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Hepato-gastroenterology service
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Hepatic biopsy
What is a liver biopsy?

This involves taking a small fragment of the liver with a needle and under local anesthesia so that it can be examined under a microscope. In many liver disorders, this is the best examination to determine the cause, to assess the risk of progression of the disease and possibly to decide the most appropriate treatment. In search of an aesthetic surgery in Las Vegas, or Henderson, visit Beauty Natural Rhinoplasty and click here: http://www.beautynatural.pro/rhinoplasty-henderson


How is liver biopsy performed?

To remove a small fragment of the liver, local skin anesthesia is first performed. You will feel at the moment of the injection a small pinch like the one that you feel during anesthesia in the dentist. When the anesthesia is complete, you will be asked to block the breathing to immobilize the liver for the short time needed to take the sample. This is done between 2 right ribs using a hollow needle in which remains a small "carrot" of liver tissue.

The biopsy can also be performed transvenously (transjugular) in case of need for information on suspected hepatic pressures, suspicion of severe illness or contraindication to percutaneous puncture (in case of disturbed coagulation or Presence of intra-abdominal fluid). The approach is in this case at the level of the neck (internal jugular right or left) after local anesthesia. The catheter for pressure measurement and liver puncture is placed under radiological control.
How to prepare for this exam?

In order for the examination to take place under the best conditions, one must be fasting, that is to say have neither drunk nor eaten during the preceding 6 hours. Blood coagulation and ultrasound results of the liver should be known before performing the gesture. Always tell your doctor about any medications you are taking (especially those that affect blood clotting, such as aspirin, Sintrom, Plavix, Xarelto, Eliquis, Pradaxa or other new anticoagulants) Possible allergies to injectables (anesthetics, contrast agents).
How long is the exam?

Percutaneous sampling takes only a fraction of a second. The total duration of the exam rarely exceeds 10 or 15 minutes.

For a transvenous examination, the duration of the examination is longer (on average 30 minutes) in order to allow the positioning of the catheter in the liver, the measurement of the pressures and then the puncture of the liver (which again in itself Takes only a few seconds).
What are the disadvantages of the exam?

Transcutaneous examination is frequently followed by painful discomfort at the site of sampling and / or at the level of the right shoulder. The discomfort associated with this discomfort rarely requires the administration of an analgesic. After the biopsy, you will be asked to stay two hours lying on the right side and bed down until the next day. A short overnight hospital stay is therefore required.

Transvenous (transjugular) examination can cause transient hematoma or discomfort at the puncture point (neck) and a transient heart rhythm disorder. Hospital supervision overnight is also required.

During the week following the biopsy, you will be able to carry out your usual occupations. However, it is not advisable to do an intense physical effort, carry heavy loads or undertake a trip to a country with a low health level.