血清検査、便検査、呼気検査

Liver function tests assess liver health by measuring liver enzymes, proteins, and bilirubin levels in the blood. Abnormal results may indicate liver disorders such as hepatitis or cirrhosis. These serum studies help identify hepatic dysfunction and guide treatment decisions for patients with suspected liver disease.

Elevated amylase and lipase levels often indicate pancreatic inflammation, particularly pancreatitis. These enzymes are released into the bloodstream when pancreatic tissue is damaged or inflamed. While increased levels suggest pancreatitis, they may also rise in other conditions, making clinical correlation essential for accurate diagnosis.

The hydrogen breath test identifies carbohydrate malabsorption, such as lactose intolerance and small intestinal bacterial overgrowth, by measuring hydrogen levels in exhaled breath. The urea breath test detects Helicobacter pylori, a bacterium associated with peptic ulcer disease. Both are non-invasive diagnostic methods targeting different gastrointestinal conditions.

Carcinoembryonic antigen detects colorectal carcinoma, while cancer antigen 19-9 detects pancreatic cancer. Elevated levels may suggest the presence of cancer, though they can also occur in other conditions. These tumor markers are valuable screening and monitoring tools but are not diagnostic on their own and must be used alongside imaging studies and clinical evaluation.

Stool tests examine consistency, color, pus, mucus, parasites, and occult blood to diagnose gastrointestinal conditions. Stool culture identifies bacteria such as Salmonella, aiding in diagnosing diarrhea and food poisoning. These observations can indicate bleeding, infections, infestations, or malabsorption syndromes affecting the digestive system.

Guaiac-based fecal occult blood testing and fecal immunochemical tests are key screening tools for colorectal cancer. Hidden blood in stool is a crucial marker for conditions like colorectal cancer. The fecal immunochemical test offers higher specificity for human hemoglobin and is preferred for colorectal cancer screening over guaiac-based tests.

The comprehensive metabolic panel evaluates kidney and liver function, electrolyte balance, and blood sugar levels. This broad overview of body chemistry is essential for diagnosing metabolic disorders and understanding overall organ function. It provides critical information for assessing patients with gastrointestinal complaints and systemic involvement.