Volume : VII, Issue : IV, April - 2017

A study on the role of transjugular liver biopsy in clinical decision–making

Pk Sharma, Pankaj Sharma

Abstract :

 BACKGROUND: Transjugular liver biopsy is an alternative procedure for patients who have contraindications to standard transthoracic procedure.

AIM: We report our experience with this procedure, its indications, efficacy and safety in Indian population over 4 years.    MATERIAL & METHOD: A retrospective study on 57 consecutive patients who had undergone transjugular liver biopsy from March 2011 and April 2015.

RESULTS: The commonest indication for liver biopsy was work up for indeterminate chronic liver disease (58 %) and the most common reasons to biopsy by transjugular route were coagulopathy (57.9%), thrombocytopenia (40.3%) and ascites (36.8 %). Technical success was achieved in 96% cases and only two major complications were encountered. 49/57(86%) biopsies were adequate and yielded a histopathological diagnosis. Post biopsy diagnosis had a pivotal role in decision making on patient’s treatment in 18/49(36.7%) cases.

  CONCLUSION: Transjugular liver biopsy is a valuable tool for clinical decision making in a specific categories of patients in whom percutaneous biopsy is contraindicated. It is a safe rocedure and provides adequate tissue for diagnosis which hugely impacts clinical decision making in patients with liver diseases.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

PK Sharma, Pankaj Sharma, A study on the role of transjugular liver biopsy in clinical decision–making, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾4 | April-2017

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