4 doctors weighed in:

I have elevated liver enzyme ast(sgot)412 ALT (sgpt) 317 GGT 186 dilation of the common bile duct 1 CM no gallbladder?

4 doctors weighed in
Dr. John Powelson
Surgery - Transplant
2 doctors agree

In brief: 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.

In brief: 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. John Powelson
Dr. John Powelson
Thank

In brief: 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.

In brief: 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.
Dr. Kirpal Singh
Dr. Kirpal Singh
Thank
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