Guided versus blind liver biopsy for chronic hepatitis C: clinical benefits and costs

Farrell, Richard J.; Smiddy, Pauline; Pilkington, Ruth; Tobin, Anne; Mooney, Eoghan E.; Temperley, I. J.; McDonald, G. S. A.; Bowmer, H; Wilson, Graham; Kelleher, Dermot

doi:10.1016/s0168-8278(99)80187-1

Cited by 118 publications

(61 citation statements)

References 20 publications

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“…Li te ra tu re de ter mi ned that the ul tra so und as sis ted per cu ta ne o us li ver bi opsy re duced post-bi opsy pa in sig ni fi cantly as well as the need of anal ge sics. 1,2,5,13,19 Post-bi opsy pa in ra tes are bet we en 5% and 50% in the li te ra tu re. 2,13 In only nine pa ti ents (1.14%) in tra pa renchymal he ma to mas we re de tec ted on ul tra so nography.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,5,13,19 Post-bi opsy pa in ra tes are bet we en 5% and 50% in the li te ra tu re. 2,13 In only nine pa ti ents (1.14%) in tra pa renchymal he ma to mas we re de tec ted on ul tra so nography. Ex cept mild pa in at the punc tu re si te in fi ve of them, the re was no cli ni cal fin dings or symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…2 Whi le the majo rity of li ver bi op si es are still per for med blindly by trans cos tal ap pro ach using an as pi ra ti on or cutting-type ne ed le, the re is an in cre a sing use of ul tra so und as sis tan ce to es tab lish most su i tab le ac cess to the thic ker li ver pa rench yma (as ses sing the most fa vo rab le an gu la ti on of the ne ed le to o), avo i ding the punc tu re of ad ja cent or gans. 1,12,13 Li ver bi opsy se ems sa fer when per for med by the as sis tan ce of ul tra so und. 2,11 Ne vert he less, ro u ti ne use of ul tra sound as sis tan ce for li ver bi op si es has not ga i ned wides pre ad ac cep tan ce, and it ac co un ted for only one third of all bi op si es per for med.…”

mentioning

confidence: 99%

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Percutaneous Liver Biopsies: Safety and Efficacy

Sezgın¹,

Altıntaş²,

Üçbilek³

et al. 2010

Turkiye Klinikleri J Med Sci

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of this study was to evaluate effecacy and safety of percutaneous liver biopsy performed under the assistance of ultrasonography in diffuse liver disease. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This was a retrospective study. We evaluated the ultrasound-assisted liver biopsy procedures of 784 patients which were performed in an outpatient setting between October 2001 and July 2008. The liver biopsies were performed following one-night fasting using disposable Menghinitype suction needles (16 gauge) after marking the best seen part of the best-thickest liver part distant from the adjacent organs. Liver portion suitable for biopsy was marked in the intercostal area by the use of ultrasonography and performed by an experienced gastroenterologist. After the biopsies, the vital signs of all patients were monitored for 6-8 hours. The patients without any problems were discharged on the same day. The shapes, sizes and number of the biopsy specimens were recorded, and then they were sent to the pathology department for histolopathological examination. The next day, control ultrasounds of all patients were performed. R Re es su ul lt ts s: : Macroscopically adequate tissue was obtained in 780 cases (99.5%) with a mean tissue length of 15.5 mm. In 755 patients (96.4%), adequate tissue sample was obtained after one pass. After the procedure, severe pain requiring analgesia was seen in 13 patients (1.6%). There was no complication requiring hospitalisation. Major complication requiring intervention occurred in only one patient with chronic renal failure undergoing hemodialysis (0.12%). There were no deaths resulting from liver biopsies. C Co on n--c cl lu us si io on n: : According to the results of our series, we conclude that routine ultrasound of the puncture site is a quick, effective and, safe procedure. The complication rate is very low. The ultrasound assisted percutaneous liver biopsy modality should be used to all cases. K Ke ey y W Wo or rd ds s: : Liver; biopsy, needle; ultrasonography; complications Ö ÖZ ZE ET T A Am ma aç ç: : Diffüz karaciğer hastalıklarında perkütan karaciğer biyopsilerinin ultrasonografi kıla-vuzluğunda yapılması durumunda, etkinliğinin ve güvenilirliğinin değerlendirilmesidir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu geriye dönük çalışmada 2001 Ekim ile 2008 Temmuz ayları arasında, ayakta takip edilen 784 hastanın ultrasonografi kılavuzluğunda yaptığımız karaciğer biyopsisi işlemini değerlen-dirdik. Biyopsiler, bir gecelik açlığı takiben, ultrasonografi deneyimi olan gastroenterologlar tarafından karaciğerin en iyi-kalın ve komşu organlardan uzak kısmının en iyi görüldüğü yerin interkostal alanda işaretlenmesinden sonra, tek kullanımlık Menghini tipi biyopsi iğneleri (16 gauge) kullanılarak yapıldı. Biyopsilerden sonra, 6-8 saat boyunca, tüm hastaların yaşamsal bulguları takip edildi. Herhangi bir sorun gelişmeyen hastalar aynı gün taburcu edildi. Biyopsi örneklerinin şekil-leri, büyüklükle...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Percutaneous Liver Biopsies: Safety and Efficacy

Sezgın¹,

Altıntaş²,

Üçbilek³

et al. 2010

Turkiye Klinikleri J Med Sci

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show abstract

“…Several large studies showed that the rate of major complication after PLB ranged from 0.09% to 2.3%, severe complications appeared in 0.57%, and mortality ranged from 0.03% to 0.11% [9][10][11]. And the complications of blind PLB are significant high rates compared with those of US-guided one [12][13][14], PLB under US guidance is recommended as a reasonable and cost-efficient procedure [1,13,15]. In fact, morbidity and mortality rates are not high.…”

Section: Discussionmentioning

confidence: 99%

Transgastric Liver Biopsy Using the NOTES Technique: An Animal Study

Tagaya¹,

Oya²

2011

Liver Biopsy

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“…Indeed, if the pain is due to hepatic friction rub the pain may last for a few weeks (Chuah 1996). The intensity of this pain is mainly mild to moderate (Farrell, et al 1999, Cadranel, et al 2000 but can be severe. In a study conducted by Christine Janes in 1993, of the four hundred and five patients who had liver biopsies as outpatients, five of the thirteen patients (1.2%) requiring post-procedure hospitalization was as a result of pain (Janes and Lindor 1993).…”

Section: Painmentioning

confidence: 98%