Authors:
Arthit Wongsaensook Department of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand
Srinagarind Hospital, Mittraparp Road, Muang, Khon Kaen, 40002, Thailand

Search for other papers by Arthit Wongsaensook in
Current site
Google Scholar
PubMed
Close
,
Wattana Sukeepaisarnjaroen Department of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand

Search for other papers by Wattana Sukeepaisarnjaroen in
Current site
Google Scholar
PubMed
Close
,
Wisut Sukeepaisarnjaroen Department of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand

Search for other papers by Wisut Sukeepaisarnjaroen in
Current site
Google Scholar
PubMed
Close
, and
Churairat Kularbkaew Department of Pathology, Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand

Search for other papers by Churairat Kularbkaew in
Current site
Google Scholar
PubMed
Close
Restricted access

Abstract

Aim: To evaluate risks and benefits of percutaneous liver biopsies in Srinagarind Hospital, Khon Kaen, Thailand. Methods: We retrospectively reviewed all patients who had performed liver biopsies between January 2005 and September 2009 from the data of the Srinagarind Memorial Building, Khon Kaen University, Thailand. Results: A total of 1038 liver biopsies were reviewed. The 927 liver biopsies performed were blind (89.3%), 110 were ultrasound guided (10.6%) and one was both (0.1%). The essential biopsies were conducted in cases of chronic hepatitis B or C (68.9%), chronic hepatitis (22.9%) and liver mass (5%). The liver biopsies established definite diagnosis 99.5% of the time. The most common complication of liver biopsies was pain (4.8%). There were no reported cases of biopsy-related mortality. Conclusion: Liver biopsies performed by trained physicians are safe, rarely have complications, and are highly useful. The fibrotic staging and abnormal liver function tests are common indications. Nonalcoholic steatohepatitis is the common finding for chronic hepatitis.

  • 1. A. Grant J. Neuberger 1999 Guidelines on the use of liver biopsy in clinical practice. British Society of Gastroenterology Gut 45 Suppl4 IV1 IV11.

    • Search Google Scholar
    • Export Citation
  • 2. R. Valori E. Elias 1989 How to perform a percutaneous liver biopsy Bri J Hos Med 42 408 409.

  • 3. I.T. Gilmore A. Burroughs I.M. Murray-Lyon R. Williams D. Jenkins A. Hopkins 1995 Indication, methods, and outcomes of percutaneous liver biopsy in England and Wales: an audit by the British Society of Gastroenterology and the Royal College of Physicians of London Gut 36 437 441.

    • Search Google Scholar
    • Export Citation
  • 4. S. Sherlock J. Dooley 2002 Chapter 3: Biopsy of the Liver S. Sherlock J. Dooley Diseases of the Liver and Biliary System 11th ed. Blackwell Science Ltd Oxford, UK 37 44.

    • Search Google Scholar
    • Export Citation
  • 5. D.J. Van Leeuwen L. Wilson D.R. Crowe 1995 Liver biopsy in the mid-1990s: questions and answers Semin Liver Dis 15 340 359.

  • 6. F. Piccinino E. Sagnelli G. Pasquale G. Giusti 1986 Complications following percutaneous liver biopsy: a multicentre retrospective study on 68,276 biopsies J Hepatol 2 165 173.

    • Search Google Scholar
    • Export Citation
  • 7. G. Garcia-Tsao J.L. Boyer 1993 Outpatient liver biopsy: how safe is it? Ann Intern Med 118 150 153.

  • 8. C.H. Janes K.D. Lindor 1993 Outcome of patients hospitalized for complications after outpatient liver biopsy Ann Intern Med 118 96 98.

    • Search Google Scholar
    • Export Citation
  • 9. A.S.F. Lok P.C. Wu C.L. Lai E.K.Y. Leung 1988 Long-term follow-up in a randomised controlled trial of recombinant a2-interferon in Chinese patients with chronic hepatitis B infection Lancet 2 298 302.

    • Search Google Scholar
    • Export Citation
  • 10. D.K.H. Wong A.M. Cheung K. O'Rourke C.D. Naylor A.S. Detsky J. Heathcote 1993 Effect of alfa-interferon treatment in patients with hepatitis B e antigen-positive hepatitis B: meta-analysis Ann Intern Med 119 312 323.

    • Search Google Scholar
    • Export Citation
  • 11. H.L.Y. Chan N.W.Y. Leung M. Hussain M.L. Wong A.S.F. Lok 2000 Hepatitis B e antigen-negative chronic hepatitis B in Hong Kong Hepatology 31 763 768.

    • Search Google Scholar
    • Export Citation
  • 12. G.L. Davis J.B. Wong J.G. McHutchison et al.2003 Early virologic response to treatment with peginterferon alfa-2b plus ribavirin in patients with chronic hepatitis C Hepatology 38 645 652.

    • Search Google Scholar
    • Export Citation
  • 13. S. Sherlock 1989 Diseases of the Liver and Biliary System: Needle Biopsy of the Liver 8th ed. Blackwell Scientific Publications Boston — Melbourne 36 48.

    • Search Google Scholar
    • Export Citation
  • 14. J.E. Hegarty R. Williams 1988 Liver biopsy: techniques, clinical applications, and complications Br Med J (Clin Res Ed) 288 1254 1256.

    • Search Google Scholar
    • Export Citation
  • 15. P.A. McVay P.T.C.Y. Toy 1990 Lack of increased bleeding after liver biopsy in patients with mild hemostatic abnormalities Am J Clin Pathol 94 747 753.

    • Search Google Scholar
    • Export Citation
  • 16. P. Sharma G.B. McDonald M. Banaji 1982 The risk of bleeding after percutaneous liver biopsy: relation to platelet count J Clin Gastroenterol 4 451 453.

    • Search Google Scholar
    • Export Citation
  • 17. S.G. West 1997 Methotrexate hepatotoxicity Rheum Dis Clin N Am 23 883 915.

  • 18. Q.E. Whiting-O'Keefe K.H. Fye K.D. Sack 1991 Methotrexate and histologic hepatic abnormalities: a meta-analysis Am J Med 90 711 716.

    • Search Google Scholar
    • Export Citation
  • 19. J.M. Kremer G.S. Alarcon R.W. Lightfoot et al.1994 Methotrexate for rheumatoid arthritis suggested guidelines for monitoring liver toxicity Arthritis Rheum 27 316 328.

    • Search Google Scholar
    • Export Citation
  • 20. H.J. Roenigk R. Auerbach H.I. Maibach G.D. Weinstein 1988 Methotrexate in psoriasis: revised guidelines J Am Acad Derm 19 145 156.

  • 21. National Institute for Health and Clinical Excellence: Peginterferon alfa and ribavirin for the treatment of mild chronic hepatitis C. Technology Appraisal 2006 (106). Available from: URL: http://www.nice.org.uk/TA106.

    • Search Google Scholar
    • Export Citation
  • 22. National Institute for Health and Clinical Excellence: Interferon alfa (pegylated and non-pegylated) and ribavirin for the treatment of chronic hepatitis C. Technology Appraisal 2004 (75). Available from: URL: http://www.nice.org.uk/TA75.

    • Search Google Scholar
    • Export Citation
  • 23. U.L. Mathiesen L.E. Franzen A. Fryden U. Foberg G. Bodemar 1999 The clinical significance of slightly to moderately increased liver transaminase values in asymptomatic patients Scand J Gastroenterol 34 85 91.

    • Search Google Scholar
    • Export Citation
  • 24. M.M. Skelly P.D. James S.D. Ryder 2001 Findings on liver biopsy to investigate abnormal liver function tests in the absence of diagnostic serology J Hepatol 35 195 199.

    • Search Google Scholar
    • Export Citation
  • 25. S. Daniel T. Ben-Menachem G. Vasudevan C.K. Ma M. Blumenkehl 1999 Prospective evaluation of unexplained chronic liver transaminase abnormalities in asymptomatic and symptomatic patients Am J Gastroenterol 94 3010 3014.

    • Search Google Scholar
    • Export Citation
  • 26. L. Bianchi 2001 Liver biopsy in elevated liver functions tests? An old question revisited J Hepatol 35 290 329.

  • 27. G. Bedogni L. Miglioli F. Masutti C. Tiribelli G. Marchesini S. Bellentani 2005 Prevalence of and risk factors for nonalcoholic fatty liver disease: the Dionysos nutrition and liver study Hepatology 42 44 52.

    • Search Google Scholar
    • Export Citation
  • 28. G. Marchesini M. Brizi G. Bianchi et al.2001 Nonalcoholic fatty liver disease: a feature of the metabolic syndrome Diabetes 50 1844 1850.

    • Search Google Scholar
    • Export Citation
  • 29. S.M. Grundy 2005 Metabolic syndrome scientific statement by the American Heart Association and the National Heart, Lung, and Blood Institute Arterioscler Thromb Vasc Biol 25 2243 2244.

    • Search Google Scholar
    • Export Citation
  • 30. S.M. Grundy J.I. Cleeman S.R. Daniels et al.2005 Diagnosis and management of the metabolic syndrome: an American Heart Association/ National Heart, Lung, and Blood Institute Scientific Statement Circulation 112 2735 2752.

    • Search Google Scholar
    • Export Citation
  • 31. D. Einhorn G.M. Reaven R.H. Cobin et al.2003 American College of Endocrinology position statement on the insulin resistance syndrome Endocr Pract 9 237 252.

    • Search Google Scholar
    • Export Citation
  • 32. A. Fotiadu V. Kotoula E. Sinakos et al.2010 Clinicopathological correlations in a series of adult patients with non-alcoholic fatty liver disease Pathol Int 60 87 92.

    • Search Google Scholar
    • Export Citation
  • 33. S.H. Caldwell A.I. Hylton 2005 The clinical outcome of NAFLD including cryptogenic cirrhosis G.C. Farrell J. George P. de la M. Hall A.J. McCullough Fatty Liver Disease: NASH and Related Disorders Blackwell Publishing Ltd. Oxford, UK 168 180.

    • Search Google Scholar
    • Export Citation
  • 34. P. Muratori A. Granito G. Pappas et al.2009 The serological profile of the autoimmune hepatitis/primary biliary cirrhosis overlap syndrome Am J Gastroenterol 104 1420 1425.

    • Search Google Scholar
    • Export Citation
  • 35. K.G. Ishak H.J. Zimmerman M.B. Ray 1991 Alcoholic liver disease: pathologic, pathogenetic and clinical aspects Alcohol Clin Exp Res 15 45 66.

    • Search Google Scholar
    • Export Citation
  • 36. G. Garcia-Tsao J.L. Boyer 1993 Outpatient liver biopsy: how safe is it? Ann Intern Med 118 150 153.

  • 37. C.H. Janes K.D. Lindor 1993 Outcome of patients hospitalized for complications after outpatient liver biopsy Ann Intern Med 118 96 98.

    • Search Google Scholar
    • Export Citation
  • 38. J. Perrault D.B. McGill B.J. Ott et al.1978 Liver biopsy: complications in 1000 inpatients and outpatients Gastroenterology 74 103 106.

  • 39. G. Vautier B. Scott D. Jenkins 1994 Liver biopsy: blind or guided? BMJ 309 1455 1456.

  • 40. E. Caturelli A. Giacobbe D. Facciorusso M. Bisceglia M.R. Villani D.A. Siena S. Fusilli M.M. Squillante A. Andriulli 1996 Percutaneous biopsy in diffuse liver disease: increasing diagnostic yield and decreasing complication rate by routine ultrasound assessment of puncture site Am J Gastroenterol 91 1318 1321.

    • Search Google Scholar
    • Export Citation
  • 41. F. Piccinino E. Sagnelli G. Pasquale G. Giusti 1986 Complications following percutaneous liver biopsy: a multicentre retrospective study on 68,276 biopsies J Hepatol 2 165 173.

    • Search Google Scholar
    • Export Citation
  • Collapse
  • Expand

2019  
Scimago
H-index
11
Scimago
Journal Rank
0,220
Scimago
Quartile Score
Medicine (miscellaneous) Q3
Scopus
Cite Score
155/133=1,2
Scopus
Cite Score Rank
General Medicine 199/529 (Q2)
Scopus
SNIP
0,343
Scopus
Cites
206
Scopus
Documents
23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation
2009
Publication
Programme
changed title
Volumes
per Year
 
Issues
per Year
 
Founder Akadémiai Kiadó
Founder's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Mar 2024 11 0 0
Apr 2024 20 0 0
May 2024 2 0 0
Jun 2024 7 0 0
Jul 2024 31 0 0
Aug 2024 15 0 0
Sep 2024 9 0 0