Transjugular liver biopsy in high-risk patients with hepatic disease.

摘要: Records were reviewed of 160 patients who underwent transjugular liver biopsy (TJLB) during a five-year period. Percutaneous transperitoneal needle was contraindicated in 95% these because coagulation abnormalities or massive ascites. Moderate complications occurred two patients. Diagnostic material obtained 129 (81%). TJLB provided useful information 44 58 without documented alcohol abuse (clinical Groups III and IV). disclosed additional diagnoses aside from Laennec cirrhosis 15 48 alcoholic with sudden clinical deterioration (Group II), including 11 cases other stages alcholic disease four primary metastatic neoplasm. revealed than cirrhosis, three neoplasms, six 54 clinically stable alcoholics I). frequently yielded important data relative to management prognosis Group II, III, IV patients; it less I