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Test Code MOB Occult Blood, Miscellaneous

Additional Codes

EPIC LAB4148

Clinical Significance

Gastroccult is a rapid screening test designed for detecting the presence of occult blood and determining the pH of gastric aspirate or vomitus. The Gastroccult Slide Test is an aid in the diagnosis and management of various gastric conditions. The pH may be of use in evaluating antacid therapy. The presence of a low pH may make standard fecal occult blood tests lose sensitivity and be unsuitable for use with gastric samples.

Methodology

In this test, alpha guaiaconic acid (active component of the developer) in the presence of heme (peroxidative-type of catalyst present in hemoglobin) to produce a highly conjugated blue quinine compound.

 

The Gastoccult slide includes both a specially buffered guaiac test for occult blood and a pH test based on the principle that certain dyes change color with changes in hydrogen ion concentration. This test is designed to be used with gastric samples since the occult blood test is not affected by low pH.

Sample Type

  • Gastric Aspirate
  • Emesis/Vomitus

 

Samples should be submitted in a sealed container (e.g. a sterile urine container)

Specimen Minimum Volume

1 mL

Specimen Stability

Temperature Time
Ambient (15-30°C) 24 hours
Refrigerated (2-8°C) (store) 5 days

 

Reference Ranges

Normal
Occult Blood Negative
pH Not established

 

Rejection Criteria

Hemolysis N/A
Icterus N/A
Lipemia N/A

 

Availability

Performed STAT
24/7 Yes

 

Performing Laboratory

MultiCare Yakima Memorial Hospital Laboratory

Lab Department

Urinalysis

CPT Code

82271

LOINC

2334-1 Hemoglobin.gastrointestinal QI (Gast fld)

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