[Liver function tests in a clinical comparison]

Z Gastroenterol. 1992 Nov;30(11):784-90.
[Article in German]

Abstract

Various liver function tests were evaluated in regard to a quantitative estimation of the impairment of liver function related to the Child-Pugh classification in 32 patients with cirrhosis. Only the ICG-test revealed significant differences between healthy subjects and cirrhotic patients in stadium Child A, B and C. When ICG-dye retention values were plotted as a function of the individual score units of the Child-Pugh classification, a linear relationship with a correlation coefficient of 0.7 was obtained. In contrast to the ICG-test, the MEGX- and galactose elimination capacity (GEC)-test as well as static parameters of liver function (cholinesterase activity, prealbumin concentration, coagulation factor V and VII) resulted in less significant differentiation of the various Child classes. The MEGX-test, GEC, concentration of prealbumin, coagulation factor V and VII were only weakly correlated to the score units of the Child-Pugh index. The results of this study indicate that of all evaluated parameters only the ICG-test is suitable for objective and graduated analysis of liver function in patients with cirrhosis.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cholinesterases / analysis
  • Factor V / analysis
  • Factor VII / analysis
  • Galactose
  • Hepatic Encephalopathy / classification
  • Hepatic Encephalopathy / diagnosis
  • Hepatic Encephalopathy / etiology
  • Humans
  • Indocyanine Green
  • Lidocaine / analogs & derivatives
  • Lidocaine / pharmacokinetics
  • Liver Cirrhosis / classification
  • Liver Cirrhosis / diagnosis*
  • Liver Cirrhosis / etiology
  • Liver Function Tests / classification
  • Liver Function Tests / methods*
  • Metabolic Clearance Rate / physiology
  • Prealbumin / analysis
  • Prothrombin Time
  • Reference Values
  • Serum Albumin / analysis

Substances

  • Prealbumin
  • Serum Albumin
  • Factor V
  • Factor VII
  • Lidocaine
  • monoethylglycinexylidide
  • Cholinesterases
  • Indocyanine Green
  • Galactose