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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Liver Function Tests Showed Bilirubin, Serum Alkaline Phosphate Content. Had Gallbladder Removed By Laparoscopy. Suggestion?

my gall bladder was removed 6 months ago by laproscopy.my blood picture was normal at that time.a few days back my liver function test results are: serum bilirubin 1.41, serum alkaline phosphase 435, serum ALT(SGPT) 77,serumAST(SGOT)54, GGTP gamma glutamyl transpeptidase 528,serum globulin3.9, albumin-globulinserum ratio1.0. all other values normal. i am male 78 years,indian. i have no symptoms at present. what are the likely causes and .remedies.
Wed, 29 May 2013
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Internal Medicine Specialist,  's  Response
Hi,
Welcome to HCM,
You are asymptomatic and undergone laparoscopic cholecystectomy 6 months back.
These liver function test show high level of alkaline phosphatase 435 and GGTP 528 and other enzymes are borderline raised.
Indicative of cholestasis you should get a fresh ultrasonography of abdomen and visit the surgeon and Physician for proper treatment which depends on cause.
GGTP ( gamma-glutamyl transpeptidase ) could also indicate alcoholic injury to liver so by chance if alcohol use is there please stop.
Many cases of minor injury to the common bile duct can be managed non-surgically.
Please take care.
Good Luck.
Dr.Akhilesh Dubey M.D.
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Liver Function Tests Showed Bilirubin, Serum Alkaline Phosphate Content. Had Gallbladder Removed By Laparoscopy. Suggestion?

Hi, Welcome to HCM, You are asymptomatic and undergone laparoscopic cholecystectomy 6 months back. These liver function test show high level of alkaline phosphatase 435 and GGTP 528 and other enzymes are borderline raised. Indicative of cholestasis you should get a fresh ultrasonography of abdomen and visit the surgeon and Physician for proper treatment which depends on cause. GGTP ( gamma-glutamyl transpeptidase ) could also indicate alcoholic injury to liver so by chance if alcohol use is there please stop. Many cases of minor injury to the common bile duct can be managed non-surgically. Please take care. Good Luck. Dr.Akhilesh Dubey M.D.