Malignant biliary strictures in patients with a normal bilirubin and/or normal liver enzymes

ConclusionsThis study has shown that patients with a putative biliary stricture and completely normal LFTs are unlikely to have a primary HPB malignancy. Those presenting with a normal bilirubin level, but deranged liver enzymes (ALP and/or ALT), are more likely to have malignant disease, and this should necessitate a higher degree of clinical suspicion.

Source: HPB: official journal of the International Hepato Pancreat Biliary Association - August 7, 2015 Category: Gastroenterology Authors: Sarah C. Thomasset, David Saunders, Adele Holland, Ashley R. Dennison, Giuseppe Garcea Tags: Original Article Source Type: research