Does this test have other names?
Test for concentration of pancreatic enzymes, direct pancreatic enzyme measurement
What is this test?
This test checks your stool sample for trypsin and chymotrypsin. These are 2 enzymes made by the pancreas. The test measures how well your pancreas is working if you have cystic fibrosis (CF).
CF stops the pancreas from making its normal digestive enzymes. In most cases, this problem shows up during the first years of life.
Children with CF often have trouble absorbing nutrients from their food. They may not put on weight and grow normally. Most people with CF live into their 20s and 30s. But this requires proper medical care such as treatments for lung problems and replacement pancreatic enzymes to help with digestion.
Based on the results from this test, your healthcare provider may prescribe replacement pancreatic enzymes.
Why do I need this test?
You may need this test if you have CF and your healthcare provider thinks that your pancreas isn't working the way it should. Symptoms that may mean your pancreas is not working properly include:
Belly (abdominal) pain
Weight loss, because you don’t have the enzymes you need to help digest food
Low blood pressure
Pancreatitis that keeps coming back
What other tests might I have along with this test?
You may also have other tests to look at how your pancreas is working. These include:
Elastase and fat. Elastase is an enzyme that breaks down protein. Low levels of elastase or high levels of fat in your stool mean that you may have a problem with your pancreas.
Pancreatic function. Your provider will stimulate your pancreas to make fluid. He or she will then collect it from your small intestine.
What do my test results mean?
Test results may vary depending on your age, gender, health history, the method used for the test, and other things. Your test results may not mean you have a problem. Ask your healthcare provider what your test results mean for you.
Abnormal levels of trypsin or chymotrypsin mean that your pancreas isn't working properly.
How is this test done?
This test is done with a stool sample. Your healthcare provider may ask you to collect a single stool sample or all of your bowel movements during a 72-hour period.
Does this test pose any risks?
This test poses no known risks.
What might affect my test results?
Other factors aren't likely to affect your results.
How do I get ready for this test?
You don't need to prepare for this test. But be sure your healthcare provider knows about all medicines, herbs, vitamins, and supplements you are taking. This includes medicines that don't need a prescription and any illicit drugs you may use.
June 23, 2018
Cystic fibrosis: Assessment and management of pancreatic insufficiency. UpToDate., Cystic Fibrosis: Clinical Manifestations and Diagnosis. UptoDate., Exocrine pancreatic insufficiency. UpToDate., Laboratory Diagnosis of Gastrointestinal and Pancreatic Disorders. Salwen MJ, et al. Henry's Clinical Diagnosis and Management by Laboratory Methods. Chap. 22, pp. 312-28.
Fetterman, Anne, RN, BSN,Haldeman-Englert, Chad, MD