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Alpha Defensins 1, 2, and 3, Stool — Qualitative Immunoassay

Published: August 9, 2026Updated: August 16, 2026

A stool test that detects alpha-defensins 1, 2, and 3. It may help evaluate pancreatic exocrine function when pancreatic insufficiency is suspected.

Quick summary

["This test can help identify reduced pancreatic digestive function, but results should be interpreted with symptoms and other pancreatic tests."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
94718-4
Short code
Alpha defensins 1+2+3 Snv Ql IA
Synonyms
Alpha defensins 1+2+3 Snv Ql IA
Category
liver
Sample
fluid
Container
Sterile tube
Units
N/A
Ref low
44
Ref high
147
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
CPT
84075
SNOMED
27550007
Specimen volume
2-5 mL
Stability
Room temperature: 2h, Refrigerated: 24h
Hemolysis max
300
TAT
4–24 hours
Order
routine

What is this test?

This laboratory test looks for alpha-defensins 1, 2, and 3 in stool using an immunoassay. These proteins are produced by the pancreas, and the test is used mainly to help evaluate whether the pancreas is releasing enough digestive enzymes.

Why might I need this test?

The test may be ordered if you have symptoms of pancreatic insufficiency, such as weight loss, diarrhea, oily or foul-smelling stools, abdominal discomfort, or poor nutrient absorption. It is also sometimes used in the evaluation of chronic pancreatitis, cystic fibrosis, or reduced pancreatic function after pancreatic surgery.

How is the test performed?

A stool sample is collected and sent to a laboratory, where an immunoassay is used to determine whether alpha-defensins 1, 2, and 3 are present. This is a qualitative test, so the report generally provides a positive or negative result rather than a specific concentration.

How do I prepare for the test?

Follow the laboratory's stool-collection instructions, including the container and amount required. Keep urine, toilet water, and cleaning products from contaminating the sample, and tell the laboratory if you recently took antibiotics or other medicines that could affect the result.

Reference range

Adult: 44-147 U/LN/A

Specimen: fluid

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A positive result may indicate reduced pancreatic exocrine function, which can occur with chronic pancreatitis, cystic fibrosis, pancreatic duct obstruction, or loss of pancreatic tissue. A negative result makes significant pancreatic insufficiency less likely but does not completely exclude it. The result should be interpreted together with symptoms, medical history, and other tests such as fecal elastase.

Short name

Stool alpha-defensins

Frequently asked questions

What does a positive alpha-defensins stool test mean?
A positive result suggests that pancreatic digestive function may be reduced. Your clinician will consider your symptoms, history, and other laboratory findings to determine the cause.
Does a negative result rule out pancreatic insufficiency?
No. A negative result makes significant pancreatic insufficiency less likely, but some cases may require additional testing or repeated evaluation.
Is this the same as a fecal elastase test?
No. Both tests can help evaluate pancreatic function, but they detect different markers and may provide complementary information.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy