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Doctor insights on: Transjugular Liver Biopsy Procedure

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Hows stereotactic biopsy procedure done?

Hows stereotactic biopsy procedure done?

Computerized locati: The suspicious density, seen in x-ray but can not be felt , this area is located in two or more planes, marked, computer guided needle enters, at the marked site and takes biopsy, radio opaque, marker is placed for future reference, that biopsy was taken from correct location , then simple small dressing will be applied. ...Read more

Dr. Evan Altman
2 doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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Is liver biopsy painful?

Is liver biopsy painful?

It's not a bee sting: Despite using a local anesthetic, a liver biopsy is at best uncomfortable. A rather large gauge needle is used. Goes through the skin and muscle on the side of your abdomen and into the liver. Once there, the worse is over, pain wise. ...Read more

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What liver disease? alkphos548&650,gammaGT526&742,plasma ALT152.liver biopsy waiting results.Had xray,scans MRI.found polys,so gallbladder removed

What liver disease? alkphos548&650,gammaGT526&742,plasma ALT152.liver biopsy waiting results.Had xray,scans MRI.found polys,so gallbladder removed

Stump the chimp: Can't tell from the numbers. Lot's of diseases could do this. If we could tell from the numbers there would be no need to perform a biopsy. Biopsy should be definitive or narrow the list down dramatically. ...Read more

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How is a liver biop performed?

How is a liver biop performed?

Interventional Rads: Usually a liver biopsy is performed by an interventional radiologist. They use an ultrasound machine to image your liver, clean off the skin with beta dine and numb the surface of your skin up with a local anesthetic . They may give you a very mild sedative and then they pass needle through your skin and access the liver tissue ...Read more

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Is transjugular biopsy performed by a hepatologist or interventional radiologist, or both?

Is transjugular  biopsy performed by a hepatologist or interventional radiologist, or both?

Mostly neither: It isnt the generally used procedure. Not only is it a big deal, it is ONLY used in complicated patients because the general biopsy technique of just ramming a needle through the skin into the liver is a lot simpler. Surgical specialist with medical clearance in a hospital setting is the usual for this all but abandoned procedure. ...Read more

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My aunt is alcoholic CT showed Atypical Hepatoma hypodense lesion in lobe 4 of liver abutting gall bladder splenomegaly varices & portal HTN. Rx?

My aunt is alcoholic CT showed Atypical Hepatoma hypodense lesion in lobe 4 of liver abutting gall bladder splenomegaly varices & portal HTN. Rx?

See GI doctor: Looks like that she has sustained major liver damage from the alcohol. She needs the expert care of a GI doctor and is at risk for upper GI hemorrhage as well. ...Read more

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Liver biopsy: Section reveals liver parenchyma, shows 12 portal tracts. Scattered portal tracts areas are infiltrated by lymphocytic inflammatory?

?what does Ur Doctor: The doctor who advised you to have a liver biopsy is expected to tell you about this report. What did he/she say about the lymphocytes in the portal tracts? To my mind, it implies some degree of hepatitis going on. But I do not have the results of your Liver function tests(LFT's). That would help us in the interpretation ...Read more

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What is a sentinel node biopsy procedure?

Sentinel node: Injecting a dye, it initially goes to mother nodes or sentinel nodes and from there nurse to whole node basin. Biopsy of these mother nodes save to biopsy or removing whole nodal areas if sentinel node negative. ...Read more

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Ultrasound guided or CT guided biopsy of liver. Which is more accurate?

Ultrasound guided or CT guided biopsy of liver. Which is more accurate?

Both are accurate : Liver biopsies are performed for both focal liver lesions and nonfocal generalized liver disease playing a key role in the diagnosis and prognostication of various diffuse liver dysfunctions. Ct-guided procedures are generally reserved for tissue sampling of focal hepatic lesions, not accessible by ultrasound. ...Read more

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Thoracocentesis and CT needle biopsy the same thing?

Thoracocentesis and CT needle biopsy the same thing?

See answer: Thoracocentesis is the procedure where a needle is used to “draw off / sample” fluid from the chest pleural space – for either diagnostic (fluid sent for cytology, culture, etc.) or therapeutic purposes (too much fluid causing compression). Ct biopsy is the procedure where a needle actually biopsies a specific organ to evaluate the target tissue. ...Read more

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Familiar with the whipple procedure pancreaticoduodenectomy?

Familiar with the whipple procedure pancreaticoduodenectomy?

Pancreas cancer surg: This procedure is most often used to treat cancer in the "head" of the pancreas. It involves removing about half of the pancreas then reattaching the liver (bile ducts) and remaining pancreas to the intestines. There are multiple ways to actually do the surgery in terms of how the various organs are re-attached. ...Read more

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Alp 170 liver biopsy positive pas kupffer cells portal macrothphyes?

Alp 170     liver biopsy positive pas kupffer cells portal macrothphyes?

Not specific: These are nonspecific descriptors without your clinical history and reason for the liver biopsy, it's difficult to know exactly what it means. In general, elevated liver enzymes may indicate liver injury and with the biopsy findings we can make figure out where the injury is occurring within the liver and what cells or liver structures are affected. ...Read more

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Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Possibly: For initial treatment after surgery, you shouldn't need to get kras testing. However, if this is metastatic or recurrent colon cancer, then it may help to determine if egfr based therapies like Cetuximab can help (they only work for kras "wild type"). Remember that if you do recur (god forbid), management may be different at that future time! not something to worry about with your current story. ...Read more

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Acase of cirrhotic liver with focal lesion 6*5 CM serum albumin 2,3 portal vein normal what is the ideal treatment for focal lesion ?

Acase of cirrhotic liver with focal lesion 6*5 CM serum albumin 2,3  portal vein normal what is the ideal treatment for focal lesion ?

Depends : It really depends on what the lesion is. If your doctors want to treat it they very likely will need a biopsy of it. Best of luck! ...Read more

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Can a percutaneous liver biopsy cause bilateral pleural effusions and ascites?

Can a percutaneous liver biopsy cause bilateral pleural effusions and ascites?

Not likely: Most likely the liver condition that you suffer from is at the root of your pleural effusions and ascites. A paracentesis- an abdominal tap or a thoracentesis, a pleural tap might help in better understanding their etiology. ...Read more

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QUESTION FOR HEPATOLOGISTS: Could two Fibroscans and 3 ultrasounds miss advanced liver cirrhosis? Biopsy is out of the question

Reasonable test: If biopsy if unreasonable, the a fibroscan is a reasonable alternative. It is quite specific, meaning that if you are low value/result that it's unlikely that you have advanced fibrosis/cirrhosis, the actual percentage or specificity value, depends on your cut off point. So if you provide your specific results docs here may be better able to guide you. ...Read more

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Is bone marrow biopsy done without anesthesia?

Is bone marrow biopsy done without anesthesia?

Just for children: Young children will generally be put to sleep. The rest will at least get local anesthesia which is like novacaine over the hip. ...Read more

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Can inguinal herrnia operation be performed on cirrohotic patient alcoholic...Age 57?

Can inguinal herrnia operation be performed on cirrohotic patient alcoholic...Age 57?

Depends: On how bad the hernia is (if not bad then would delay surgery... And..) depends on how bad the liver problem is. The liveralcohol has 22 functions. One of them is to make clotting factors. If a cirrhotic patient goes to surgery and they can't clot, they'll never stop bleeding. Ok well thats not true is it?........... My favorite surgeon once said... All bleeding stops eventually..... ...Read more

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How is a liver biopsy performed and how long is this procedure?

How is a liver biopsy performed and how long is this procedure?

Uses imaging: Either ct scan or ultrasound for guidance. Small amount of sedation. Skin will be numbed with lidocaine. Small needle will take samples. See radiologyinfo.Org. ...Read more

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Are there any alternatives to a liver biopsy for cirrhosis, the procedure terrifies me?

Are there any alternatives to a liver biopsy for cirrhosis, the procedure terrifies me?

Liver biopsy: A liver biopsy is essential for establishing a diagnosis. Best of luck. Speak with the physician doing the biopsy and ask for something to relax you. ...Read more

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How safe is a liver biopsy?

Liver biopsy: Ultrasound guided biopsy reasonably safe. Risk of bleeding number one complaint by patients is having to lay to stomach for a number of hours. Once was done without us guidence had possibility of accidental lung biopsy with pneumothorax. Much rarer. ...Read more

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How dangerous is a liver biopsy?

How dangerous is a liver biopsy?

Safe test: If imaging is used like ultrasound or ct it is safer. See radiologyinfo.Org. ...Read more

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Will I be awake for my liver biopsy?

Yes: The actually liver biopsy takes no more than a minute, but the setting up can take half an hour. Liver biopsies can be done under ultrasound guidance or just by feel. The area is numbed locally with lidocaine, but there is no need to be sleeping during a liver biopsy. ...Read more

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What can be found in a liver biopsy?

What can be found in a liver biopsy?

Depends: Depends whether you have liver disease or not. It also depends on what type liver disease you have. ...Read more

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Is it true that a liver biopsy is painful?

Is it true that a liver biopsy is painful?

Pain is relative: One would think that a liver biopsy is very painful, but actually as long as you are prepared mentally and perhaps take a medication to relax you, it is not that bad at all. I would recommend xanax (alprazolam). What is more important about a liver biopsy is the chance of bleeding from the biopsy site over the next 24 hours. Be very careful to rest afterward and avoid any exertion. ...Read more

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What are normal results for a liver biopsy?

What are normal results for a liver biopsy?

Liver biopsy: Abnormalities seen in liver biopsies might include: inflammation, fibrosis, changes in the portal (biliary) tracts, abnormal infiltrates (tumor or granulomas), presence of fat, changes in the hepatocytes, evidence of infection, storage disease or abnormal accumulations (eg iron overload), and vascular abnormalities to name a few. A completely normal liver biopsy shows none of the above! ...Read more

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How do I know if I really need a liver biopsy?

Definitive answer : A biopsy (liver or other organ or tissue) provides your doctor with a near definitive answer to an abnormal finding. This is most commonly needed when a mass or tumor is found where we need to determine cancer vs. Benign. Biopsies are also done to determine the function of an organ, such as one with possible liver disease (cirrhosis, fatty liver, liver failure, etc.) discuss this with your doc. ...Read more

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Are there any reliable alternatives to a liver biopsy?

Maybe: It depends on the indication. If you are having right upper abdominal symptoms, the first step is to get an examination by a doctor.The likely next course is to get an imaging test, either a CT, ultrasound, or MRI, depending on what the doctor is suspecting. If there is a suspicious area that looks serious or the doctors can't tell what it is, then the biopsy is often the best way to know for sure ...Read more

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What is the definition or description of: liver biopsy?

What is the definition or description of: liver biopsy?

Taking a piece: Of your liver usually with a needle inserted thrubthe skin after numbing it. ...Read more

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Do I need a liver biopsy with NASH disease?

Do I need a liver biopsy with NASH disease?

Maybe: This may be offered to you as an option; I am going to assume viral and autoimmune hepatitis, wilson's, drug reaction, alcohol abuse, and hemochromatosis are ruled out. If there's suspicion your disease is advanced, you'll probably be offered a biopsy. Or you may be offered one now to see if a trial of medication is worth it before or after you get really aerobically fit -- the best rx. ...Read more

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Do I need a liver biopsy if I have hepatitis?

Maybe: Depends on the type of hepatitis. Usually not done for acute hep. Can see if viral, or other cause, e.g. Autoimmune, toxic, drug hepatitis. Biopsy may help define the stage of disease, the amt of inflammation and scarring present. May affect decisions re: treatment type and/or duration. ...Read more

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How far back can a liver biopsy detect alcohol?

How far back can a liver biopsy detect alcohol?

It depends/extent,,,: This depends on the perceived amount of alcohol consumption as well as the patient's sensitivity to alcohol. The biopsy actually determines the extent of liver damage which may be caused by alcohol as well as other things. Early damage, like fatty liver can be from alcohol or obesity, while later damage like cirrhosis can be from these and/or hepatitis. Biopsy is the last, most definitive test ...Read more

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What does a liver biopsy entail? Is it dangerous?

What does a liver biopsy entail? Is it dangerous?

Liver biopsy(ies): Liver biopsy means taking a piece of the liver for microscopic examination. Now-a-days, most are accomplished under radiographic (ultrasound, ct) guidance in real time with spring-loaded needles & under sedation. Liver biopsies can also be performed as an "open" surgical procedure or via a vascular catheter that is snaked into the liver. Danger is in causing bleeding or trauma to adjacent organs. ...Read more

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What answers can a liver biopsy provide to doctors?

Gold standard: Is the mass tumor, if so, what kind? How extensive is the inflammation / fibrosis of a viral hepatitis, information we need as a guide to treatment. Is this really hemochromatosis / wilson's / antitrypsin deficiency / plasma cell hepatitis? Is the transplant being rejected, if so how & what rx is best? If medication-related, what pattern & what to expect? Much i wish i could show you. Best wishes. ...Read more

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How long is the needle that is used for liver biopsy?

How long is the needle that is used for liver biopsy?

Long enough :-): A hepatologist (specialist in liver disease) can tell you precisely. But most would probably agree that the needle used is "long enough.". ...Read more

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How long will it take to get my liver biopsy results?

Two days to a week: If it is a routine histological examination by the pathologist it will take less than 48 hours. It takes one day to fix the tissue and the next day the slides are examined under the microscope and the pathologist dictates it out. It could be as early as 48 hour or more than a week if you need special stains performed. ...Read more

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Why would you not do a liver biopsy if spleen enlarged?

Wrong organ: Solid organ biopsies are not "no-risk" procedures--so you would not just check while there. Most liver or spleen enlargements can be diagnosed by blood tests +/- imaging and save you the big needle. ...Read more

Dr. Quang Nguyen
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


Dr. Cosme Manzarbeitia
162 doctors shared insights

Liver Biopsy (Definition)

Of your liver usually with a needle inserted thrubthe ...Read more