Test Code LIPA Lipase
Additional Codes
| EPIC | LAB4136 |
Clinical Significance
Lipases are glycoproteins with a molecular weight of 47,000 daltons. They are defined as triglyceride hydrolases which catalyze the cleavage of triglycerides to diglycerides with subsequent formation of monoglycerides and fatty acids. In addition to α‑amylase, pancreatic lipases have for many years been undeniably the most important clinical chemistry parameters for the differential diagnosis of diseases of the pancreas. The lipase activity determination has gained increasing international recognition because of its high specificity and rapid response. After acute pancreatitis the lipase activity increases within 4‑8 hours, reaches a peak after 24 hours and decreases after 8 to 14 days. However, there is no correlation between the lipase activity determined in serum and the extent of damage to the pancreas.
Source: Roche Cobas LIPC Method Sheet Version 4.0 2024-09
Methodology
Enzymatic colorimetric assay (Roche Cobas c503)
Sample Type
| Preferred Sample Type | |
|---|---|
| Light green top - Plasma | |
| Acceptable Sample Type(s) | |
|---|---|
| Dark green top - Plasma | |
| Yellow top - Serum | |
| Red top - Serum | |
Centrifuge: Yes
Specimen Minimum Volume
55 uL with insert cup
Specimen Stability
Plasma
| Temperature | Time |
|---|---|
| Ambient (15-25°C) | 7 days |
| Refrigerated (2-8°C) (store) | 7 days |
| Frozen (-15 to -20°C) | 2 months* |
Serum
| Temperature | Time |
|---|---|
| Ambient (20-25°C) | 7 days |
| Refrigerated (4-8°C) (store) | 7 days |
| Frozen (-20°C) | 1 year* |
Separate plasma or serum from cells within 2 hours.
*Freeze only once!
Reference Ranges
| Normal Range |
|---|
| 13 - 60 U/L |
| Technical Range |
|---|
| 3 - 300 U/L |
Rejection Criteria
| Hemolysis | Index >100 |
|---|---|
| Icterus | Index >60 |
| Lipemia | Index >2,000, ultracentrifuge |
Availability
| Performed | STAT |
|---|---|
| 24/7 | Yes |
Performing Laboratory
MultiCare Yakima Memorial Hospital Laboratory
Lab Department
Chemistry
CPT Code
83690
LOINC
3040-3 Lipase [Catalytic activity/Vol]