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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Format: | Article |
Language: | English |
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Wiley
2000-01-01
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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. |
format | Article |
id | doaj-art-fba1394c645442da8260263a349140a9 |
institution | Kabale University |
issn | 0835-7900 |
language | English |
publishDate | 2000-01-01 |
publisher | Wiley |
record_format | Article |
series | Canadian Journal of Gastroenterology |
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 |
work_keys_str_mv | AT thierrypoynard appropriatenessofliverbiopsy AT vladratziu appropriatenessofliverbiopsy AT pierrebedossa appropriatenessofliverbiopsy |