do not overfill container. Do not use a preservative. Specimens should be transported refrigerated (ice packs) or frozen if transport temperature is expected to exceed​ 40°C (104°F).

Specimen Stability Information
Specimen TypeTemperatureTime

​​
Stool​
​

​

​Ambient
​8 hours
​Refrigerate
​7 days
​Frozen
​12 months
​Freeze/thaw cycle
​Stable x 2
Note: Pancreatic elastase can be performed on the same extracted stool sample as Fecal Calprotectin (CALP). Extracted stool samples will be kept 7 days from Final report. If PANELA is requested as an add-on, please call the lab for more information. ​​​​
Rejection Criteria

Serum or plasma received

Stool contaminated with urine

Preserved stool received

Specimens outside of the stability requirements

Very hard stool

Stool with excess mucous

Useful For

​Diagnosis or the exclusion of exocrine pancreatic insufficiency, which may be associated with chronic pancreatitis, cystic fibrosis, carcinoma of the pancreas, diabetes mellitus type 1 (insulin-dependent diabetes mellitus), Shwachman-Diamond syndrome, and other etiologies of pancreatic insufficiency. ​

Reference Range Information
Performing LocationReference Range
Marshfield​
​
​Normal:
​>200 ug elastase/g fecal material
​Moderate pancreatic insufficiency:
​100-200 ug elastase/g fecal material
​Severe pancreatic insufficiency:
​<100 ug elastase/g fecal material

For more information visit:
Performing Laboratory Information
Performing LocationDay(s) Test PerformedAnalytical TimeMethodology/Instrumentation
Marshfield​
​Tuesday, Thursday
​1 day
​Chemiluminescence Immunoassay/ Liaison XL
For billing questions, see Contacts
Outreach CPTs
CPTModifier
(if needed)		QuantityDescriptionComments
​​82653
​​1
​​
For most current information refer to the Marshfield Laboratory online reference manual.