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Table 1 Laboratory and diagnostic workflow for differential diagnosis between biliary atresia and non-biliary atresia patients

From: The value of blood and urine metabolomics in differential diagnosis of cholestasis in infants

Work-up test

Biliary atresia

Non-biliary atresia

P Value

Acholic stool (%)

36/37

97.3%

32/65

35.4%

<0.001*

Total bilirubin (mg/dL)

10.59 ± 5.64

11.27 ± 6.33

0.549

Direct bilirubin (mg/dL)

7.79 ± 4.72

7.85 ± 4.54

0.661

GGT (IU/L)

938.14± 635.60

426.26 ± 603.97

<0.001*

Serum total bile acids (μMol/L)

132.08 ± 75.26

109.32 ± 70.69

0.158

CMV IgM

 Positive

15

40.5%

16

24.6%

0.093

 Negative

22

59.5%

49

75.4%

 

CMV IgG

 Positive

30

81.1%

52

80%

0.895

 Negative

7

18.9%

13

20%

 

Ultrasound (%)

Small, contracted, or non-visualized gallbladder (%)

36/37

97.3%

22/65

31.9%

<0.001*

Liver biopsy (%)

37/37

100%

32/65

49.23 %

 

Intraoperative cholangiogram (%)

37/37

100%

2/65

3.076%

<0.001*

  1. GGT Gamma glutamyl transaminase, CMV IgM cytomegalovirus immunoglobulin M, CMV IgG cytomegalovirus immunoglobulin G