Low fecal elastase in immunotherapy diarrhea may reflect dilution, not pancreatic insufficiency
Peer-Reviewed Publication
Updates every hour. Last Updated: 28-Oct-2026 16:16 ET (28-Oct-2026 20:16 GMT/UTC)
A retrospective study of 388 patients with immune checkpoint inhibitor (ICI)-related diarrhea finds that low fecal elastase levels often accompany intestinal inflammation yet were associated with similar diarrheal outcomes compared with normal levels. The results suggest low elastase likely reflects stool dilution rather than true pancreatic insufficiency, supporting fecal fat testing before initiating pancreatic enzyme replacement therapy.
Most local anesthetics used in medicine only last eight to 12 hours or a day tops. Now Boston Children’s Hospital researchers have formulated a more effective slow-release injectable drug delivery system that achieved pain-numbing anesthetic effects lasting two to three weeks in rats compared to a commercial formulation lasting about four to eight hours. Given that nerve blocks in humans tend to work longer than in rats, this advancement, published today in Nature Biomedical Engineering, could blow the effective time of currently used anesthetics out of the water and have implications for other types of pain.
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