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What is GGT disease?

Published in Liver Health 3 mins read

GGT disease isn't a disease itself; rather, a high level of Gamma-glutamyl transpeptidase (GGT) in the blood can indicate the presence of liver disease or bile duct issues.

Understanding GGT and Its Role

Gamma-glutamyl transpeptidase (GGT) is an enzyme found throughout the body, with the highest concentrations in the liver. While GGT is not a disease, elevated GGT levels in a blood test often signal a problem affecting the liver or bile ducts. The bile ducts carry bile from the liver to the intestines, assisting in digestion.

Elevated GGT: What it Means

When liver cells or bile ducts are damaged, GGT can leak into the bloodstream, leading to elevated levels. Therefore, a high GGT level is a marker, suggesting further investigation is needed to determine the underlying cause.

Common Causes of Elevated GGT Levels

Several conditions can contribute to elevated GGT levels:

  • Liver Disease: This includes conditions like hepatitis (inflammation of the liver), cirrhosis (scarring of the liver), and non-alcoholic fatty liver disease (NAFLD).
  • Bile Duct Obstruction: Blockages in the bile ducts, often caused by gallstones or tumors, can lead to increased GGT.
  • Alcohol Abuse: Excessive alcohol consumption is a common cause of elevated GGT, as it damages the liver.
  • Medications: Certain medications, such as some anticonvulsants and nonsteroidal anti-inflammatory drugs (NSAIDs), can raise GGT levels.
  • Other Medical Conditions: Conditions like heart failure, diabetes, and pancreatitis can sometimes be associated with elevated GGT.

Diagnosis and Treatment

If a blood test reveals high GGT levels, your doctor will likely order additional tests to determine the underlying cause. These tests may include:

  • Liver function tests: To assess overall liver health.
  • Imaging studies: Such as ultrasound, CT scan, or MRI, to visualize the liver and bile ducts.
  • Further blood tests: To rule out specific conditions.

Treatment will depend on the underlying cause of the elevated GGT. For example:

  • Alcohol-related liver disease: Abstaining from alcohol is crucial.
  • Gallstones: May require surgical removal.
  • Medication-induced: Discontinuing or changing the offending medication.
  • Liver disease: Treatment will vary depending on the specific type of liver disease.

In conclusion, while "GGT disease" is not a formal diagnosis, elevated GGT levels are a sign that something may be affecting the liver or bile ducts, necessitating further investigation and appropriate treatment.

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