Unlike some pancreatic enzymes like trypsin which are first secreted in the inactive form (e.g. trypsinogen), pancreatic lipase is secreted as the active enzyme.
Pancreatic lipase is secreted into the duodenum through the duct system of the pancreas. Normally its concentration of serum is very low. The basic pancreatic lipase used to digest the fat droplets is Streapsin, found in the intestinal lumen. Under extreme disruption of pancreatic function, such as pancreatitis or pancreatic adenocarcinoma, the pancreas may begin to autolyse and release pancreatic enzymes into serum. Thus, through measurement of serum concentration of pancreatic lipase, pancreatitis can be diagnosed.