Lipase, Body Fluid

Test Code
FLIP


Alias/See Also
Body Fluid, Lipase, Fluid


Preferred Specimen
Body Fluids such as Biliary/Hepatic, JP Drainage (surgical drainage), Pancreatic, Pericardial, Peritoneal/Ascites, Pleural or Synovial fluid are aceptable specimens for Body Fluid Lipase.


Specimen Stability
Lipase activity is stable for several weeks when stored 2-8°C, or indefinitely if frozen at <-20°C.


Setup Schedule
24x7


Reference Range
Reported in U/L
AMR  3 to 600 U/L

Interpretation: 
Peritoneal, Drain: Lipase concentrations several-fold higher than serum is suggestive of the presence of pancreatic fluid in the drained cavity.

All other fluids: Body fluid lipase activity may become elevated due to the presence of pancreatic fluid in the drained cavity. Results should be interpreted in conjunction with serum lipase and other clinical findings.


Clinical Significance

Peritoneal fluid: The digestive enzymes amylase and lipase can be measured in the identification of pancreatic fluid in the peritoneal cavity. Concentrations are expected to be elevated and at least several-fold times higher in fluid of pancreatic origin compared to simultaneous concentrations in serum.



Drainage fluid: Lipase is expected to be elevated in drainage fluids formed due to chronic pancreatitis or formation of a fistula following surgery. Comparison to serum concentrations is recommended with elevations several-fold higher than blood being suggestive of the presence of pancreatic fluid in the drained cavity.




Performing Laboratory
CRMC Laboratory



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.