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ACG Clinical Guideline: Evaluation of Abnormal Liver ...

ACG Clinical Guideline: Evaluation of Abnormal Liver Chemistries Paul Y. Kwo, MD, FACG, FAASLD1, Stanley M. Cohen, MD, FACG, FAASLD2, and Joseph K. Lim, MD, FACG, FAASLD3 1 Division of gastroenterology /Hepatology, Department of Medicine, Stanford University School of Medicine, Palo Alto, California, USA; 2 Digestive Health Institute, University Hospitals Cleveland Medical Center and Division of gastroenterology and Liver Disease, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA; 3 Yale Viral Hepatitis Program, Yale University School of Medicine, New Haven, Connecticut, USA. Am J Gastroenterol 2017; 112:18 35; ; published online 20 December 2016 Abstract Clinicians are required to assess Abnormal Liver chemistries on a daily basis. The most common Liver chemistries ordered are serum alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase and bilirubin.

2. Guideline policies of the American College of Gastroenterology. 3. The experience of the authors and independent reviewers, as well as communication with senior hepatologists across the United States with regard to the threshold for evaluating abnormal liver chemistries.

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