“…However, no stratification was undertaken with severity of fibrosis. Two studies have suggested that human glutathione S transferase A1 (GSTA) was superior to conventional transaminases and comparable to ultrasonography in detecting liver disease, but its utility for detecting hepatic fibrosis was not determined as no biopsies were undertaken [24,25]. Serum PIIIP and PH were studied in 44 children with CF, 26 with suggestion of liver disease by clinical and ultrasound abnormalities [21].…”