Appropriateness of Liver Biopsy

This review aims to discuss the appropriateness of liver biopsy in two frequent liver diseases, hepatitis C and alcoholic liver disease. The medical literature, published between 1965 and 1999, was reviewed by using MEDLINE. Only 0.1% of the publications were devoted specifically to the appropriaten...

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Main Authors: Thierry Poynard, Vlad Ratziu, Pierre Bedossa
Format: Article
Language:English
Published: Wiley 2000-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2000/107982
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author Thierry Poynard
Vlad Ratziu
Pierre Bedossa
author_facet Thierry Poynard
Vlad Ratziu
Pierre Bedossa
author_sort Thierry Poynard
collection DOAJ
description This review aims to discuss the appropriateness of liver biopsy in two frequent liver diseases, hepatitis C and alcoholic liver disease. The medical literature, published between 1965 and 1999, was reviewed by using MEDLINE. Only 0.1% of the publications were devoted specifically to the appropriateness of liver biopsy. Not all studies observed a significant agreement among doctors on the decision to use liver biopsy. Therefore, there is a possibility that hepatologists have significant, heterogeneous opinions concerning the appropriateness of liver biopsy. Appropriateness should be evaluated for different techniques such as percutaneous liver biopsy, guided or not by ultrasonography, and the types of needles, automatic or not. The present paper reviews the evaluation of liver biopsy appropriateness in the real world, the adverse events and mortality of liver biopsy, and the appropriateness of liver biopsy in alcoholic liver disease and chronic hepatitis C. The authors conclude that liver biopsy is used extensively, but its appropriateness has not been evaluated perfectly. Therefore, further evaluation of the appropriateness of liver biopsy in the practical algorithm of such diseases is needed.
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spelling doaj-art-fba1394c645442da8260263a349140a92025-02-03T05:44:33ZengWileyCanadian Journal of Gastroenterology0835-79002000-01-0114654354810.1155/2000/107982Appropriateness of Liver BiopsyThierry Poynard0Vlad Ratziu1Pierre Bedossa2Service d’Hépato-Gastroentérologie Groupe Hospitalier Pitié-Salpêtrière, Paris, FranceService d’Hépato-Gastroentérologie Groupe Hospitalier Pitié-Salpêtrière, Paris, FranceService d’Anatomie Pathologique, Hôpital de Bicêtre, FranceThis review aims to discuss the appropriateness of liver biopsy in two frequent liver diseases, hepatitis C and alcoholic liver disease. The medical literature, published between 1965 and 1999, was reviewed by using MEDLINE. Only 0.1% of the publications were devoted specifically to the appropriateness of liver biopsy. Not all studies observed a significant agreement among doctors on the decision to use liver biopsy. Therefore, there is a possibility that hepatologists have significant, heterogeneous opinions concerning the appropriateness of liver biopsy. Appropriateness should be evaluated for different techniques such as percutaneous liver biopsy, guided or not by ultrasonography, and the types of needles, automatic or not. The present paper reviews the evaluation of liver biopsy appropriateness in the real world, the adverse events and mortality of liver biopsy, and the appropriateness of liver biopsy in alcoholic liver disease and chronic hepatitis C. The authors conclude that liver biopsy is used extensively, but its appropriateness has not been evaluated perfectly. Therefore, further evaluation of the appropriateness of liver biopsy in the practical algorithm of such diseases is needed.http://dx.doi.org/10.1155/2000/107982
spellingShingle Thierry Poynard
Vlad Ratziu
Pierre Bedossa
Appropriateness of Liver Biopsy
Canadian Journal of Gastroenterology
title Appropriateness of Liver Biopsy
title_full Appropriateness of Liver Biopsy
title_fullStr Appropriateness of Liver Biopsy
title_full_unstemmed Appropriateness of Liver Biopsy
title_short Appropriateness of Liver Biopsy
title_sort appropriateness of liver biopsy
url http://dx.doi.org/10.1155/2000/107982
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