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Test Code GGT GGT

Additional Codes

Cerner

NextGen

GGT

GGT

Alternate Name(s)

γ-Glutamyltransferase

Gamma-Glutamyl Transpeptidase

Gamma-Glutamyl Transferase

Glutamyl Transpeptidase

GGTP

Gamma-GT

GTP

Useful For

γ-Glutamyltransferase plays a major role in glutathione metabolism and in resorption of amino acids from the glomerular filtrate.  It is also important in the absorption of amino acids from the intestinal lumen.  GGT is found mainly in the liver, pancreas, and kidney, although lower activities can be demonstrated in most other organs.

Serum GGT is a sensitive indicator of hepatobiliary disease and is useful in the diagnosis of obstructive jaundice and chronic alcoholic liver disease, in the follow-up of chronic alcoholics undergoing treatment, and in the detection of hepatotoxicity.  GGT is more responsive to biliary obstruction than AST, ALT, or ALKP. GGT is also increased in hepatoma, carcinoma of the pancreas, and carcinoma metastatic to the liver.

Methodology

Multiple-point rate

Patient Preparation

None

Collection Instructions

Standard phlebotomy practices.

Specimen Requirements

Container

Specimen Type

Tube

Lithium Heparin Plasma

PST

 or  or 

Serum

 or 

SST

 or  or 

 

Stability

Storage

Temperature

Stability

Room Temperature

18-28°C

≤ 7 days

If separated within 4 hours

Refrigerated

 2-8°C

≤ 7 days

If separated within 4 hours

Frozen

≤-18 °C

≤ 2 months

If separated within 4 hours

Rejection Criteria

Gross Hemolysis

Result Reporting and Reference Values

Reported in Units/L.

Age

Sex

Low

High

Critical Low

Critical High

0-3 weeks

N/A

N/A

115

N/A

N/A

3 weeks – 3 months

N/A

N/A

135

N/A

N/A

3 months – 18 years

M

N/A

85

N/A

N/A

F

N/A

55

N/A

N/A

18 – 150 years

M

N/A

58

N/A

N/A

F

N/A

58

N/A

N/A

Reflex Testing

None

Limitations

  • Ortho reports a bias with the following:
    • Bilirubin has negative or positive biases, depending on concentration
    • Hemoglobin at 600 mg/dL has a -13 U/L bias
  • Ortho reports no significant effect with the following:
    • Lipemia up to 800 mg/dL