By Edited by: Hirokazu Takahashi
ISBN-10: 9533076445
ISBN-13: 9789533076447
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Example text
9. Anesthesia In adults and children who can cooperate during the procedure (usually above 15 years of age) liver biopsy is made in local anesthesia. To do it one should use 8-10 ml of 1% lidocaine solution. The technique of anesthesia is described below (Point 10). When the patient is not willing to cooperate, the procedure should be performed in short-term general anesthesia. 10. 1 The position of the patient The patient should be in supine position, with his right upper limb placed behind the head, the left one – along the body.
Set of tests which should be made directly before blind liver biopsy. 7. The choice of type of liver biopsy Focal changes discovered in ultrasound examination or computed tomography are indications for an image-controlled biopsy. In patient with chronic hepatitis in whom a solid focal change is diagnosed two USG-guided core biopsies should be made. The first specimen should be obtain from the solid lesion. The other should be obtained from other part of liver (with the avoidance of lesion volume).
Hypothesis of the pathogenesis of NAFLD. Inflammation Immunological Analysis of Liver Diseases with Liver Biopsy Specimens 43 4. Conclusion Although analysis of intrahepatic immune response is difficult to be performed, valuable information on the immunopathogenesis of liver diseases could be obtained. Accumulation of the findings would finally lead to a novel immunotherapeutic approach for the management of various liver diseases. 5. References Abel, M; Sène, D; Pol, S; Bourlière, M; Poynard, T; Charlotte, F; Cacoub, P & Caillat-Zucman, S.
Liver Biopsy by Edited by: Hirokazu Takahashi
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