How does a liver biopsy take place?

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Liver biopsy is a procedure conducted by a specialist, by using a small biopsy needle to poke through the patient's skin and remove a little liver parenchyma for testing. Thanks to the liver biopsy test, the doctor will accurately diagnose the condition and cause of the disease and have a timely treatment plan.

1. What is the purpose of a liver biopsy?


In the human body, the liver plays an extremely important role, the liver produces proteins and enzymes to support metabolism, the liver helps remove toxic substances in the blood, fight infections, and save stores the vitamins and nutrients needed by the body.
The purpose of appointing a liver biopsy test is to help doctors accurately identify liver diseases (liver cancer, hepatitis A, B, C...) or check symptoms. symptoms in the body such as:
Prolonged abdominal pain Tests show abnormalities in the liver Occurrence of a tumor in the right lower quadrant Other liver test results are normal but there is a tumor in the liver or the patient has a fever of unknown cause Liver biopsy test to check for liver cancer

Đau bụng kéo dài nên kiểm tra gan tại cơ sở y tế
Đau bụng kéo dài nên kiểm tra gan tại cơ sở y tế

In addition, liver biopsy test is also indicated to diagnose and monitor a number of liver disorders such as:
Autoimmune hepatitis, alcoholic hepatitis, iron overload, cholestatic cirrhosis, non-fatty liver Alcohol

2. What is the procedure for a liver biopsy?


Before conducting a liver biopsy test, the patient needs to prepare a number of requirements, depending on the patient's medical condition, the doctor may ask the patient to have a comprehensive examination, stop using some drugs. drugs that have the ability to affect blood clotting (pain relievers, functional foods or anticoagulants...)
In addition, the patient needs to conduct a blood test before performing a liver biopsy test. . Do not drink alcohol or eat for 8 hours before the procedure. The day you come for the test, you need to be accompanied by a relative.
2.1 Liver biopsy process Depending on the type of liver biopsy, the patient will have different procedures, specifically:
Percutaneous liver biopsy: Percutaneous liver biopsy is also known as biopsy needle, the patient's liver tissue will be removed with a needle, the needle insertion site will be reduced pain by anesthesia. Liver biopsy test through the jugular vein: With this method, the doctor will make a small incision in the patient's neck and then insert a plastic tube through this incision to thread down the patient's liver and take a sample of liver tissue. People with bleeding disorders under anesthesia will use this method. After taking a sample of liver tissue from the patient, the doctor will send the sample to a laboratory for testing, which can wait about a few weeks. After having the results, the doctor will make a final conclusion and have an appropriate treatment plan for the patient.

Tùy vào loại sinh thiết gan mà bệnh nhân được chỉ định sẽ có cách tiến hành khác nhau
Tùy vào loại sinh thiết gan mà bệnh nhân được chỉ định sẽ có cách tiến hành khác nhau

2.2 Notes after the liver biopsy procedure After the liver biopsy, the patient will have his or her blood pressure, pulse, blood oxygen saturation measured and check the biopsy site for bleeding. If the condition is stable, the patient will be able to drink fluids, and in some cases, not eat or drink for 2 hours after the biopsy.
Patients should not take aspirin or any anti-inflammatory pain relievers for 1 week after the liver biopsy. Patients need to rest for about 6-8 hours after liver biopsy and perform hygiene and eating activities at bed. Do not drink alcohol along with medications containing acetaminophen after a liver biopsy. In case the patient has returned home and has the following abnormal signs, it is necessary to notify the doctor immediately for timely treatment:
Fatigue, dizziness, headache Vomiting, bloody stools Bleeding at high-volume biopsy site Pain in the mid-abdomen above the navel, chest, or shoulder High fever with chills Short, shallow, irregular breathing

Mệt mỏi, chóng mặt sau sinh thiết gan
Mệt mỏi, chóng mặt sau sinh thiết gan

3. Possible complications after liver biopsy test


Although it is a relatively safe procedure, the liver biopsy test can cause some complications such as:
Pain at the biopsy site, if the pain is too much, the patient can take painkillers as prescribed by the doctor. doctor. Bleeding at the liver biopsy site, in case of heavy bleeding, the patient may need to be hospitalized for blood transfusion or if necessary, hemostasis surgery (rare complication). Bacterial infections that migrate into the abdominal cavity or the bloodstream, however, are rare. Allergy to local anesthetics. Currently, Vinmec International General Hospital is one of the medical facilities with a team of leading medical experts in the field of Liver - Gallbladder - Pancreas, the most modern machinery in the region. These will be good conditions to make the examination, screening tests or biopsy to diagnose liver cancer quick, convenient, and time-saving so that appropriate and timely treatment measures can be taken. time.
Customers can directly go to Vinmec Health system nationwide to visit or contact the hotline HERE for support.
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