?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Cholecystitis+%26+An+Enzyme+Study&rft.creator=Anil+Batta%2C+Int+J+Cur+Biomed+Phar+Res.+&rft.subject=JOURNALS&rft.description=Cholecystitis+is+inflammation+of+the+gallbladder+that+develops+in+short+time+usually+when+gallstone+obstructs+the+cystic+duct.+Patients+over+the+passage+of+time+land+to+chronic+cholecystitis.+They+have+an+abnormal+liver+function+test+with+++clinical+features+suggestive+of+gall+bladder+disease.+Therefore%2C+systematic+step+by+step+reviews+of+various+investigations+are+important+in+diagnosis+of+gall+bladder+disease.+The+first+step+includes+clinical+evaluation+of++the+patient+followed+by+estimation+of+enzyme+markers..+The+seriousness+of+disease+can+be+estimated+from+combined+information+of+clinical+examination+%26+specialized+biochemical+tests.+Specialized+enzymatic+markers+are+helpful+for+proper+follow-up+as+delay+can+be+devastating.+It+can+form+a+platform+for+malignant+%26+cirrhotic+changes+of+liver%3A+Present+study+has+been+undertaken+to+avoid+dreads+by+simple+clinical+enzyme+study.+Serum+levels+of+5%E2%80%99NT%2FALP%2FAST%2FALT%2FBilirubin+were+estimated+in+sixty+cases+of+clinically+diagnosed+cholecystitis+against+forty+normal+individuals.+Purpose+was+to+single+out+a+parameter+which+is+most+significant+%26+may+help+as+an+endoscope+to+%0D%0ASurgeon+for+timely+intervention.+The+study+delineates5%E2%80%99NT+to+be+superior+to+ALP+due+to+its+specificity+%26.+Sensitivity.+While+elevated+AST+%26+ALT+levels+signify+extent+of+hepatic+cell+damage%2C+5%E2%80%9DNT+specifically+signifies+the+bile+duct+obstruction+or+cholestasis+as+well+as+hepatic+cell+damage.+%0D%0A&rft.publisher=CurrentSciDirect+Publications&rft.date=2011-04-30&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F7325%2F1%2FCholecystitis_%2526_An_Enzyme_Study.pdf&rft.identifier=++Anil+Batta%2C+Int+J+Cur+Biomed+Phar+Res.+++(2011)+Cholecystitis+%26+An+Enzyme+Study.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F7325%2F