TestsComments
Complete blood countElevated with infection, abscess
Serum amylase and lipaseNonspecific for chronic pancreatitis
Total bilirubin, alkaline phosphatase, and hepatic transaminaseElevated in biliary pancreatitis and ductal obstruction by strictures or mass
Fasting serum glucoseElevation suggests pancreatic diabetes mellitus
Pancreatic function testsSometimes useful in early chronic pancreatitis with normal computed tomography or magnetic resonance imaging findings
Fecal elastase< 200 mcg per g of stool is abnormal; noninvasive, exogenous pancreatic supplementation will not alter results, requires only 20 g of stool
Fecal fat estimation> 7 g of fat per day is abnormal; quantitative, requires 72 hours, should be on a diet of 100 g of fat per day
Secretin stimulationPeak bicarbonate concentration < 80 mEq per L (80 mmol per L) in duodenal secretion, best test for diagnosing pancreatic exocrine insufficiency
Serum trypsinogen< 20 ng per mL is abnormal
Lipid panelSignificantly elevated triglycerides are a rare cause of chronic pancreatitis
CalciumHyperparathyroidism is a rare cause of chronic pancreatitis
Immunoglobulin G4 serum antibody, antinuclear antibody, rheumatoid factor, erythrocyte sedimentation rateAbnormality may indicate autoimmune pancreatitis