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. Liver function tests or LFTs, may be arranged to help diagnose or monitor liver problems. Liver function tests include alanine transaminase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), albumin, total protein and bilirubin.iver function tests check the blood for two main liver enzymes: 1  Aspartate aminotransferase (AST). 2  The AST enzyme is also found in muscles and many other tissues besides the liver. 3  Alanine aminotransferase (ALT).