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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]

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