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Posted By : bhdj - 8/4/2017 12:29 PM
Have read most of the posts on this procedure. Most of them have been very old. My daughter is going to have the procedure and I was wondering if this procedure has changed and become more advanced over the last several years, I guess less painful is what I am asking of anyone who has had it recently. Thank you.

Posted By : ppm guy - 8/5/2017 1:32 AM
Hi bhdj and welcome,
I have had two biopsies, where a piece of liver is removed. they were done many years ago. My GI dr had done hundreds of biopsies. They went smoothly, and after the novacaine wore off, I had no pain. both times.
I have talked to many patients over the years, and most have had the same experience as I did. most have a little dull ache for 1 or 2 days.

Todays biopsies are guided by ultrasound to find the right entry point. According to my dr , a very small portion of biopsies can hit another organ. Some people do have pain for a few days. If you have an experienced Gi or hep dr, you should be fine.

Today many biopsies are done by specialized scans that test your liver for scarring, and fat(fibroscan). Some drs use a bloodtest with 6 values that determines level of damage(fibrotest).

But the percutaneous biopsy gives the most info

let me know if I can be of any further help.

Posted By : MamaLama - 8/5/2017 1:52 PM
Hi bhdj,

My partner, Mike, has also had several biopsies and never had a problem. The newest one, as above, was ultrasound guided.

Mike also had a liver transplant after a very long period of illness...since that time he has had fibroscans to check the condition of his liver, no actual biopsies even though he had a small tumor in his old liver, so they know his body can make such tumors...but those they look for on periodic ct scans and such.

best to you, mama lama
MamaLama, Forum moderator - Hepatitis
Partner received liver transplant (May 1, 2011) FL
Hep C 1a Treatment - Sovaldi/Olysio (March - May 2014)
Undetected since week 4. Undetected 12 weeks post treatment.

Posted By : bhdj - 8/6/2017 3:36 PM
Thanks for your replies, makes me feel some better. My daughter has had heart problems from birth, had two surgeries. Now 37 and needs another one, they want to check her liver to make sure she doesn't have cirrhosis, which they say can be caused by her previous heart problems. She doesn't have any of the symptoms but they want to be sure.

Posted By : eyesRopen - 8/12/2017 9:51 PM
Hi Bhdj,
Welcome to healing well. I just had a liver biopsy this past week, and my Drs chose to have interventional radiology do a transjugular liver biopsy. The Doctor inserted a small tube into my jugular (neck) vein. X-rays helped them guide the tube into a large vein in my liver. A small needle was inserted through the tube and down into the liver. The needle removed 2 or 3 small samples of tissue. They were also able to test pressures and also check the flow of the veins in and out of my liver to see if they were blocked. Sounds worse than it is.
about 5 years ago, I had my first biopsy through my abdomen that determined I had cirrhosis, but now I have ascites issues which may be why they chose the transjugular route. It's a newer technique and almost painless. Look it up online for yourself and ask your Dr what he thinks. I've also heard fibroscans can give some non invasive results as well.
Good luck and keep us posted.
Blessed with a liver transplant on April 24, 2017.

Post Edited (eyesRopen) : 8/14/2017 7:08:58 PM (GMT-6)

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