List Of Exams

Lipase

About the test

Lipase is an enzyme secreted in the pancreas. It plays an important role in the break-down, transport and processing of food lipids.

Lipase is usually measured along with amylase for the diagnosis of acute pancreatitis. To a lesser extent, it is used for the diagnosis and follow up of other diseases such as cystic fibrosis, Crohn’s disease and celiac sprue.

Sample

Venous blood

Preparation

  • 12 hour fasting prior to testing.
  • Avoidance of alcohol consumption.
  • Cessation of certain drugs (codeine, oral contraceptives)
  • Water is allowed.

Procedure

Venipuncture

Increased values

  • Acute pancreatitis
  • Pancreatic cancer
  • Renal disease
  • Peptic ulcers
  • Drugs (heparin, pain killers, opioids)
  • Alcoholism
  • Acute cholecystitis
  • Peritonitis
  • Diabetic ketoacidosis
  • Severe hemolysis
  • Transplant rejection

Decreased values 

  • Congenital lipase deficiency
  • Chronic pancreatitis
  • Cystic fibrosis
  • Drugs (quinine)

Additional information

During pregnancy lipase levels may be slightly elevated.

Lipase has a higher sensitivity and specificity than amylase.