The serum enzymatic activity of phosphohexose isomerase (PHI), lactic dehydrogenase (LDH), isocitric dehydrogenase (ICD), GOT, GPT, leucine aminopeptidase (LAP), alkaline phosphatase (ALP) and β-glucuronidase (βG) was studied in 53 cases of acute hepatitis,42 cases of chronic hepatitis (active type 5, inactive type 37),27 cases of liver cirrhosis,18 cases of liver cancer,4 cases of bile duct cancer,23 cases of bile duct and gall bladder disease,40 cases of chronic gastritis,54 cases of gastric and duodenal ulcer and 39 cases of gastric cancer.
Experimen tal studies were made of serum enzymatic activity in rats with Yoshida ascites sarcoma biliary duct ligation and CC14 hepatic disturbances.
The results obtained were as follows:
1) Cases of acute hepatitis showed a marked increase in enzymatic activity, especially in ICD, GPT, βG, GOT and LAP.
2) Cases of chronic hepatitis showed a slight increase in the serum activity of ICD, LAP and βG.
3) Cases of liver cirrhosis showed an enzymatic pattern similar to that in cases of chronic hepatatis.
4) C ases of liver cancer showed a marked increase in the serum enzymatic activity of PHI, LDH, ICD, LAP and βG.
5) Cases of bile duct cance r showed an enzymatic pattern similar to that in cases of liver cancer, but the former showed a slight increased level of LAP, ALP and βG over the latter.
6) Cases of bile duct and gall bladder disease showed a normal enzymatic activity, except for a moderate increase in ALP and LAP.
7) Cases of gastric and duodenal ulcer sh owed a normal enzymatic activity.
8) Cases of gastric cancer showed an increase in the activity of PH I, LDH and ALP.
9) An increase was observed in the ICD and ALP activify in rats with Cat hepatic disturbances in the ALP and βG in rats with biliary duct ligation and in the LDH and βG in rats with Yoshida ascites sarcoma.
This approach seems to be useful as a supplementary means of the differencial diagnosis of digestive diseases.
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