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Faecal elastase-1

Pancreas · also called Pancreatic elastase, FE-1, Stool elastase

What it measures

Faecal elastase-1 is a pancreatic enzyme that passes through the gut largely intact. Its level in stool reflects exocrine pancreatic function and screens for pancreatic insufficiency.

Specimen and preparation

Reference range

GroupRange
Normal>200 µg/g stool
Mild–moderate insufficiency100–200 µg/g stool
Severe insufficiency<100 µg/g stool

Reference ranges differ between laboratories, methods and populations. Always use the range printed on your own lab report.

Causes of low values

Method

ELISA (monoclonal anti-human elastase)

Good to know

Low values indicate the need for pancreatic enzyme replacement; confirm with clinical and imaging findings.

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