دورية أكاديمية
أعرض في EDS

Changing Trends in Liver Biopsy Practices: A Single-Center Analysis.

التفاصيل البيبلوغرافية
العنوان: Changing Trends in Liver Biopsy Practices: A Single-Center Analysis.
المؤلفون: Makar M; Gastroenterology and Hepatology, Geisinger Medical Center, Danville, USA., Iqbal U; Internal Medicine, Geisinger Commonwealth School of Medicine, Danville, USA., Sinha A; Gastroenterology and Hepatology, Geisinger Medical Center, Danville, USA., Berger A; Biostatistics, Geisinger Medical Center, Danville, USA., Khara HS; Gastroenterology and Hepatology, Geisinger Medical Center, Danville, USA., Confer BD; Gastroenterology and Hepatology, Geisinger Medical Center, Danville, USA., Johal AS; Gastroenterology and Nutrition, Geisinger Health System, Danville, USA., Khurana S; Gastroenterology and Hepatology, Geisinger Medical Center, Danville, USA., Diehl DL; Gastroenterology and Hepatology, Geisinger Medical Center, Danville, USA.
المصدر: Cureus [Cureus] 2023 Oct 03; Vol. 15 (10), pp. e46424. Date of Electronic Publication: 2023 Oct 03 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Introduction To assess the trends for liver biopsy (LB) indications, technique, and histopathologic diagnosis, we retrospectively evaluated liver biopsies in two one-year periods, separated by a decade. Methods A pathology database query was performed for all parenchymal LB in patients over 18 years (11/2017 to 10/2018) and compared to those performed over a one-year period, a decade ago. We identified 427 parenchymal liver biopsies in the recent group and 166 in the decade-old group. Results Elevated liver enzymes are the most common indication for LB. Non-alcoholic fatty liver disease (NAFLD) has become the most common diagnosis compared to 10 years ago, when it was viral hepatitis. Routes of LB were significantly different between the two groups, endoscopic ultrasound-guided liver biopsy (EUS-LB) (80.3% vs 0; p<0.0001), computed tomography-guided (0 vs 42.8%, p<0.0001), percutaneous by gastroenterologists (0% vs 29.5%, p<0.0001), and transjugular-LB (15.1% vs 17.6%, p<0.0001). The adequacy of the tissue for pathological diagnosis was similar, and there was no difference in adverse events. Conclusion At our institution, practice patterns have changed significantly for liver biopsy. There has been an increase in liver biopsy volume, and EUS guidance has become the most common approach for liver biopsy.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Makar et al.)
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فهرسة مساهمة: Keywords: elevated liver enzymes; endoscopic ultrasound; liver biopsy; percutaneous liver biopsy; transjugular liver biopsy
تواريخ الأحداث: Date Created: 20231106 Latest Revision: 20231107
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10621875
DOI: 10.7759/cureus.46424
PMID: 37927687
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.46424