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. 1995 Oct;37(4):574–575. doi: 10.1136/gut.37.4.574

Is day case liver biopsy underutilised?

A C Douds 1, A E Joseph 1, C Finlayson 1, J D Maxwell 1
PMCID: PMC1382913  PMID: 7489948

Abstract

Day case liver biopsies are rarely performed nationally but have been routine practice in selected patients in our hospital since 1989. We have audited our experience of this procedure to compare its safety, and efficacy with inpatient biopsy and assess patient acceptability. Audit data were collected retrospectively on liver biopsies performed at a teaching hospital over 42 months. Acceptability of day case biopsy was assessed by a questionnaire. A total of 182 of 546 biopsies were day cases (33%). The specimen quality was similar in both groups. The overall complication rate did not significantly differ between the two groups (2.7% day case v 3.3% inpatients). There were no deaths or episodes of haemorrhage in the day cases but one patient developed a pneumothorax. Some 91% of those who had a day case biopsy were satisfied with the procedure. Day case liver biopsy is safe, effective, and acceptable in selected patients.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Garcia-Tsao G., Boyer J. L. Outpatient liver biopsy: how safe is it? Ann Intern Med. 1993 Jan 15;118(2):150–153. doi: 10.7326/0003-4819-118-2-199301150-00013. [DOI] [PubMed] [Google Scholar]
  2. Gilmore I. T., Burroughs A., Murray-Lyon I. M., Williams R., Jenkins D., Hopkins A. Indications, methods, and outcomes of percutaneous liver biopsy in England and Wales: an audit by the British Society of Gastroenterology and the Royal College of Physicians of London. Gut. 1995 Mar;36(3):437–441. doi: 10.1136/gut.36.3.437. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Jacobs W. H., Goldberg S. B. Statement on outpatient percutaneous liver biopsy. Dig Dis Sci. 1989 Mar;34(3):322–323. doi: 10.1007/BF01536249. [DOI] [PubMed] [Google Scholar]
  4. Janes C. H., Lindor K. D. Outcome of patients hospitalized for complications after outpatient liver biopsy. Ann Intern Med. 1993 Jan 15;118(2):96–98. doi: 10.7326/0003-4819-118-2-199301150-00003. [DOI] [PubMed] [Google Scholar]
  5. Knauer C. M. Percutaneous biopsy of the liver as a procedure for outpatients. Gastroenterology. 1978 Jan;74(1):101–102. [PubMed] [Google Scholar]
  6. Levinson J. D., Olsen G., Terman J. W., Cleaveland C. R., Graham C. P., Jr, Breen K. J. Hemobilia secondary to percutaneous liver biopsy. Arch Intern Med. 1972 Sep;130(3):396–400. [PubMed] [Google Scholar]
  7. Perrault J., McGill D. B., Ott B. J., Taylor W. F. Liver biopsy: complications in 1000 inpatients and outpatients. Gastroenterology. 1978 Jan;74(1):103–106. [PubMed] [Google Scholar]
  8. Westaby D., MacDougall B. R., Williams R. Liver biopsy as a day-case procedure: selection and complications in 200 consecutive patients. Br Med J. 1980 Nov 15;281(6251):1331–1332. doi: 10.1136/bmj.281.6251.1331. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Wright R. A. Outpatient liver biopsy: one man's experience. South Med J. 1991 Jul;84(7):889–890. doi: 10.1097/00007611-199107000-00017. [DOI] [PubMed] [Google Scholar]

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