The Role of EUS in Liver Biopsy

Overview

Journal Curr Gastroenterol Rep

Specialty Gastroenterology

Date 2019 Feb 2

PMID 30706151

Citations 15

Authors

Shaffer R S Mok

David L Diehl

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: EUS-guided liver biopsy (EUS-LB) is being used with increased frequency to perform parenchymal liver biopsy. Evolution of the technique can now achieve excellent liver tissue cores. This review covers important developments in this procedure.

Recent Findings: Clinical studies have recently demonstrated that the 19G EUS core biopsy needle is superior to non-core needles for liver tissue acquisition. In addition, wet suction provides more robust tissue samples than dry suction. Heparin priming of the needle (instead of saline) can prevent blood clogging within the needle lumen. A 1-hour recovery time after the EUS-LB is sufficient in almost all cases. The EUS-LB can deliver bilobar biopsies, which can decrease sampling error. Patients who need a liver biopsy in addition to an endoscopy or EUS are best served by the EUS-LB, as the combination procedure saves time and cost. The EUS-LB is a safe and effective means for procuring good liver core biopsies. Incremental improvements in technique have increased quality of the resulting specimen. Future directions of this technique are discussed.

Citing Articles

Image-Guided Liver Biopsy: Perspectives from Interventional Radiology.

Ma J, Yu Q, Van Ha T Semin Intervent Radiol. 2024; 41(5):500-506.

PMID: 39664226 PMC: 11631366. DOI: 10.1055/s-0044-1792174.

Endoscopic Ultrasound-Guided Liver Biopsy in Clinical Practice.

Sarkar A, Dellatore P, Bhurwal A, Tyberg A, Shahid H, Minacapelli C Gastro Hep Adv. 2024; 1(6):936-941.

PMID: 39131258 PMC: 11308829. DOI: 10.1016/j.gastha.2022.07.007.

Endohepatology in clinical practice: EUS-guided portal pressure measurement combined with EUS-guided liver biopsy and variceal screening and treatment in outpatients.

Kim S, Lewey S, Meuller L, Adler D Endosc Ultrasound. 2024; 13(2):89-93.

PMID: 38947750 PMC: 11213586. DOI: 10.1097/eus.0000000000000030.

Changing Trends in Liver Biopsy Practices: A Single-Center Analysis.

Makar M, Iqbal U, Sinha A, Berger A, Khara H, Confer B Cureus. 2023; 15(10):e46424.

PMID: 37927687 PMC: 10621875. DOI: 10.7759/cureus.46424.

Role of endoscopic ultrasound and endoscopic ultrasound-guided tissue acquisition in diagnosing hepatic focal lesions.

Okasha H, Delsa H, Alsawaf A, Hashim A, Khattab H, Abdelfatah D World J Methodol. 2023; 13(4):287-295.

PMID: 37771875 PMC: 10523253. DOI: 10.5662/wjm.v13.i4.287.

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