The Roles of Thyroid and Thyroid Hormone in Pancreas: Physiology and Pathology. PE has an important role in digestion, and proteolytically degrades proteins preferentially at alanine residues. Clipboard, Search History, and several other advanced features are temporarily unavailable. Generally, a level of at least 200 micrograms per gram (mcg/g) is considered normal. I just want to be able to challenge the consultant who appears to think this is okay. It can lead to malnutrition. It is important to treat the underlying cause of PEI, and these treatments will vary depending on the cause. Pezzilli, R. et. All animals survived the surgery and post-operative course. I would think that excludes pancreas problems. Leeds JS, Oppong K, Sanders DS: The role of fecal elastase-1 in detecting exocrine pancreatic disease. This site needs JavaScript to work properly. Accessed on 3/19/17. it appears pancreatic elastase is not affected by exogen Pancreatic Elastase is an enzyme produced in the pancreas. Dig Dis Sci. Available online at https://www.ncbi.nlm.nih.gov/pubmed/25360312. For these, please consult a doctor (virtually or in person). Malluta F, Maluf-Filho F, Leite AZA, Ortiz-Agostinho CL, Nishitokukado I, Andrade AR, Lordello MLL, Santos FMD, Sipahi AM. (2016 December 16 Updated). All Rights Reserved. This leads to uncomfortable digestive problems, such as: Many digestive problems cause symptoms similar to EPI. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Terms & Conditions, 2018;2018:2861034. doi:10.1155/2018/2861034. American Gastroenterological Association. We use procedural, physical, and electronic security methods designed to prevent unauthorized people from getting access to this information. 2023 TESTING.COM. Frontline Gastroenterol. Our internal code of conduct adds additional privacy protection. https://thyroidpharmacist.com/articles/are-you-doing-everything-for-your-thyroid-but-not-yet-well/, https://thyroidpharmacist.com/articles/do-you-have-hypothyroidism-or-hashimotos-or-both/, https://thyroidpharmacist.com/articles/top-6-thyroid-tests/, https://thyroidpharmacist.com/articles/fish-oil-for-hashimotos/, 8 Benefits of the Infrared Sauna That Can Reduce Symptoms of Hashimotos and Hypothyroidism. Consequences of dysthyroidism on the digestive tract and viscera. Elastase is an enzyme produced by the pancreas that helps digest fats. The normal reference range is between 100-500ug/g. Chowdhury SD, Kurien RT, Ramachandran A, et al: Pancreatic exocrine insufficiency: Comparing fecal elastase 1 with 72-h stool for fecal fat estimation. Tth AZ, Szab A, Hegyi E, Hegyi P, Sahin-Tth M. Am J Physiol Gastrointest Liver Physiol. It is a key part of your digestive process. Clinical symptoms of EPI include steatorrhea, bloating, abdominal discomfort, and weight loss. (The active ingredient is ox bile, which has been shown to increase bile flow and support fat digestibility in animal studies. World J Gastroenterol. Accessed on 3/19/17. Abstract. Optimal Result: 200 - 1000 mcg/g. Fecal elastase 1 determination in chronic pancreatitis. Lipski L. Remove, Replace and Replenish: The Diet Prescription and Supplementation Part 2. Before It is not diagnostic, but it does indicate that further testing may be indicated. wikipedia.en/Pancreatic_elastase.md at main chinapedia/wikipedia.en Clin Gastroenterol Hepatol. These tests can spot pancreas problems that can lead to EPI. . All Rights Reserved. CPT codes and LOINC update: February 2023, Whole genome sequencing streamlines diagnosis. 2017. Pancreatic Elastase, Feces Useful For Diagnosis of exocrine pancreatic insufficiency in case of unexplained diarrhea, constipation, steatorrhea, flatulence, weight loss, upper abdominal pain, and food intolerances Monitoring of exocrine pancreatic function in cystic fibrosis, diabetes mellitus, or chronic pancreatitis Method Name Get Started The pancreatic elastase 1 fecal test is used to diagnose insufficiencies of the pancreas that result in diseases such as: - Cystic fibrosis - Chronic pancreatitis - Pancreatic cancer - Inflammatory Bowel Disease - Gallstones Follow your healthcare providers recommendations for taking PERT, and be sure to take it with every meal or snack. Bookshelf Upload your lab report and well interpret and provide you with recomendations today. Available online at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3831207/. Detection of human elastase isoforms by the ScheBo Pancreatic Elastase 1 Test. Please enable it to take advantage of the complete set of features! I have always read that anything above 200 is normal?? After another washing step, substrate tetramethylbenzidine is added, which reacts with the peroxidase. Collect a fresh random fecal specimen, no preservatives. It is less frequently but sometimes associated with pancreatic cancer. After a wash step, a peroxidase-labeled conjugate (mouse anti-pancreatic elastase) is added. Results. https://www.abingtonhealth.org/healthy-living/health-news/library/articles-related-to-pregnancy-and-breastfeeding/a-guide-to-gallstones-during-pregnancy/. Pancreatic elastase (PE) is not degraded during intestinal transit and the concentration of PE in a stool sample reflects exocrine pancreatic function. Pancreatic elastase test results | HealthTap Online Doctor The sample should be formed (not watery) and not contaminated with urine or water. 123234: Pancreatic Elastase, Fecal | Labcorp Pancreatic Elastase Stool Test measures the level of elastase in your stool. Less common etiologies of exocrine pancreatic insufficiency. Generally, a level of at least 200 micrograms per gram (mcg/g) is considered normal. 1. If left untreated, patients with EPI can experience weight loss and significant nutrient deficiencies. I think I also recall them saying that above 200ug was normal and that they were more concerned with the lower numbers as the lower the numbers there was a chance of pancreatic insufficiency! 2017 Jul;62(7):1702-1712. doi: 10.1007/s10620-017-4602-2. Bethesda, MD 20894, Web Policies Pancreatic elastase 1. (2015 March). It is released as a zymogen, which is then converted to an active enzyme in the duodenum by trypsin. The lower the level of Pancreatic Elastase I is in the stool, the worse the pancreatic insufficiency is. (2001 October). The information on healthmatters.io is NOT intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. Pancreatic elastase concentrations below 100 mcg/g are consistent with exocrine pancreatic insufficiency. Pancreatic elastase concentrations above 200 mcg/g are normal and are not indicative of exocrine pancreatic insufficiency. Upload your lab reports and get interpretation today. Right Side Abdominal Pain Symptoms, Causes, Diagnosis, Treatment, Left Side Abdominal Pain Symptoms, Causes, Diagnosis, Treatment. Normal Reports | Thirty-six subjects [15 healthy controls, 7 malabsorption controls, and 14 subjects with CP (7 MCP, 7 SCP)] had FPE1 assays. Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. I am so glad you got in touch though as this is very timely on Wednesday I have been asked to have a 24 test to monitor reflux which involves having a tube inserted into my nose and into my gut I might chicken out!! Keeping a close eye on symptoms can help identify possible EPI so you can treat it right away. The intraassay and interassay intraclass correlation coefficients were 0.93 and 0.90, respectively. Pancreas Function Tests: 9 Types, Normal Values, Causes of High Lipase Available online at https://emedicine.medscape.com/article/181554-overview. Unauthorized use of these marks is strictly prohibited. Secretin pancreatic function test to test how the pancreas responds to secretin, a hormone that triggers the release of digestive enzymes. All data is backed up multiple times a day and encrypted using SSL certificates. Gheorghe, C. et. The Fel-1 test has been validated against a number of other tests of exocrine pancreatic function but often in very specific circumstances. Applies only to results expressed in units of measure originally reported by the performing laboratory. Call the lab for their instructions, The different types of pancreatic enzymes include: Chronic pancreatitis is the main cause of EPI in adults. This test is an excellent biomarker for how well the pancreas is working because the enzyme pancreatic elastase I is not broken down by what happens in the intestinal tract. The test's ability to detect MCP distinguished by the absence of steatorrhea, and its specificity among various etiologies of malabsorption, has not been fully evaluated. 2013 Nov 28; 19(44): 79307946. 2018 Aug;16(8):1220-1228.e4. The pancreas is an organ located in the abdomen that consists of two kinds of tissues: exocrine and endocrine. About SDS. 2011 May 31;8(7):405-415, 2. Pancreatic Exocrine Insufficiency Outlook. Optimal Result: We've put industry-leading security standards in place to help protect against the loss, misuse, or alteration of the information under our control. Accessed on 3/19/17. Helicobacter pylori and gastric acid: an intimate and reciprocal relationship. Neither of the tests alone tells much. My result is 800+ ug/g This is above the normal range. Available online at https://clinchem.aaccjnls.org/content/51/6/1052. The majority of those with nonpancreatic malabsorption had false-positive values. Presented as part of the 2017 Institute for Functional Medicine Conference; October 2017; Denver, CO. Chowdhury P, Gupta P. Pathophysiology of alcoholic pancreatitis: an overview. He said range is above >200. I hope these are helpful- good luck! Fatty foods can worsen steatorrhea, but it is still important to consume enough fat for necessary bodily functions and because fats are required to absorb certain vitamins. In a healthy pancreas, elastase will be eliminated in the stool. Testing cannot be added on to a previously collected specimen. A stool sample is collected in a clean container. It makes enzymes that aid digestion and help your body absorb nutrients. Medscape Drugs and Diseases. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. It is not necessary to interrupt enzyme substitution . Should i test pancreatic elastase,alfa antitripsin, calprotectin if i have gerd?are the symptoms of bloating because of gerd or low acidity in stomach. In the digestive tract, elastase is not broken down by other enzymes and . This problem is called malabsorption. Pancreatic elastase 1 - Lab Results explained | HealthMatters.io There are no problems recorded in medical literature for high levels of Pancreatic Elastase I. Upload your lab report and well interpret and provide you with recomendations today. Your gastroenterologist will use this as part of your overall evaluation. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Accessed on 3/19/17. if so, how long to stop creon before test? Separate specimens must be submitted when multiple tests are ordered. Are pancreas elastase stool results affected by pancreatic enzyme replacement therapy, such as creon? If specimen is sent refrigerate, send immediately after collection. Our technology helps to understand, combine, track, organize, and act on your medical lab test results. Capurso G, Traini M, Piciucchi M, Signoretti M, Arcidiacono PG: Exocrine pancreatic insufficiency: prevalence, diagnosis, and management. Clinics (Sao Paulo). Stool Elastase Test Purpose, Procedure, Results And More - Lab Tests Guide Introduction Pancreatic exocrine insufficiency (PEI) is underdiagnosed; however, the use of the faecal elastase-1 (Fel-1) test is common and recommended in the investigation of gastrointestinal symptoms. Are Your Adrenals Sabotaging Your Health? Pancreatic elastase concentrations above 200 mcg/g are normal and are not indicative of exocrine pancreatic insufficiency. Some symptoms include: fever fatty stools nausea with or without vomiting intense pain in the upper. Interpret your laboratory results instantly with us. If there are not enough pancreatic enzymes (and bile from the liver) available, then fat and other foods cannot be properly digested. ALL RIGHTS RESERVED. Careers. Chen C, Xie Z, Shen Y, Xia S.F. notes indicate:it is not necessary to interrupt enzyme substitution thearpy Dr. Shaban Faruqui answered Specializes in Gastroenterology Background If the condition continues for a longer period of time, then low bone density may be found. al. Statistical analysis Normal distribution of the data was tested by Kolmogorov-Smirnov test. Mucus also collects in the pancreas, which keeps digestive enzymes from reaching the small intestine. i have crohn's. Diagnosis and treatment of pancreatic exocrine insufficiency. Little (or no) elastase can indicate EPI. 1. 2014 Nov;43(8):1143-62. doi: 10.1097/MPA.0000000000000237. To prepare for a pancreatic elastase stool test, you should follow your healthcare providers instructions. , Hiya this is beautifully reassuring thanks so much for sharing x. Hiya Linda thanks so much you are a gem! If little or no elastase is found in the stool, it may mean that this enzyme is not working as it should. PERT is a safe treatment, without any known serious side effects. Our technology helps to understand, combine, track, organize, and act on your medical lab test results. If the pancreatic elastase test of my stool was in normal range- what exactly does this mean? A Guide to Gallstones During Pregnancy. They may find symptom relief and nutritional improvement from prescribed enzymes taken by mouth (oral) and vitamin supplements. This assay allows the diagnosis or exclusion of pancreatic exocrine insufficiency, which can be caused by chronic pancreatitis, cystic fibrosis, pancreatic tumor, cholelithiasis or . Treatment for EPI centers on administration of pancreatic enzyme replacement therapy. This is called pancreatic insufficiency. As a result, your body doesnt get the nutrients it needs from foods. Lyon, E. et. Diagnosis of pancreatic exocrine insufficiency in chronic pancreatitis. Pancreatic Elastase - an overview | ScienceDirect Topics The lab will check it for an enzyme your pancreas makes to help your body . Available online at https://www.merckmanuals.com/professional/gastrointestinal-disorders/pancreatitis/chronic-pancreatitis. Am J Physiol Gastrointest Liver Physiol. One gland (referred to as the "exocrine" pancreas) focuses on producing enzymes to help with the digestion of food. I think you should follow up with your GP for further advice and maybe a repeat test. Fecal pancreatic elastase is a non-invasive marker of exocrine pancreatic function. If you have any concerns about the test, be sure to discuss them with your healthcare provider. Conwell DL, Lee LS, Yadav D, Longnecker DS, Miller FH, Mortele KJ, Levy MJ, Kwon R, Lieb JG, Stevens T, Toskes PP, Gardner TB, Gelrud A, Wu BU, Forsmark CE, Vege SS. I. Gullo L, Pezzilli R, Bellanova B, DAmbrosi A, Alvisi V, Barbara L. Influence of the thyroid on exocrine pancreatic function. There are minimal risks associated with a pancreatic elastase . This finding should prompt the clinician to arrange further investigations to identify whether there is evidence of primary PEI, secondary PEI or whether there is another reason why the Fel-1 level is low. The container should be transported promptly to the laboratory, or the sample may be frozen for later transport. Medical News Today. Stein J, Schoonbroodt D, Jung M, Lembcke B, Caspary WF. Micronutrient evaluation recommended, especially for fat soluble vitamins A, D, E, and K. Understand and improve your laboratory results with our health dashboard. Our internal code of conduct adds additional privacy protection. 2017; 15: 29. And while fibre is good for gut health, for many individuals with PEI it is better to keep fibre intake low, as this can make digestion easier. See our Privacy Policy for more details. Pancreatic function is assumed to be normal when faecal elastase levels are >500 g/g. how can this be tested further and treated? In a healthy pancreas, elastase will be passed in the stool. Fecal pancreatic elastase is a non-invasive marker of exocrine pancreatic function. Available online at https://emedicine.medscape.com/article/2121028-overview Accessed on 3/19/17. what could cause this? Available online at https://www.ncbi.nlm.nih.gov/pubmed/11589385. Elastase helps break down fats, proteins, and carbohydrates after eating. Advertising on our site helps support our mission. Low levels of fecal elastase can be indicative of pancreatic exocrine insufficiency. Struyvenberg, M. et. What is Cardiac Ablation? A stool that is watery, such as with diarrhea, is not a good sample as the water in the stool will dilute the elastase and decrease the amount measured. Mine is also above the lab ref range, >750. Upload your lab reports and get interpretation today. Learn more. EPI occurs when your pancreas doesnt make enough digestive enzymes. 2014 Oct;2(5):345-54. Hope this helps.. A number of tests of exocrine pancreatic function have been devised over the years, but the search for a simple and yet sensitive and specific test has been elusive until recently. "The elastase test measures the level of pancreatic enzyme within the stool. To help detect and evaluate pancreatic insufficiency, When you have signs and symptoms such as stomach cramps, weight loss, malnutrition, malabsorption, delayed growth (in children) and fatty, foul-smelling stools and pancreatic insufficiency is suspected, A fresh formed stool sample that is not contaminated with urine. Lindkvist, B. 10 year old daughter failure to thrive on high caloric diet 136 pancreatic elastase sweat test negative what else could be wrong to cause this? In-depth research on any test at your fingertips, all stored and tracked in one place. There are minimal risks associated with a pancreatic elastase stool test. Hi just wondering if anyone knows the relevance of a high fecal elastase test? <100 mcg/g (Severe Pancreatic Insufficiency), 100-200 mcg/g (Moderate Pancreatic Insufficiency). al. If you have PEI, it is a good idea to consult with a registered dietitian, who can work with you to establish a meal plan tailored to your lifestyle, that maximizes the nutritional quality of what you eat, and reverses any nutritional deficiencies. Pancreas. The pancreatic elastase test, often referred to as "fecal elastase," is a helpful tool for identifying exocrine pancreatic insufficiency in people who have gastrointestinal symptoms, such as abdominal pain, diarrhea, and unexplained weight loss. Its purpose is to help digest food, specifically proteins. Pancreatic insufficiency can be caused by regular bouts of acute pancreatitis or by chronic pancreatitis. It consists of two tightly connected glands, each with a distinct function. 2001 Oct;36(10):1092-9. 2002 Apr;40(4):325-32. doi: 10.1515/CCLM.2002.051. is this normally associated? It typically occurs as a result of ongoing and worsening pancreatic damage. Impact of adipose-derived stem cells on aortic tensile strength in a Interpret your laboratory results instantly with us. Please use an alternative web browser, or listen from your mobile device on a preferred listening app. Levy, P. et. The level in the stool is decreased when the exocrine tissues of the pancreas are not producing sufficient elastase and other digestive enzymes. How to differentiate between UTI and Pregnancy Symptoms? [Measurement of fecal elastase 1 by immunoreactivity: a new indirect test of the pancreatic function]. Understand and improve your laboratory results with our health dashboard. Available online at https://www.pancreapedia.org/reviews/diagnosis-of-pancreatic-exocrine-insufficiency-in-chronic-pancreatitis. (2013 April). Sparkle44- here are some good resources from Mission: Cure that you'll probably find helpful. How Exocrine Pancreatic Insufficiency (EPI) Is Diagnosed - Verywell Health Your healthcare provider can offer support to stop using these substances. If a condition prevents the intestines from absorbing nutrients, then they are lost by elimination in the stool. The pancreas is part of your digestive system. For the test, you receive secretin through an intravenous (IV) line. Are there any risks of having a high fecal elastase? Accessed on 3/19/17. My gastro specialist said that was great. When you consume PERT with food, it duplicates the normal digestive process because the enzymes mix with the food and help you absorb more nutrition from the food and supplements that you consume. However, this testing is cumbersome for the patient and not easily tolerated due to the requirement of consuming 100 g fat/day. Hi Sparkle. Result LOINC Value. Over time, chronic inflammation can damage the pancreatic cells that make digestive enzymes. sharing sensitive information, make sure youre on a federal A ONECARE MEDIA COMPANY. ct, bile duct eus & mrcp done 6 months apart all fine.amalyase , faecal elastase fine. The determination of enzyme concentration in . Normal concentrations do not exclude the possibility of exocrine pancreatic insufficiency. Why Balancing Blood Sugar is Vital for Hashimotos Health, NAC for Thyroid Antibody Reduction, Detoxification and Gut Health, Solutions to Increase Low Libido in Those with Hashimotos. Schneider, A. et. Elastase is an enzyme made by special tissue in the pancreas, an organ in your upper abdomen. Clinical Chemistry 51, No. Pancreatic insufficiency can cause a number of health problems, including malabsorption and . A low Pancreatic Elastase 1 may indicate that the cause of symptoms may be due to a pancreatic cause and should prompt further investigations to identify this rather than only treat with PERT. Please allow 2-3 business days for an email response from one of the volunteers on the Consumer Information Response Team. Lower levels may indicate pancreatic insufficiency or other problems with fat digestion. Lipase blood test: What it is, results, and lowering levels A doctor will usually order a lipase test if a person shows signs of a pancreatic disorder. 2013 Apr; 1(2): 7983. Methods. You may be asked to stop taking certain medications or to avoid eating or drinking certain foods or beverages before the test. The amount of PE in stool is representative of pancreatic enzyme production; patients with EPI may have reduced concentrations of PE in feces. Elastase is an enzyme produced by special tissue in the pancreas, an organ in the upper abdomen. Available online at https://arupconsult.com/content/pancreatitis-chronic. These substances make your pancreas work harder and can contribute to pancreatitis, which can lead to EPI. Practical guide to exocrine pancreatic insufficiency Breaking the myths. Stay up to date with the latest news and information from Testing.com by subscribing to our newsletter. All rights reserved. In the digestive tract, elastase is not broken down by other enzymes and is eventually eliminated from the body in the stool. Clinical use Pancreatic elastase 1 or faecal elastase 1 (FE-1) is a human pancreas specific enzyme. From there, we can identify if it's at the appropriate level to be able to digest food and maintain adequate pancreas function.". Supplies: Stool container, Small (Random), 4 oz (T288). 2019 Mar 21;12:129-139, 3. Nearly 9 in 10 infants with cystic fibrosis develop EPI within the first year. The intensity of the yellow color is directly proportional to the concentration of pancreatic elastase. Maybe this is an oversight on the part of the consultant? United European Gastroenterol J. Other causes of insufficiency may include celiac disease, Crohn disease, autoimmune pancreatitis (immunoglobulin G4-related disease), Zollinger-Ellison syndrome, and some surgical procedures that can lead to a decrease in digestive system or pancreatic function. 1999 Jan;44(1):210-3. doi: 10.1023/a:1026691209094. The subjects with nonpancreatic malabsorption had FPE1 values ranging from 55 to > 500 micrograms/g of stool. Exocrine Pancreatic Insufficiency. Root Causes of Depression and Hashimotos, Top 9 Takeaways From 2232 People With Hashimotos. Available online at https://www.jgld.ro/2015/1/21.html. This test measures the amount of elastase in stool (feces) to help evaluate whether a persons pancreas is functioning properly. However, serious complications are rare. Just ensure that it is primarily from either plant sources such as nuts, seeds, or olives or from fatty fish, rather than from processed foods or red meat. Medscape Drugs and Diseases. The pancreatic elastase 1 fecal test is used to diagnose insufficiencies of the pancreas that result in diseases such as: In many of these conditions, there is often diarrhea, weight loss, undigested food in the stool, and pain in the abdomen. The enzyme stability is remarkably high despite its proteolytic activity, as elastase is found in feces in about a sixfold concentration as in pancreatic fluid. 2016 Nov;35(6):441-444, The Immundiagnostik Pancreatic Elastase assay is an enzyme-linked immunosorbent assay (ELISA). The most effective treatment for PEI is pancreatic enzyme replacement therapy (PERT), which involves taking a medication called pancrelipase to provide the body with enzymes that break down fats and proteins. People with EPI cant absorb enough fats, proteins and carbohydrates from foods. Z0925. About half of kids with SDS start producing digestive enzymes as they get older. Any condition that blocks the pancreatic ducts or damages or destroy the cells that produce elastase can cause pancreatic insufficiency. One hundred fifty-four assays for FPE1 were run for analysis. Cutoff values (microgram/g stool) of < 100 have been suggested as SCP, 100-200 as MCP, and > 200 as normal. al. Elastase is an enzyme produced by special (exocrine) tissue in the pancreas. The values of pancreas function test include normal amylase levels of 23-85 U/L (some lab results go up to 140 U/L) and lipase levels of 0-160 U/L. Chew food thoroughly and relax at meal time (this helps get digestive juices flowing and working early on through your saliva). Pancreatic Elastase is an enzyme produced by exocrine tissue in the pancreas. They have also diagnosed me with a mild bile malabsorption issue. Plus, my Homocysteine is 3 times higher than it should be and my TSH is now under-active and I am on Thyroid tablets. and transmitted securely. *Severe exocrine pancreatic insufficiency: below 100 ug. This depends on the laboratory performing the testing. Lower levels may indicate pancreatic insufficiency or other problems with fat digestion. Cutoff values (microgram/g stool) of < 100 have been suggested as SCP, 100-200 as MCP, and > 200 as normal. American Gastroenterological Association. Policy. Note: Podcasts will not playback on Internet Explorer. Clin Chem Lab Med. Acetate, Akkermansia muciniphila, Anaerotruncus colihominis, Ancylostoma/Necator (Hookworm), Ascaris lumbricoides, Bacteroides vulgatus, Bacteroides-Prevotella group, Barnesiella spp., Beta-glucuronidase, Bifidobacterium longum, Bifidobacterium spp., Butyrivibrio crossotus, Calprotectin, Candida albicans/dubliniensis, Capillaria philippinensis, Cholesterol, Citrobacter species, Clostridium spp., Collinsella aerofaciens, Coprococcus eutactus, Desulfovibrio piger, Enterobacter cloacae, Enterobius vermicularis, Enterococcus faecalis, Eosinophil Protein X, Escherichia coli, Faecalibacterium prausnitzii, Fecal Color, Fecal Consistency, Fecal Fat, Total, Fecal Occult Blood, Fecal secretory IgA, Firmicutes/Bacteroidetes (F/B Ratio), Fusobacterium spp., Klebsiella oxytoca, Klebsiella species, Lactobacillus spp., Long-Chain Fatty Acids, Methanobrevibacter smithii, n-Butyrate %, n-Butyrate Concentration, Odoribacter spp., Oxalobacter formigenes, Pancreatic Elastase 1, Phospholipids, Prevotella spp., Products of Protein Breakdown (Total), Propionate, Proteus mirabilis, Pseudoflavonifractor spp., Roseburia spp., Ruminococcus spp., Short-Chain Fatty Acids (SCFA), Total, Triglycerides, Veillonella spp., Zonulin Family Peptide. 2 Normally, this enzyme will be found in stool. Scand J Gastroenterol. BMC Med. ), Supporting improved bile flow. Depends on stool transit, https://www.gdx.net/core/one-page-test-descriptions/Pancreatic-Elastase-Test-Description.pdf My pancreatic elastase 1 ?came back at 415 ug/g is this normal ? Accessed on 3/19/17. Faecal elastase 1: not helpful in diagnosing chronic pancreatitis associated with mild to moderate exocrine pancreatic insufficiency. Pancreatic Elastase Test Purpose, Procedure, Results And More | Lab Pancreatic Elastase-1 | Test Summary | Quest Diagnostics