The eight liver function tests refer to total protein, globulin, albumin, glutathione, ghrelin, total bilirubin, direct bilirubin, and cholinesterase.
Glutamyl transaminase is found mainly in the hepatocyte plasma, and elevated values indicate the possibility of acute hepatitis or mild chronic hepatitis, elevated glutamyl transaminase indicates the possibility of cirrhosis or liver cancer, and higher glutamyl transaminase in patients with alcoholic liver disease. Alkaline phosphatase may also be elevated in growing children and should be differentiated. Elevated bilirubin may be caused by poor lifestyle habits, disease related factors such as biliary obstruction, hepatitis, cirrhosis, and bile duct stones. Decreased albumin index indicates possible chronic substantial liver damage, such as chronic hepatitis, cirrhosis, liver cancer, etc. Cholinesterase refers to esteryl cholinesterase. Elevated cholinesterase levels indicate possible liver parenchymal damage, organophosphorus toxicity, or abnormal liver synthesis, and serum cholinesterase is also significantly elevated in patients with fatty liver.