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Titolo:
ULTRASOUND-GUIDED LIVER-BIOPSY COULD REPL ACE BLIND BIOPSY IN DIFFUSELIVER-DISEASES - A RETROSPECTIVE STUDY ON 1,293 PATIENTS
Autore:
JOLY JP; KHOUANI S; DECROMBECQUE C; RAZAFIMAHALEO A; SEVESTRE H; CAPRON JP;
Indirizzi:
CHU,HOP NORD,SERV HEPATOGASTROENTEROL,PL VICTOR PAUCHET F-80054 AMIENS FRANCE CHU HOP NORD,SERV ANAT CYTOL PATHOL F-80054 AMIENS FRANCE
Titolo Testata:
Gastroenterologie clinique et biologique
fascicolo: 8-9, volume: 19, anno: 1995,
pagine: 703 - 706
SICI:
0399-8320(1995)19:8-9<703:ULCRAB>2.0.ZU;2-3
Fonte:
ISI
Lingua:
FRE
Soggetto:
INTRAHEPATIC HEMATOMA; COMPLICATIONS;
Keywords:
LIVER BIOPSY; ULTRASONIC GUIDED LIVER BIOPSY; DIFFUSE HEPATOPATHY; COMPLICATIONS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
20
Recensione:
Indirizzi per estratti:
Citazione:
J.P. Joly et al., "ULTRASOUND-GUIDED LIVER-BIOPSY COULD REPL ACE BLIND BIOPSY IN DIFFUSELIVER-DISEASES - A RETROSPECTIVE STUDY ON 1,293 PATIENTS", Gastroenterologie clinique et biologique, 19(8-9), 1995, pp. 703-706

Abstract

Objectives. - The aim of this retrospective study was to compare the efficiency and complications of percutaneous hepatic biopsy either guided by ultrasonography in the left lobe, or blindly by the intercostalroute in the right lobe, in the diagnosis of diffuse liver diseases. Patients and methods. - Liver biopsy was performed in 1,293 patients for 5 years. In group 1 (289 patients, including 140 Out-patients), liver biopsy was guided by ultrasound. In group 2, blind intercostal liver biopsy was performed in 1,004 patients. Patients were observed for 6hours after biopsy in both groups. Results. - The failure rate of liver biopsy was significantly lower in group 1 (1.7 %) than in group 2 (9.25 %, P < 0.01). The prevalence of the histological lesions was similar in both groups. No related-biopsy death occurred. Complications were more serious after blind biopsy (1 acute pancreatitis with a hematoma of the liver, 1 bile leakage around the gallbladder, 1 hemoperitonitis, 1 large intrahepatic hematoma), than after guided biopsy (1 smallhematoma of the liver, 1 acute biliary pain on the 10th day). Conclusion. - Hepatic biopsy guided by ultrasonography could replace blind biopsy in the diagnosis of diffuse liver diseases.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 21:01:43