Liver biopsy. A needle is introduced between the ribs into the liver and a very small core of tisue is removed after the best spot has been located with an ultrasound device.
Various reasons. Liver biopsy can be done to aid in diagnosis of a suspected liver problem due to abnormal blood test for example. Sometimes it is done to see how progressed a certain disease is - chronic hepatitis for example.
Various reasons. In general liver biopsy will be ordered for one of several reasons. If you have no history of liver disease then your doctor is either ordering the biopsy because you have abnormal blood work or you have abnormal finding on ct, MRI or ultrasound scan of your liver. If you have history of hepatitis or other chronic liver disease you will need a biopsy to determine the degree of liver damage.
No. Varices are usually in the esophagus/food pipe and needle biopsy is done far away. That does not mean that biopsy can not cause bleeding.
Does a liver biopsy hurt? My doctor says i’ll be awake, but i’m a real wimp about pain. How bad is it going to hurt?
It. It shouldn't be too bad. Liver biopsies are usually done with conscious sedation, which should be more than adequate to control any discomfort (see my health guide about conscious sedation on this site). You'll feel a little poke and some brief burning when the local anesthetic is injected, but not much after that.
It shouldn't. Only a minor discomfort at the biopsy site entry... Usually numbed beforehand anyway.
Fatty liver biopsy is it normal for doctors to do a liver biopsy for fatty liver, it was found when checking for pancreatitis?
Biopsy gold standard. In response to an earlier question I raised the issue of alcohol and overweight since these are the commonest issues in fatty liver. Please consult the following site for details on fatty liver. Biopsy is needed to confirm the diagnosis especially in a difficult circumstance. Http://www. Webmd. Com/hepatitis/fatty-liver-disease.
Glad it was found. As he always does, dr. Singh has given you good advice. This might be a good time to do without alcohol at all, and instead find some form of vigorous exercise that you actually enjoy doing and make it an important part of your life and social activities. Good luck and be brave.
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.
How do I convince my doctor to send me for liver biopsy? He did 3 ultras and 2 bloods and refuses to send me for one. Second opinion?
Why the need? Other than moderate alcohol intake you have not provided any indication as to why you may have liver disease. Liver biopsy is not a trivial procedure and invasive procedures carry a risk. Could be that there is no need for a liver biopsy. If you are not satisfied with your doctor you may wish to see a different one.
Liver biopsy months ago, got new pain which has not gone away. Pain has stayed at constant level, hurts more with movement. Doctors are stumped.?
Pain at site of bx? Need a bit more info - percutaneous, transjugular biopsy? Have you had imaging tests after the biopsy? A bleed under the capsule and stretching/ nerve pain could certainly cause symptoms like this. Could also be musculoskeletal or your IBS and totally unrelated. Can you share more details?
Is a liver biopsy accurate? The liver’s pretty big, so isn’t it likely it could miss something? How can the doctor be sure he’s getting a sample of the damaged part?
If. If the goal is to get a general sample of liver tissue to evaluate for cirrhosis, venous obstructive disease, abnormal deposits of iron, or similar organ-wide problems, then a biopsy is pretty easy and "missing something" is unlikely. The bigger the liver, the easier it is. On the other hand, if there is one specific spot in the liver that's abnormal, and your doctor is aiming for just that spot, then missing the target is more likely. In such situations, we usually have a pathologist present during the biopsy to look at the tissue as we collect it. The pathologist will not be able to make a final diagnosis in real time, be he or she should be able to say whether or not the tissue that's been collected will be adequate for making that final diagnosis.
Liver biopsy. Many diseases that affect the liver, involve the liver uniformly so that a biopsy of a "random" area should show pertinent changes. If there is a specific mass lesion that is being targeted, it is important to have the biopsy performed with some type of imaging guidance to insure obtaining pertinent tissue.
Less risky. Due to sampling error and the relative risk of biopsy, PROMETHEUS FIBROSpect II testing is useful for initial patient evaluation and when biopsy is contraindicated or refused. The short answer is it is less risky, but a liver biopsy may still be needed, it is just an alternative, different doctors have different preferences.
Less invasive. Knowing the amount of inflammation and level of fibrosis in the liver can help in deciding what hepatitis therapy a patient needs. Though the liver biopsy is considered the gold standard, the newer generation of tests, when taken in clinical context, can estimate the amount of inflammation and level of fibrosis in the liver.