Transjugular liver biopsy--experience in fifty patients.

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dc.contributor.authorNagral, Aabhaen_US
dc.contributor.authorWaravdekar, Girishen_US
dc.contributor.authorNisar, Priyaen_US
dc.contributor.authorSomeshwar, Vimalen_US
dc.contributor.authorSadana, Nishanten_US
dc.contributor.authorSampat, Mrudulaen_US
dc.contributor.authorPatel, Keyurien_US
dc.date.accessioned2003-09-09en_US
dc.date.accessioned2009-05-29T03:01:56Z
dc.date.available2003-09-09en_US
dc.date.available2009-05-29T03:01:56Z
dc.date.issued2003-09-09en_US
dc.description.abstractOBJECTIVE: We evaluated the safety, adequacy, clinical impact and cost of transjugular liver biopsies performed at our institution. METHODS: Eighty-four biopsies performed in 50 consecutive patients with coagulopathy (INR >1.4; n=20), thrombocytopenia (platelet count <75,000/cmm; n=17), ascites (n=10), or coagulopathy and thrombocytopenia (n=3) from April 1999 to July 2002 were analyzed. Biopsy was performed under local anesthesia with fluoroscopic guidance, using the Quick Core biopsy needle. RESULTS: Ninety-two needle passes were made to obtain 84 samples. Biopsy was technically unsuccessful in two patients because of hepatic vein ostial block; however, the procedure established the diagnosis of blockage of hepatic vein ostia in these patients. Biopsy specimen was adequate for histological examination in 45 patients. The median number of biopsies performed with 18- and 19-gauge needles was 14 and 8, respectively. The biopsy provided diagnostic information in 23 of 50 (46%) patients, and helped in staging or providing prognostic information in 37 (74%) patients. There were no major complications. Minor complications included transient hepatic vein-to-portal vein fistula in 2, transient hepatic vein-biliary fistula in one, local hematoma in 5, and post-procedure fever in 5 patients. The approximate cost of the needle and accessories was Rs. 2000 per patient. CONCLUSIONS: Transjugular liver biopsy was safe, provided adequate tissue in 90% of patients, and helped frequently in diagnosis and in staging or prognostication of disease.en_US
dc.description.affiliationDepartment of Gastroenterology, Bhatia General Hospital, Tardeo, Mumbai 400 007. nagral@vsnl.comen_US
dc.identifier.citationNagral A, Waravdekar G, Nisar P, Someshwar V, Sadana N, Sampat M, Patel K. Transjugular liver biopsy--experience in fifty patients. Indian Journal of Gastroenterology. 2003 Sep-Oct; 22(5): 173-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/64852
dc.language.isoengen_US
dc.source.urihttps://www.indianjgastro.comen_US
dc.subject.meshAdulten_US
dc.subject.meshAscites --complicationsen_US
dc.subject.meshBiopsy, Needle --methodsen_US
dc.subject.meshBlood Coagulation Disorders --complicationsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshJugular Veinsen_US
dc.subject.meshLiver --pathologyen_US
dc.subject.meshLiver Diseases --complicationsen_US
dc.subject.meshMaleen_US
dc.subject.meshThrombocytopenia --complicationsen_US
dc.titleTransjugular liver biopsy--experience in fifty patients.en_US
dc.typeJournal Articleen_US
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