Guidelines on the management of abnormal liver blood tests

Source:
British Society of Gastroenterology - BSG
Publisher:
British Society of Gastroenterology
Publication date:
15 October 2017

Abstract

These updated guidelines on the management of abnormal liver blood tests have been commissioned by the Clinical Services and Standards Committee (CSSC) of the British Society of Gastroenterology (BSG) under the auspices of the liver section of the BSG. The original guidelines, which this document supersedes, were written in 2000 and have undergone extensive revision by members of the Guidelines Development Group (GDG). 

These guidelines deal specifically with the management of abnormal liver blood tests in children and adults in both primary and secondary care under the following subheadings: 

  1. What constitutes an abnormal liver blood test? 
  2. What constitutes a standard liver blood test panel? 
  3. When should liver blood tests be checked? 
  4. Does the extent and duration of abnormal liver blood tests determine subsequent investigation? 
  5. Response to abnormal liver blood tests. 

They are not designed to deal with the management of the underlying liver diseas

BSG guidelines deal with the investigation, management and prevention of diseases of the gastrointestinal tract.

These Guidelines and guidance documents have been prepared or endorsed by the British Society of Gastroenterology. They represent a consensus of best practice based on the available evidence at the time of preparation. They may not apply in all situations and should be interpreted in the light of specific clinical situations and resource availability. Clinical decisions involve a complex analysis of the patient’s condition and available routes of action which may lead a clinician to take a course of action that varies from these guidelines or guidance. Guidelines and guidance documents are not rules and should not be interpreted as establishing a legal standard of care.