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Updated: Aug 13, 2026

Preparation of Pancreatic Acinar Cells for the Purpose of Calcium Imaging, Cell Injury Measurements, and Adenoviral Infection
Published on: July 5, 2013
[Examination of pancreatic function in children with special reference to the PABA-test (author's transl)]
Insights
Accurate diagnosis of pancreatitis relies on lipase and trypsin tests over amylase. Fecal tests like PABA and PLT aid in assessing pancreatic function, especially in chronic conditions and cystic fibrosis.
Area of Science:
- * Gastroenterology and Clinical Diagnostics
- * Biochemical markers for pancreatic exocrine function
Context:
- * Diagnostic challenges in acute and chronic pancreatitis.
- * Limitations of traditional amylase testing.
- * Emerging role of lipase and trypsin assays.
Purpose:
- * To evaluate the utility of various diagnostic markers for pancreatic diseases.
- * To compare the effectiveness of serum and fecal-based tests.
- * To assess the role of newer screening procedures.
Summary:
- * Serum lipase and radio-immunoreactive trypsin are more effective than amylase for diagnosing acute pancreatitis.
- * Fecal tests, including PABA-test and pancreolauryl-test (PLT), offer semiquantitative assessment of pancreatic secretory function.
- * These fecal tests are valuable for monitoring cystic fibrosis and Shwachman-syndrome, while older methods like fat quantification are obsolete.
Impact:
- * Improved diagnostic accuracy for acute and chronic pancreatitis.
- * Enhanced monitoring of pancreatic exocrine function in specific pediatric and iatrogenic conditions.
- * Guidance on selecting appropriate diagnostic and monitoring tools for pancreatic insufficiency.
Abstract:
To establish the diagnosis of acute pancreatitis the estimation of amylase in serum and urine, lipase and radio-immunoreactive trypsin in the serum are useful. Lipase estimations are more helpful than measuring amylase values. Trypsin-RIA-tests are increasingly important adults. But in chronic pancreatitis and inborn secretory insufficiencies of the pancreas these methods are less helpful. PABA-test, pancreolauryl-test (PLT), and the estimation of chymotrypsin in faeces are screening procedures, although their results correlate well amongst each other. As compared to the chymotrypsin estimation in faeces PABA test and PLT allow for some semiquantitative estimation of the secretory function and dynamics of the gland. The influence of malabsorption, liver and kidney diseases on these parameters is not yet quite clarified. Besides screening they are undoubtedly of value for judging the course and therapy of cystic fibrosis, Shwachman-syndrome, iatrogenic lesions by cytostatics (immunosuppressives and corticosteroids). Quantitative estimations of fat in faces and the pancreozymin test are no longer of significance.
Related Concept Videos
Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Chronic Pancreatitis II: Collaborative Care
Assessment:
Serum Laboratory Studies, Stool Test, Breath Test
Acute Pancreatitis I: Introduction
Chronic Pancreatitis I: Introduction

