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Enzymatic Liver Function Capacity Correlates with Disease Severity of Patients with Liver Cirrhosis: A Study with the LiMAx Test

Lookup NU author(s): Dr James Orr

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Abstract

Background Assessment and quantification of actual liver function is crucial in patients with chronic liver disease to monitor disease progression and predict individual prognosis. Mathematical models, such as model for end-stage liver disease, are used for risk stratification of patients with chronic liver disease but do not include parameters that reflect the actual functional state of the liver.Aim We aimed to evaluate the potential of a C-13-based liver function test as a stratification tool by comparison with other liver function tests and clinical parameters in a large sample of healthy controls and cirrhotic patients.Methods We applied maximum liver function capacity (LiMAx) to evaluate actual liver function in 347 patients with cirrhosis and in 86 controls.Results LiMAx showed strong negative correlation with Child-Pugh Score (r = -0.707; p < 0.001), MELD (r = -0.686; p < 0.001) and liver function tests. LiMAx was lower in patients with liver cirrhosis compared to healthy controls [99 (57-160) mu g/kg/h vs. 412 (365-479) mu g/kg/h, p < 0.001] and differed among Child-Pugh classes [a: 181 (144-227) mu g/kg/h, b: 96 (62-132) mu g/kg/h and c: 52 (37-81) mu g/kg/h; p < 0.001]. When stratified patients according to disease severity, LiMAx results were not different between cirrhotic patients and cirrhotic patients with transjugular intrahepatic portosystemic shunt.Conclusions LiMAx appears to provide reliable information on remnant enzymatic liver function in chronic liver disease and allows graduation of disease severity.

Publication metadata

Author(s): Malinowski M, Jara M, Luttgert K, Orr J, Lock JF, Schott E, Stockmann M

Publication type: Article

Publication status: Published

Journal: Digestive Diseases and Sciences

Year: 2014

Volume: 59

Issue: 12

Pages: 2983-2991

Print publication date: 01/12/2014

Online publication date: 04/07/2014

Acceptance date: 06/06/2014

ISSN (print): 0163-2116

ISSN (electronic): 1573-2568

Publisher: Springer

URL: http://dx.doi.org/10.1007/s10620-014-3250-z

DOI: 10.1007/s10620-014-3250-z

PubMed id: 24993690

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