These guidelines on the management of abnormal liver blood tests have been commissioned by the Clinical Services and Standards Committee (CSSC) of the British Society of Gastroenterology (BSG) under the auspices of the liver section of the BSG.
These guidelines are intended to be of use for all healthcare professionals, although with a major focus on the asymptomatic patient with abnormal liver blood tests. Nonetheless, the guideline will review the role/utility of liver blood tests in both symptomatic and asymptomatic patients and explore their possible role in case finding in high-risk groups or following a clinical concern. They include recommendations for both adults and children, although the evidence for children is often lacking.
No meta-analyses or randomised controlled trials concerning the management of abnormal LFTs in asymptomatic people have been carried out and therefore no grade A evidence exists in these guidelines to support the recommendations made. These guidelines are not intended to serve as rigid protocols or to replace clinical judgement.