Biopsy roasted
Description liver biopsy
Using this procedure, the sample selected for the study of the liver.
The reasons for performing a liver biopsy
Biopsy roasted, usually, performed, to evaluate:
- Abnormal blood test results (eg, elevated liver enzymes, elevated levels of copper and iron in the blood);
- Increase in liver;
- The severity of liver disease;
- Progress in the treatment of liver diseases;
- Liver weight;
- Condition after liver transplantation.
Possible complications when performing liver biopsy
Before, how to perform a biopsy, you need to know about possible complications, which may include:
- Pain (often);
- Bleeding (infrequently);
- Infection (rarely);
- Perforation of the gallbladder or intestines (rarely);
- Puncture legkogo (rarely).
Factors, that may increase the risk of complications:
- Smoking.
How is liver biopsy?
Preparation for research
Your doctor may do the following:
- Perform a physical exam;
- Order blood tests;
- Perform ultrasound – test, which uses sound waves to study the liver.
Prior to liver biopsy is necessary:
- Avoiding food and fluid intake for 8-12 hours;
- It may be necessary to stop taking some medicines:
- Aspirin or other anti-inflammatory drugs;
- Blood thinners, eg, clopidogrel (Plaviks) or warfarin;
- We need to take care of home delivery after biopsy.
Anesthesia
Local anesthesia is used – injectable, can also be written sedative.
Procedure liver biopsy
There are various methods of performing a liver biopsy:
- Normal liver biopsy;
- Laparoscopic liver biopsy (performed, If you need a specific area of the liver biopsy);
- Transvenoznaya biopsy roasted (performed in the presence of blood clots or a large amount of fluid in the abdominal cavity).
Normal liver biopsy
The subject lies on his back, pravuyu threw a hand behind his head. The doctor may use ultrasound or CT scan, to determine the place of needle insertion. The skin will be cleaned and decontaminated. Next, the doctor inserts a cure, to numb the area of the needle, and makes a small incision in the skin. During insertion of the needle examinee will need to exhale and hold your breath. Sometimes the needle to be inserted several times. After the procedure, the doctor puts a bandage on the area of performing puncture. It should lie on his right side for at least two hours.
Laparoscopic liver biopsy
The doctor makes a small incision and inserts a laparoscope into it – tool with a camera on the end, which is supplied in the region of the stomach to the liver. The camera sends images of the liver to the screen. Doctor makes another incision for the introduction of additional tools. With these tools, it will be necessary to select samples of liver.
Transvenoznaya biopsy roasted
The doctor inserts a thin flexible tube into a vein in the neck or groin. This tube is fed into the veins of the liver, after which the sample is taken for liver biopsy.
Immediately after the procedure, a liver biopsy
You will need to lie on the right side for at least two hours.
How long will a liver biopsy?
About 15-20 minutes.
Will it hurt during a liver biopsy?
You may experience mild pain or cramping at the biopsy site. The patient may also experience pain in the right shoulder. The pain usually goes away in less than 30 minutes after treatment.
Care after the procedure, a liver biopsy
When you return home, you need to perform the following actions, to ensure the normal recovery:
- If you were given a sedative, you can not get behind the wheel at least 24 o'clock;
- Rest of the day should be a holiday;
- You can not exercise or lift heavy objects for at least a week. It is necessary to ask the doctor, when you can return to normal activities;
- We need to ask the doctor, when you can resume taking medication;
- We need to ask the doctor about, when it is safe to shower, bathe or expose the location of the needle or incision to water;
- Be sure to follow the instructions of the doctor.
The biopsy results will be ready in 1-4 of the week. According to the results can byto treatment accordingly.
It is necessary to go to the hospital in the following cases
- There were signs of infection, including fever and chills;
- Redness, edema, increased pain, bleeding or any discharge from the incision;
- Severe abdominal pain, nausea or vomiting;
- The feeling of weakness or dizziness;
- Severe Shoulder Pain;
- Labored breathing, cough, or chest pain.
