Liver Function Test: Purpose & Procedure

Liver Function Test: Purpose & Procedure

Liver function tests (LFTs/LFs) conducted at LivGastro primarily consist of Blood Tests that provide vital information about the condition of a patient’s liver. Some of these tests comprise Prothrombin Time (PT/INR), aPTT, albumin, Bilorubin (both direct and indirect) and a few others. Liver transaminases (AST or SGOT and ALT/SGPT ) provide helpful biomarkers in terms

Liver function tests (LFTs/LFs) conducted at LivGastro primarily consist of Blood Tests that provide vital information about the condition of a patient’s liver. Some of these tests comprise Prothrombin Time (PT/INR), aPTT, albumin, Bilorubin (both direct and indirect) and a few others. Liver transaminases (AST or SGOT and ALT/SGPT ) provide helpful biomarkers in terms of the types of liver injury a patient has suffered.

As luck would have it, call it ill luck, most liver disorders cause not so intense initial symptoms, while ninety percent of hepatic disease conditions have poor prognosis. However, tests are essential to ascertain the extent of damage caused to the person’s liver to determine the right course of treatment.

While some tests are associated with functionality, such as albumen, there are others that relate to cellular integrity, such as transaminase, while some others are linked to the biliary tract (gamma-glutamyl transferace and alkaline phosphate).

Some biochemical tests are also conducted for evaluation and management of patients with hepatic dysfunction, especially in terms of ascertaining the extent of damage caused to the liver as also the line of treatment that would best suit such patients.

 

Other tests commonly conducted at LivGastro includes the following:

  • 5’ Nucleotidase (5’NTD) which is specific for cholestasis that refers to damage to the intra- or extrahepatic biliary system which is often used as a substitute for GGT in ascertaining if the elevated ALP is of biliary or extrabiliary origin.
  • Coagulation Test – The liver is responsible for the production of the vast majority of coagulation factors. In patients with liver disease, INR can be used as a marker of liver synthetic function as it includes factor VII, which has the shortest half life (2-6 hours) of all coagulation factors measured in INR. An elevated INR in patients with liver disease, however, does not necessarily mean the patient has a tendency to bleed, as it only measures procoagulants and not anticoagulants. In liver disease the synthesis of both are decreased and some patients are even found to be hypercoagulable (increased tendency to clot) despite an elevated INR. In liver patients, coagulation is better determined by more modern tests such as thromboelastogram (TEG) or thomboelastrometry (ROTEM).
  • Serum glucose Test, also called ‘BG’ or ‘Glu’ is conducted to measure the liver’s ability to produce glucose (gluconeogenesis). In fact, it is the terminal function to be lost in the setting of ‘fulminant liver failure’.
  • Lactate dehydrogenase Test – Lactate dehydrogenase or LDH is observes in most body tissues that include the liver. However, elevated LDH levels often indicate liver damage. However, LDH isotype-1 (or cardiac) is often used for estimating damage caused to cardiac tissues, even though troponin and creatine kinase tests are found to be better alternative.

Related

Ulcerative Colitis: Causes, Symptoms, Diagnosis & Treatment

Ulcerative Colitis: Causes, Symptoms, Diagnosis & Treatment

What actually is Ulcerative Colitis? It is a type of Inflammatory Bowel Disease, (along w

read more
Liver Cirrhosis: Symptoms, Causes & Treatement

Liver Cirrhosis: Symptoms, Causes & Treatement

What is Cirrhosis Liver Cirrhosis or Cirrhosis denotes a disease condition where the li

read more
How To Prevent Hepatitis A, B & C

How To Prevent Hepatitis A, B & C

The age-old medical adage that proclaims ‘Prevention is better than Cure’ couldn’t

read more

INSTA UPDATE @LIVGASTRO

Based on 43 reviews.
Shiv kumar Thakur
Shiv kumar Thakur
2022-01-09
Dr. Vijay rai is the best doctor.
PRANAB BARIK
PRANAB BARIK
2022-01-09
Dr, rai is the best person , the best place to visit,
Prabir Das
Prabir Das
2022-01-09
Dr Rai is the best doctor we have come across but reception staffs is poor,
saurwita brahma
saurwita brahma
2021-12-31
Good place. Safe and secured. Good treatment. Doctor is deft and experienced. All other staff are cooperative and supportive
Prodip kumar Majumder
Prodip kumar Majumder
2021-12-30
Satisfied
Sanjiv Singh
Sanjiv Singh
2021-12-30
Very good clinic for all stomach issues under the supervision of one of the best doctor and excellent staff
Rajeev Singh
Rajeev Singh
2021-12-29
Visiting a clinic is not a good feeling but thanks to Dr Vijay Rai and Monica Rai mai it is a releiving experience due to satisfactory treatment and awesome service, kudos to Live Gastro and blessings
THERESA MENDES
THERESA MENDES
2021-12-26
To those of you who may have a gastric issue and want a masterclass Gastroenterologist who builds excellent rapport with his patients, you could do well to meet Dr Vijay Kumar Rai of Liv-Gastro. Dr Vijay Kr Rai is hands down one of Kolkata’s best Gastroenterologists. His presentation of self, decorum, services and treatment processes are definitely top notch. Undoubtedly he represents one of the best health care professionals in his field. Dr. Vijay Kr. Rai’s newest venture Liv-Gastro is testimony of his hard work, grit, innovative ideas and determination to bring the best into his arena of practice; in order to achieve maximum treatment options thereby leading to positive outcomes. He has worked relentlessly with steadfast intent and passion to build and expand on his ideas and Liv Gastro is evidence of all that and more. A tour of the campus and floors reveal pristine, cheerful, brightly lit, consultation rooms, diagnostic laboratories, examination rooms, Dr’s clinics, waiting rooms and reception. The warm decor where detailed attention has been given to ensure a patient friendly ambience and the kind, courteous and graceful staff all add to a cheerful exuberance. Some of the services offered are: 1.Day care 2. ERCP 3.EUS 4.Capsule Endoscopy 5. Manometry 6. Fibroscan Dr Vijay Kumar Rai is a very supportive Dr who takes his patients seriously putting their needs first. He has a well rounded knowledge and expertise in his area of practice and inspires confidence. As a patient I was always sure of quality management of my condition and his ability to zero in on the problem is truly amazing. His persistence in dealing with my health issues has been accurate and he has seen me right through to recovery refusing to give in. I could not ask for more. It’s great to find a Dr who combines care and concern along with the prescription which always leaves one with a “feel good”feeling. I do not hesitate to recommend Dr. Vijay Kumar Rai and the team at Liv Gastro to friends and wider circles.