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DOI: 10.1055/s-2004-825026
Experience of Day-Case Transcutaneous Liver Biopsies Performed in a Single Unit
Background: Though an accepted procedure internationally, day-case liver biopsy is not widely practiced in Ireland. Since January 2003 we have been performing day-case liver biopsies in our Unit. We report on our experience to date.
Methods: Suitable patients, with acceptable coagulation profile, FBC and Liver ultrasound, had a transcutaneous liver biopsy performed in Endoscopy Unit (1 procedure performed in Radiology Department). Patients were discharged 6 hours post procedure unless developed complications. Prior to discharge patients were asked to complete a questionnaire – parameters measured were discomfort during and after experience, overall satisfaction with experience. The patients were followed up by phone within 7 days. Hospital records were reviewed to determine indications for biopsy, adequacy of sample and complications.
Results: From January to October 2003 125 procedures were performed in 122 patients. Age range 19–70.
Hepatitis B |
10 |
8% |
Hepatitis C |
63 |
52% |
Haemochromatosis |
15 |
12% |
Abnormal LFTs |
33 |
27% |
Liver lesion |
1 |
0.01% |
3 patients required repeat biopsy due to an inadequate initial biopsy.
2 patients admitted due to complications: |
- 1 perforated gallbladder. |
|
- 1 chest pain. |
95 (78%) patients completed the initial questionnaire. Of these 60 (63%) found procedure uncomfortable, 70 (74%) experienced pain post procedure, 75 (79%) were satisfied with their experience. 82 (86%) would undergo procedure again.
80/95 patients were followed up –39 (49%) experienced pain in the 48 hrs post procedure, mostly described as mild. No late complications were reported.
Conclusion: Overall day-case liver biopsy, for suitable patients, is a safe, well tolerated and cost effective procedure.