Pancreatic Elastase, Monoclonal
Label Mnemonic: MONOELAST
Epic code: LAB4806
Downtime form: A-1a Doctor/Provider Orders - Pathology Core and Specialty Care Nursery
Commercial Mailout Laboratory
6240-8 RCP
356-8593
Specimen(s):
Formed Stool (Random)
Collection Medium:
Sterile Container
Minimum:
20 g random, formed stool
Rejection Criteria:
Ambient longer than 5 days.
Delivery Instructions:
Deliver to laboratory as soon as possible, keep at room temperature.
Turn Around Time:
10 days upon receipt at reference laboratory
Reference Range:
> 200 ug PE1/g stool Normal

100-200 ug PE1/g stool Mild to moderate exocrine pancreatic 
insufficiency

< 100 ug PE1/g stool Severe exocrine pancreatic insufficiency

Reference ranges applicable for children > 2 weeks of age.
Comments:
Enzyme substitution therapy does not influence the determination of 
Pancreatic Elastase.

Recommendations Prior to Collection:
3 days before the test
*It is recommended if taking antibiotics or antifungals that you wait 
at least 3 days after your last does before beginning the test (unless 
instructed otherwise by your physician).

*It is recommended that you discontinue use of all the following 
substances:  barium enemas, bentonite clay, castor oil, mineral oil, 
betaine HCl or digestive enzymes, rectal suppositories, vitamin C 
supplements and beneficial flora supplements (acidophilus, etc.) 
(unless requested to continue by your physician).

*It is recommended that you eat your usual diet during the 2-3 days 
prior to stool collection, ideally including some fatty foods (e.g. 
butter or salad oils) and protein-rich foods.

2 days before the test
*It is recommended that your discontinue use of aspirin or ibuprofen 
(Advil, Motrin, Nuprin) (unless requested to continue by your 
physician).
Methodology:
Enzymed-Linked Immunosorbent Assay (ELISA)/Monoclonal Assay
CPT Code:
82656