The
purpose of this blood serum chemistry test is to provide information about
hepatobiliary diseases, to assess liver function, and to detect alcohol
ingestion. Another purpose is to distinguish between skeletal disease and
hepatic disease when serum alkaline phosphatase is elevated.
Normal
results in females under age 45, range from 5 to 27 U/L; in females over
age 45 and in males, levels range from 6 to 37 U/L.
A
normal GGT level suggests such elevation stems from skeletal disease. Serum
GGT values vary with the assay method used (colorimetric or kinetic). The
sharpest increases in GGT levels indicate obstructive jaundice and hepatic
metastasis. Elevations may indicate any acute hepatic disease, acute pancreatitis,
renal disease, alcohol ingestion, postoperative status, and prostatic metastasis.
This test is nonspecific, providing little data about the type of hepatic
disease. GGT is particularly sensitive to the effects of alcohol in the
liver, and levels may be elevated after moderate alcohol intake and in chronic
alcoholism, even without clinical evidence of hepatic injury.
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