what is Faecal Elastase ? why Faecal Elastase Testing is Done
Last Updated: 2 Dec 2024

what is Faecal Elastase ? why Faecal Elastase Testing is Done

Dr. Darren Elder

Gynaecologist • 42 Years Exp.

BDS, MDS - Oral & Maxillofacial Surgery

what is Faecal Elastase ?  why Faecal Elastase Testing is Done
  1. Diagnosing Pancreatic Insufficiency:
  • Pancreatic insufficiency occurs when the pancreas does not produce enough digestive enzymes, leading to malabsorption and nutrient deficiencies.
  • Conditions such as chronic pancreatitis, cystic fibrosis, pancreatic cancer, and other disorders can cause pancreatic insufficiency.
  1. Symptoms Indicating the Need for the Test:
  • Chronic diarrhea
  • Steatorrhea (fatty stools)
  • Weight loss
  • Abdominal pain
  • Malnutrition
  1. Monitoring and Managing Conditions:
  • For individuals with known pancreatic disorders, the test helps monitor the effectiveness of enzyme replacement therapy.
  • Helps in assessing the need for dietary adjustments and other therapeutic measures.

The Procedure:

  • Sample Collection:
  • A small sample of stool is collected, typically at home, and then sent to a laboratory for analysis.
  • Analysis:
  • The lab measures the concentration of elastase in the stool sample.
  • Normal levels usually indicate adequate pancreatic function, while low levels suggest pancreatic insufficiency.

Benefits of Faecal Elastase Testing:

  • Non-invasive: It is a simple and non-invasive test.
  • Accurate: Provides reliable information about pancreatic enzyme production.
  • Early Diagnosis: Helps in early diagnosis and management of pancreatic insufficiency, improving patient outcomes.

Interpretation of Results:

  • Normal Range: Generally, faecal elastase levels above 200 µg/g of stool are considered normal.
  • Mild to Moderate Pancreatic Insufficiency: Levels between 100-200 µg/g.
  • Severe Pancreatic Insufficiency: Levels below 100 µg/g.

If you have symptoms that suggest a problem with your pancreas or if you have been diagnosed with a condition that affects pancreatic function, your doctor might recommend this test to get a clearer picture of your pancreatic health and guide your treatment plan.


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