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.
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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
Number of Downloads : 490
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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