Outpatient Liver Biopsy: How Safe Is It?
Authors: Guadalupe Garcia-Tsao
Journal: Annals of Internal Medicine (1993)

Editorials15 January 1993Outpatient Liver Biopsy: How Safe Is It?Guadalupe Garcia-Tsao, MD and James L. Boyer, MDGuadalupe Garcia-Tsao, MDYale University School of Medicine, New Haven, CT 06510. and James L. Boyer, MDYale University School of Medicine, New Haven, CT 06510.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-118-2-199301150-00013 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Percutaneous liver biopsy is being done more frequently as a result of major changes in the therapy of liver diseases.The ease and safety of outpatient, "blind" liver biopsy has been well established. Complication rates have ranged from 0.9% to 3.7%; most complications have become manifest within the first 3 hours after biopsy, and none has resulted in death. Nevertheless, differing guidelines may affect relative degrees of safety in different Centers. A review of reported series suggests that the Menghini technique may be the preferred first choice, with the Tru-Cut technique reserved for patients in whom an adequate sample cannot be ...References1. von Frerichs FT. Uber den Diabetes. Berlin: Hirschwald; 1884. Google Scholar2. Huard P, May JM, Joyeux B. La ponction biopsie du foie et son utilite dans le diagnostic des affections hepatiques. Annales d'Anatomie Pathologique. 1935; 12:1118-24. Google Scholar3. Baron E. Aspiration for removal of biopsy material from the liver. Arch Intern Med. 1939; 63:276-89. Google Scholar4. Menghini G. One-second needle biopsy of the liver. Gastroenterology. 1958; 35:190-99. Google Scholar5. Terry R. Risks of needle biopsy of the liver. Br Med J. 1952; 1: 1102-05. Google Scholar6. Thaler H. Uber Vorteil und Risiko der Leberbiopsiemethode nach Menghini. Wien Klin Wochenschr. 1964; 76:533-8. Google Scholar7. Lindner H. Grenzen und Gefahren der perkutanen Leberbiopsie mit der Menghini-Nadel. 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