Test Information

 

Here at JOLI Diagnostic, we strive to provide tests that are relevant and useful to you and your patient's core needs. Please take some time to review our test menu below:

 

 

 

Disaccharidase Determination

Small Bowel Biopsy
Lactase, sucrase, maltase, and palatinase (in lieu of isomaltase) activities can be determined from an intestinal biopsy weighing approximately 5 mg wet weight. Upon collection, the specimen should be placed in a small, tightly capped, plastic tube. A 1.5 mL microtube works well. The tissue should not be placed on gauze or filter paper, nor should any saline, support or embedding material be added. The sample should be kept frozen and stored at -20°C to -70°C until it can be shipped to JOLI Diagnostic. Ship overnight by appropriate courier (i.e. UPS / Fed Ex) to JOLI Diagnostic. Turn-Around Time: Results Same Day as receipt of specimen. Results will be faxed and mailed upon assay completion.

Pancreatic Enzyme Activities

Duodenal aspirate
Trypsin, amylase, lipase, and chymotrypsin activities can be determined from 0.5mL of duodenal fluid. The sample can be a single fluid or part of a secretin stimulation test. The pH of the fluid must be 6.0 or above at the time of collection. A lower pH suggests gastric contamination which will irreversibly destroy the enzyme activities. The aspirate should be placed in a small, tightly capped, plastic tube. Keep sample frozen and ship on dry ice. Turn-Around Time: Results Same Day as receipt of specimen. The results will be faxed and mailed to you immediately following assay completion.

Pancreatic Elastase in Stool

1 Gram Random Formed Stool
Pancreatic elastase (PE) is not degraded during intestinal transit and the concentration of PE in a stool sample reflects exocrine pancreatic function. This assay allows the diagnosis or exclusion of pancreatic exocrine insufficiency, which can be caused by chronic pancreatitis, cystic fibrosis, pancreatic tumor, cholelithiasis or diabetes mellitus.
Pancreatic enzyme supplementation therapy should be discontinued prior to sample collection.
The sample should be kept frozen and stored at -20°C to -70°C until it can be shipped to JOLI Diagnostic. Ship overnight by appropriate courier (i.e. UPS / Fed Ex) to JOLI Diagnostic. Turn-Around Time: Test performed weekly. The results will be faxed and mailed to you immediately following assay completion.

 

Fecal Calprotectin

Calprotectin is a polyclonal ELISA test designed to determine the concentration of calprotectin in stool samples. Elevated concentrations of calprotectin in stool samples suggests the presence of intestinal inflammation. This test is useful to aid in differentiating between inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS), and also as a monitor in the treatment of IBD. Approximately 1 gram of stool should be placed in a plastic container with no additives and stored frozen (-20° to -70°C) until shipment. Ship overnight on dry ice to ensure stool temperature does not exceed 30°C in transit. Turn-Around Time: Test performed weekly. The results will be faxed and mailed immediately following assay completion.

 

Helicobacter pylori Antibody

Serum test for chronic gastritis
The presence of H pylori antibody has been associated with gastric-duodenal ulcers and can be the cause of gastritis.
Send 0.5 mL serum, keep frozen and ship on dry ice. Turn-Around Time: Test performed weekly. The results will be faxed and mailed to you immediately following assay completion.

 

Fecal Alpha-1-Antitrypsin

Stool sample for protein losing enteropathy
A random stool specimen of about 5 grams should be collected in a plastic container.
The sample should be kept frozen and stored at -20°C to -70°C until it can be shipped to JOLI Diagnostic. Ship overnight by appropriate courier (i.e. UPS / Fed Ex) to JOLI Diagnostic. Turn-Around Time: Test performed weekly. The results will be faxed and mailed to you immediately following assay completion.

 

Antineutrophil Cytoplasmic Antibodies (P-ANCA and C-ANCA)

Serum Test
ANCA can be found in patients with inflammatory bowel disease. A serum sample of 0.5 ml is required.
The sample should be kept frozen and stored at -20°C to -70°C until it can be shipped to JOLI Diagnostic. Ship overnight by appropriate courier (i.e. UPS / Fed Ex) to JOLI Diagnostic. Samples are batched and run once a week. Turn-Around Time: Test performed weekly. The results will be faxed and mailed to you immediately following assay completion.

 

Helicobacter pylori Specific Antigen in Stool

Stool Test
Non-invasive Helicobacter pylori Specific Antigen (HpSA) testing can detect an active H. pylori infection in the patient stool specimen. Other antibody tests can screen for H.pylori exposure but cannot distinguish between an active infection and a resolved episode. Testing for an active infection helps ensure the eradication of H.pylori after treatment.
A random stool sample of about 5 grams of fresh stool should be collected in a sterile plastic container. Samples should be frozen and sent to JOLI within 24 hours of collection. The sample should be kept frozen and stored at -20°C to -70°C until it can be shipped to JOLI Diagnostic. Ship overnight by appropriate courier (i.e. UPS / Fed Ex) to JOLI Diagnostic. Turn-Around Time: Test performed weekly.The results will be faxed and mailed to you immediately following assay completion.

 

 

Celiac Testing

Serum Test
Celiac Disease (gluten-sensitive enteropathy) is an autoimmune disorder of the digestive tract. Testing requires a minimum of 1ml of serum. Tests are available in single test format or panel: EMA, EMA with titer, hu-tTg IgA, hu-tTg IgG, total IgA, and total IgG.
Serum samples should be placed in a small, tightly capped, plastic tube. The sample should be kept frozen and stored at -20°C to -70°C until it can be shipped to JOLI Diagnostic. Ship overnight by appropriate courier (i.e. UPS / Fed Ex) to JOLI Diagnostic. Turn-Around Time: Test performed weekly. The results will be faxed and mailed to you immediately following assay completion.

 

tTG Human Tissue Transglutaminase IgA
IgA class antibodies can be detected in patient serum using standard EIA methods.

Approximately 0.5 mL of patient serum is necessary to perform the analysis. Serum should be
placed in a small, tightly capped tube. The tube should be labeled with the patient name, date
of birth, ID number, date specimen collected and referring physician name.

Turn-Around Time: Test performed weekly. The results will be faxed and/or mailed to you immediately.

 

tTG Human Tissue Transglutaminase IgG

Serum Test
IgG class antibodies can be detected in patient serum using standard EIA methods.

Approximately 0.5 mL of patient serum is necessary to perform the analysis. Serum should be placed in a small, tightly capped tube. The tube should be labeled with the patient name, date of birth, ID number, date specimen collected and referring physician name.

Turn-Around Time: Test performed weekly.The results will be faxed and/or mailed to you immediately following assay completion.

 

 

EMA Anti-Endomysial Antibody without Titer / with Titer
IgA class antibodies can be detected in patient serum using smooth muscle of monkey esophagus and standard indirect immunofluorescence techniques. Important: please note that this analysis can be performed including or excluding titer. Results are given as positive and negative unless ordered with a titer. Approximately 0.5 mL of patient serum is necessary to perform the analysis. Serum should be placed in a small, tightly capped tube. The tube should be labeled with the patient name, date of birth, ID number, date specimen was collected and referring physician name. Turn-Around Time: Test performed weekly.The results will be faxed and mailed to you immediately following assay completion.

 

 

Breath Hydrogen Testing
This is a non-invasive and accurate test to determine the malabsorption of carbohydrates. Breath hydrogen is proportional to the amount of ingested carbohydrate which is unabsorbed and fermented by colonic flora. Method: Breath samples are collected following lactose ingestion. The amount of hydrogen present in the breath sample is an index of carbohydrate malabsorption and lactase deficiency. The tolerance test requires 3 hours of time. Schedule at 8 am in the morning. Patient and specimen requirements: The test can be scheduled through the JOLI Diagnostic office at (716) 639-0443.

 

 

E-mail: joli@jolidiagnostic.com




Licensing

In addition we are currently in the process of obtaining licenses from various states to show that we can be a trusted lab that aims for accuracy in its testing. Below please find a list of the various states in which we are currently licensed. :.

  • New York
  • Pennsylvania
  • Rhode Island
  • Florida
  • Maryland