Gamma-glutamyltransferase: value of its measurement in paediatrics.

Gamma-glutamyltransferase (GGT) is a microsomal enzyme that is widely distributed in human tissues involved in secretory and absorptive processes, particularly the bile canaliculi. Serum GGT is elevated in liver diseases affecting the biliary system, such as extrahepatic biliary atresia, sclerosing cholangitis and progressive familial intrahepatic cholestasis (PFIC) type 3. Conversely, two other subtypes of PFIC have normal or low serum GGT activity, discordant with the degree of cholestasis.