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Surgery Gall Bladder & Bile Ducts d8ae85e3

Which of the following enzymes are elevated in cholestasis?

A
Alkaline phosphatase
B
5' nucleotidase
C
Gamma glutamyl transpeptidase
D
All the above
High-Yield Explanation
Ans. is 'd' i.e., All the above Enzymes in cholestasis* The activities of three enzymes-- alkaline phosphatase, 5'-nucleotidase, and y-glutamyl transpeptidase (GGT)--are usually elevated in cholestasis.* Alkaline phosphatase and 5'-nucleotidase are found in or near the bile canalicular membrane of hepatocytes, while GGT is located in the endoplasmic reticulum and in bile duct epithelial cells.* Reflecting its more diffuse localization in the liver, GGT elevation in serum is less specific for cholestasis than are elevations of alkaline phosphatase or 5'-nucleotidase.

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