Transjugular liver biopsy--indications, adequacy, quality of specimens, and complications--a systematic review
| dc.contributor.author | Kalambokis, G. | en |
| dc.contributor.author | Manousou, P. | en |
| dc.contributor.author | Vibhakorn, S. | en |
| dc.contributor.author | Marelli, L. | en |
| dc.contributor.author | Cholongitas, E. | en |
| dc.contributor.author | Senzolo, M. | en |
| dc.contributor.author | Patch, D. | en |
| dc.contributor.author | Burroughs, A. K. | en |
| dc.date.accessioned | 2015-11-24T19:10:11Z | |
| dc.date.available | 2015-11-24T19:10:11Z | |
| dc.identifier.issn | 0168-8278 | - |
| dc.identifier.uri | https://olympias.lib.uoi.gr/jspui/handle/123456789/20798 | |
| dc.rights | Default Licence | - |
| dc.subject | Biopsy, Needle/adverse effects/*methods/standards | en |
| dc.subject | Humans | en |
| dc.subject | *Jugular Veins | en |
| dc.subject | Liver/*pathology | en |
| dc.title | Transjugular liver biopsy--indications, adequacy, quality of specimens, and complications--a systematic review | en |
| heal.abstract | Transjugular liver biopsy (TJLB) is considered an inferior biopsy, used when percutaneous liver biopsy (PLB) is contraindicated. According to recent literature, specimens with 6 complete portal tracts (CPTs) are needed for histological diagnosis of chronic liver disease but 11 CPTs to reliably stage and grade. Mean CPT number in PLB series is 7.5; more passes increase complications. Sixty-four series reporting 7649 TJLBs were evaluated for quality of specimen and safety. Major indications were coagulation disorders and/or ascites. Success rate was 96.8%. Fragmentation rate was 34.3%, not correlating with length or diagnostic adequacy. With a mean of 2.7 passes, mean CPT number was 6.8. Histological diagnosis was achieved in 96.1% of TJLBs, correlating with length (p=0.007) and CPT number (p=0.04). Tru-Cut specimens had a mean CPT number of 7.5 and, compared to Menghini specimens, were longer (p<0.008), less fragmented (p<0.001) and more diagnostic (p<0.001). Thinner needles (>16-G) provided significantly longer and less fragmented specimens. Minor and major complication rates were 6.5% and 0.56%, respectively, and increased in children, but not with additional passes. In adults, mortality was 0.09% (haemorrhage 0.06%; ventricular arrhythmia 0.03%). TJLB is safe, providing specimens qualitatively comparable to PLB, and may improve further using > or = 18-G Tru-Cut needle and >3 passes. | en |
| heal.access | campus | - |
| heal.fullTextAvailability | TRUE | - |
| heal.identifier.primary | 10.1016/j.jhep.2007.05.001 | - |
| heal.identifier.secondary | http://www.ncbi.nlm.nih.gov/pubmed/17561303 | - |
| heal.identifier.secondary | http://ac.els-cdn.com/S0168827807002838/1-s2.0-S0168827807002838-main.pdf?_tid=acdb919857cbf3cad4438cff02e1aba5&acdnat=1334041551_898afab448301f78de013bb93d01fafe | - |
| heal.journalName | J Hepatol | en |
| heal.journalType | peer-reviewed | - |
| heal.language | en | - |
| heal.publicationDate | 2007 | - |
| heal.recordProvider | Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής | el |
| heal.type | journalArticle | - |
| heal.type.el | Άρθρο Περιοδικού | el |
| heal.type.en | Journal article | en |
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