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Test Code LAB390 Stool Fat, Qualitative

Clinical System Name

Stool Fat, Qualitative

Synonyms

LAB390

FAT STOOL

Fatty Acid - Stool
Neutral Fat - Stool
Fecal fat

Sample Requirements

Specimen:  Stool

Container(s): Sterile Screw-Capped Container (No diapers).

Preferred Vol: 1 gram stool

Minimum Vol: 1 gram stool

 

Note: Test includes Neutral Fat and Fatty Acid determinations. Stool samples submitted in diapers are unacceptable. The presence of large amounts of neutral fat may indicate that the patient has had an oily laxative. Qualitative results in children less than 3 months of age may or may not correlate well with quantitative results for stool fat.

Processing Instructions

Reject due to: Stools sent in diapers, Insufficient Quantity, Age of specimen

Spin: N

Aliquot: N

Storage location: Core 5 Refrigerator

 

Off-site collection: Send stool refrigerated in a Sterile Screw-Capped Container (No diapers).

Stability

Specimen Type Temperature Time
Stool RT

≤ 1 h

Stool 2-8 C

≤ 5 d

Stool -20 C or -70 C

≤ 14 d

Availability

STAT Performed TAT
Y 24/7 1 h

Performing Laboratory

Seattle Children's Laboratory    

Department

Department:  Core Chemistry

Phone Number206-987-2617 (Client Services)

CPT Codes

82705

Methodology

Method: Sudan IV Stain/Microscopic evaluation

Analytical Volume: 1 gram stool

Reference Range

  Normal
Neutral Fat     Absent or Present
Fatty Acids Absent or Present

Description

The normal fat content of feces consists primarily of fatty acids, fatty acid salts (soaps), and neutral fats (triglyceride). A crude technique for estimating stool fat involves staining a stool sample with Sudan IV stain and observing the specimen for neutral fat droplets. If neutral fats are normal, a portion of the specimen is hydrolyzed, stained, and observed for fat droplets representing fatty acids. In pediatric patients, this procedure is useful identifying patients who have steatorrhea.