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Grantsville, UT
A 37-year-old female asked:

I have elevated liver enzyme ast(sgot)412 alt (sgpt) 317 ggt 186 dilation of the common bile duct 1 cm no gallbladder?

2 doctor answers4 doctors weighed in
Dr. John Powelson
Transplant Surgery 36 years experience
Liver issue: Enzymes ast and alt are inside liver cells. When liver is injured by disease or medication, enzymes leak out, resulting in elevation. Can be due to many reasons, including medications like statins. An elevated GGT suggest biliary problems, but is not that specific. The normal common bile duct measures less than 0.8 cm, but after the gb is removed, can be 1cm. Complete history needed for this.
Dr. Kirpal Singh
General Surgery 25 years experience
Many possibilities : There r many possibilities, this could be primary liver problem, drug reaction, retained stone, blockage of bile duct etc. Gi consult is warranted.

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Last updated Nov 18, 2021

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