Name of the Procedure:

Bile Acids; Cholylglycine Test

Summary

The cholylglycine test measures the levels of bile acids, specifically cholylglycine, in your blood. It helps assess liver function and diagnose liver-related conditions.

Purpose

The procedure is used to determine if your liver is properly processing and secreting bile acids. Abnormal levels of cholylglycine in the blood can indicate liver diseases such as hepatitis, cirrhosis, or bile duct obstructions. The goal is to provide insight into liver health and guide appropriate treatment.

Indications

• Symptoms of liver disease (e.g., jaundice, fatigue, abdominal pain).
• Suspected bile duct obstruction or liver inflammation.
• Monitoring liver function in patients with known liver conditions.

Preparation

• Fasting for at least 8 hours before the blood test.
• Informing your healthcare provider about any medications or supplements you are taking.
• Potentially undergoing other liver function tests for a comprehensive assessment.

Procedure Description

1. A healthcare professional will clean the area of your skin where the blood will be drawn, usually the inner elbow.
2. A needle will be inserted into your vein to draw a small sample of blood.
3. The sample will be sent to a lab where the levels of cholylglycine will be measured.

Duration

The blood draw typically takes about 5-10 minutes.

Setting

• Outpatient clinic or hospital lab.

Personnel

• Phlebotomist or nurse for the blood draw.
• Laboratory technicians for analyzing the blood sample.

Risks and Complications

• Minor bruising or discomfort at the blood draw site.
• Rarely, infection or more significant bleeding.

Benefits

• Non-invasive and quick procedure.
• Provides valuable information about liver function.
• Helps diagnose and monitor liver diseases, enabling timely and appropriate treatment.

Recovery

• No significant recovery time needed.
• Patients can usually resume normal activities immediately after the blood draw.
• Follow any specific instructions provided by your healthcare provider.

Alternatives

• Liver function tests (such as ALT, AST, and bilirubin levels).
• Imaging studies like ultrasound or MRI for liver assessment.
• Liver biopsy for a more detailed analysis if needed.
• Pros: Other tests may provide a broader view of liver health.
• Cons: Some alternatives may be more invasive or costly.

Patient Experience

• Minimal pain or discomfort during the blood draw.
• Slight pressure at the puncture site.
• Any discomfort is usually brief and manageable.
• Pain management typically involves mild measures like applying pressure or a small bandage.