Stool Examination · Pathology

What is the clinical significance of a positive 'Fecal Elastase' test?

  1. It indicates active upper gastrointestinal bleeding
  2. Low levels indicate pancreatic exocrine insufficiency
  3. It confirms the presence of intestinal Hookworm larvae
  4. Elevated levels suggest celiac disease or gluten sensitivity
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Correct answer: Low levels indicate pancreatic exocrine insufficiency

Elastase-1 is a protease produced by the pancreas that remains stable during its passage through the gut. Low concentrations in the stool are a highly specific indicator of pancreatic exocrine insufficiency, such as that seen in cystic fibrosis or chronic pancreatitis.

Difficulty: Medium Question 18 of 20

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