Health Condition 1: K701- Alcoholic hepatitis Health Condition 2: K730- Chronic persistent hepatitis, notelsewhere classified Health Condition 3: K768- Other specified diseases of liver Health Condition 4: K758- Other specified inflammatory liverdiseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients of any undiagnosed hepatic disease (after extensive investigation - serological as well as imaging) requiring a liver biopsy. 2. Patients of NAFLD who need LBx. 3. Alcoholic hepatitis patients needing biopsy. 4. Any patient with unexplained transaminesemia > 1.5 times ULN needing a liver biopsy as advised by Hepatologist.
Exclusion criteria
Exclusion criteria: 1. Any liver Space occupying lesion suspicious of malignancy 2. Platelet count 3. INR > 1.5 4. Pregnancy 5. Severe cardiovascular and pulmonary diseases. 6. Recent use of antiplatelet agents within 5 days of the procedure. 7. Unwilling to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diagnostic yield with EUS guided liver biopsy â?? Left lobe Bx vs combined right and left lobe or vs right lobe would be assessed. The biopsy specimens would be reported independently by two pathologists who would be masked to the source of tissue (right/ left lobe).Timepoint: 1 month | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Safety of procedure 2. Duration of procedure 3. Cost of the procedure 4. Size of tissue acquired 5. Number of portal tracts 6. Risk of complications 7. Difference in NAS score between right lobe and right vs left lobe 8. Comparison with historical cohort of Per cutaneous LBx 9. Patient recovery time when compared to per cutaneous liver biopsy procedure.Timepoint: 1 month | — |
Countries
India
Contacts
Asian Institute of Gastroenterology