Pattern of Cholestasis
Type
Location of
Obstruction
ALT
ALP
Bili
Example
Bilirubinostasis*
Hepatocyte
N
N
Sepsis, sex steroids
Cholestatic
hepatitis
Canalicular
Drug-induced injury, Alpha1-antitrypsin deficiency
Ductular injury
Intrahepatic bile ducts
N-sli
N-sli
Primary biliary cirrhosis Primary sclerosing cholangitis
Complete
obstruction
Extrahepatic bile ducts
Gall stones in bile duct Pancreatic head cancer
*Bilirubinostasis
:
excess steroid hormones (androgen, oral contraceptives, pregnancy),
septicemia, total parenteral nutrition and transfusion following surgery
:
only DB
Back