期刊
CLINICS IN LIVER DISEASE
卷 18, 期 4, 页码 767-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.cld.2014.07.001
关键词
Transjugular liver biopsy; Tru-Cut needle; Menghini needle; Tissue sample quality; Liver specimen; Ultrasound guidance; HVPG; Cirrhosis stage
Liver biopsy is still the gold standard for evaluation of acute and chronic liver diseases, despite achievements regarding noninvasive diagnosis and staging in liver diseases. Transjugular liver biopsy (TJLB) has proved a good option when ascites and/or significant coagulopathy precludes a percutaneous approach. Because diagnostic hemodynamic procedures can be performed during the same session, it is useful in many clinical settings, regardless of the absence of percuteaneous contraindications. TJLB is a safe technique able to provide good-quality specimens with a low rate of complications. This article presents an overview of TJLB that discusses the technique, applicability, indications, contraindications, complications, and diagnostic accuracy.
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