Since then, the role and technique of tissue sampling has evolved tremendously. Needle biopsy of the liver was first performed by Dr. Herein, we provide a review of the recent evidence of EUS-LB for liver disease.
These advantages have contributed to the increased use of EUS-LB as a technique for obtaining liver tissue.
AFTER CARE ENDO BIOPSY PC
Compared to PC and TJ routes, EUS-LB may also have a greater diagnostic yield of tissue, be superior for a targeted approach of focal lesions, provide higher quality images and allow for greater patient comfort. More recently, endoscopic ultrasound guided LB (EUS-LB) has evolved as an alternative method of tissue sampling that has proven to be safe and effective, with limited adverse events. Additionally, PCLB and TJLB carry higher risks of adverse events and complications. However, traditional methods of LB may be inferior to newer methods. Traditionally, methods of acquiring liver tissue have included percutaneous LB (PCLB), transjugular LB (TJLB) or biopsy taken surgically via laparotomy or laparoscopy. Indications for LB include evaluation of persistent elevation of liver chemistries of unclear etiology, diagnosis of chronic liver diseases such as Wilson's disease, autoimmune hepatitis, small duct primary sclerosing cholangitis, work up of fever of unknown origin, amyloidosis and more. As such, histopathological results are critical as they establish or aid in diagnosis, provide information on prognosis, and guide the appropriate selection of medical therapy for patients. Liver biopsy (LB) is an essential tool in diagnosing, evaluating and managing various diseases of the liver.
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