Role of LFT in Acute Appendicitis and Its Complication: A Prospective Study in VIMSAR, Odisha
DOI:
https://doi.org/10.48047/Keywords:
Acute Appendicitis, Liver Function Test, Alkaline Phosphatase, Aspartate Transaminase, Alanine Transaminase.Abstract
Background : Acute appendicitis is one of the most common disease faced by general surgeon. So many scoring system, lab. Investigation, CT, usg has been attempted to diagnose it accurately .
Materials and Methods : A total of 66 cases with acute appendicitis and its complications which are clinically diagnosed (Alvarado score ≥ 7) and USG confirmation are included and studied in the present prospective study conducted at Department of General Surgery, Veer Surendra Sai Institute of Medical Sciences and Research, Burla , Sambalpur from December 2021 to November 2022. Results : In Complicated Appendix, sensitivity of total biliribin, SGOT/AST, SGPT/ALT, & ALP are 81.25%, 50%, 15.62%, & 18.75% respectively (which are higher than inflammed appendix). In Complicated Appendix, specificity of SGOT/AST and SGPT/ALT are 96.42% and 100% respectively (which are higher than inflammed appendix). In Complicated Appendix, Positive Predictive Value of SGOT/AST and SGPT/ALT are 94.11% and 100% respectively (which are higher than inflammed appendix). Conclusion : LFT is easily available and cheap blood investigation, it is added to already existing laboratory tests to avoid any unnecessary delay in appendectomy and it can also help in prevention of negative appendectomy.
