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
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