Therefore, I will recommend surgery only if the risk associated with surgery is less than the risk of continuing with medical management. There is always a small risk the dog may not make it through anesthesia/surgery, is permanently worse, or never improves.
1 The blood tests most frequently used for liver disease are the aminotransferases (alanine aminotransferase or ALT and aspartate aminotransferase or AST). 2  Normal levels of ALT ranges from about 7-56 units/liter, and 10-40units/liters for AST.
Liver function tests help determine the health of your liver by measuring the levels of proteins, liver enzymes, or bilirubin in your blood. A liver function test is often given in the following situations: to screen for liver infections, such as hepatitis C; to monitor the side effects of certain medications known to affect the liver