Liver failure caused by prolonged state of malnutrition following bariatric surgery

Table 1 Results of liver test at presentation of hyperammonemic encephalopathy

	Case 1	Case 2	Normal values
Albumin	12	10	> 35 g/L
Total bilirubin	53	9	< 17 μmol/L
Alkaline phosphatase	103	149	< 120 U/L
AST	25	43	< 31 U/L
ALT	21	54	< 31 U/L
γ-GT	76	55	< 35 U/L
Antithrombin III	10	20	> 80%
Thrombocytes	105	196	150-400 1109/L
PT-INR	> 71	> 71
Vitamin B12	1068	273	130-700 pmol/L
Vitamin B1	74	106	75-225 nmol/L
Vitamin B6	37	142	50-180 nmol/L
Vitamin D	17.4	< 10	> 50 nmol/L

¹Under anticoagulant therapy. ALT: Alanine aminotransferase; AST: Aspartate aminotransferase; γ-GT: Gamma-glutamyl transpeptidase; PT-INR: Prothrombin time-international normalized ratio.