Sign in →

Test Code LPSBF Lipase, Body Fluid


Necessary Information


1. Date and time of collection are required.

2. Specimen source is required.



Specimen Required


Specimen Type: Body fluid

Preferred Sources:

-Peritoneal fluid (peritoneal, abdominal, ascites, paracentesis)

-Pleural fluid (pleural, chest, thoracentesis)

-Drain fluid (drainage, Jackson Pratt [JP] drain)

-Pericardial

Acceptable Source: Write in source name with source location (if appropriate)

Collection Container/Tube: Sterile container

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL

Collection Instructions:

1. Centrifuge to remove any cellular material and transfer into a plastic vial.

2. Indicate the specimen source and source location on label.


Useful For

Determining whether pancreatic inflammation or pancreatic fistula may be contributing to a pathological accumulation of fluid

Method Name

Enzymatic Colorimetric Reaction

Reporting Name

Lipase, BF

Specimen Type

Body Fluid

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Body Fluid Refrigerated (preferred) 7 days
  Frozen  30 days
  Ambient  24 hours

Reference Values

An interpretive report will be provided.

Interpretation

Fluids (peritoneal, drain):

Lipase concentrations several-fold higher than serum lipase concentrations 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 Reference

1. Block DR, Florkowski CM. Body Fluids. In: Rifai N, Horvath AR, Wittwer CT. eds. Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. 6th ed. Elsevier;2018:chap 43

2. Robert JH, Meyer P, Rohner A. Can serum and peritoneal amylase and lipase determinations help in the early prognosis of acute pancreatitis? Ann Surg. 1986;203(2):163-168. doi:10.1097/00000658-198602000-00009

3. Lipsett PA, Cameron JL. Internal pancreatic fistula. Am J Surg. 1992;163(2):216-220. doi:10.1016/0002-9610(92)90104-y

4. Kaman L, Behera A, Singh R, Katariya RN. Internal pancreatic fistulas with pancreatic ascites and pancreatic pleural effusions: recognition and management. ANZ J Surg. 200;71(4):221-225. doi:10.1046/j.1440-1622.2001.02077.x

5. Sileo AV, Chawla SK, LoPresti PA: Pancreatic ascites: Diagnostic importance of ascitic lipase. Am J Dig Dis. 1975 Dec;20(12):1110-1114. doi:10.1007/BF01070753

6. Nandakumar V, Dolan C, Baumann NA, et al. Effect of pH on the quantification of body fluid analytes for clinical diagnostic testing. Am J Clin Path. 2019; 152(1):S10-S11

Day(s) Performed

Monday through Sunday

Report Available

Same day/1 to 2 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test has been modified from the manufacturer's instructions. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

83690

LOINC Code Information

Test ID Test Order Name Order LOINC Value
LPSBF Lipase, BF 15212-4

 

Result ID Test Result Name Result LOINC Value
LPBF Lipase, BF 15212-4
FLD7 Fluid Type, Lipase 14725-6