'Routine' Liver Biopsy in Upper Abdominal Surgery

Michel, Stephen L.; Lipsky, Robert H.; Morgenstern, Leon

doi:10.1001/archsurg.1977.01370080057009

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…the findings in their study was similar to those of Mateer, Michel et al, found an 83% incidence of hepatocellular histopathological abnormality in a random surgical population as against only 54% in patients with cholecystitis. 6,9,19 These reports indicate it is yet not possible to definitively comment whether cholecystitis is responsible for the histological changes seen or whether such features are common to all abdominal pathologies.…”

Section: Liver Histopathologymentioning

confidence: 99%

Liver biopsy in gall stone disease: a prospective study in patients undergoing cholecystectomy

et al. 2017

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Background: Cholelithiasis has affected mankind since many centuries. It not only affects the biliary tree but also has adverse effects on the hepatic parenchyma, which can get further complicated due to infected bile. Early intervention in these cases not only retards the unwanted effects but also prevents irreversible damage to liver. Aim of study was to see the effect of gallstone disease on liver in patients of GSD (Cholelithiasis, Chronic cholecystitis, CBD Stones).Methods: All patients being subjected for planned cholecystectomy were taken as subjects irrespective of age, sex and co-morbid conditions.Results: 90 patients were included in study and they were evaluated for secondary histopathological changes in liver. Abnormal liver histology was seen in 40% of the cases, with portal tract inflammation being the commonest abnormality seen in 24.4% of patients followed by fatty change (17.8%), cholestasis (10%), lobular parenchymal infiltration (8.9%) and one (1.1%) patient had fibrosis. Choledocholithiasis was associated with a greater incidence of positive bile culture (60%) and greater incidence of abnormal liver histology (80%).Conclusions: Gall stone disease cause significant changes in liver histology and these changes are more common in those patients having long duration of symptoms. In patients of choledocholithiasis incidence of infected bile and liver histology changes are more as compared to cholelithiasis with chronic cholecystitis.

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Section: Liver Histopathologymentioning

confidence: 99%

Liver biopsy in gall stone disease: a prospective study in patients undergoing cholecystectomy

et al. 2017

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“…La práctica quirúrgica habitual es tomar una biopsia del borde hepático que algunas veces es de valor limitado y de dificultosa interpretación pues contiene gran cantidad de tejido subcapsular que es poco representativo (7,8). Sin embargo, es un método que nunca debe desestimarse si durante un acto quirúrgico se sospecha patología hepática.…”

Section: Discusionunclassified

La biopsia hepática en el Hospital Nacional Cayetano Heredia de 1969 a 1993

Bussalleu¹,

Clendenes²,

Recavarren³

2013

Rev Med Hered

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SUMMARYThe frequency of liver pathology determined in 1813 liver biopsies done at Cayetano Heredia National Hospital between 1969 and 1993 is shown. The results are compared with other national and foreign series. 887 (48.92%) were taken from male patients , the average age was 40 years, and 276 (15.22%) belong to patients in the pediatric age (14 or youngers). 983 (54.22%) were obtained by blind liver punture, 501 (27.63%) during surgery, 215,(11.86%) by post mortem puncture and 114 (6.28%) by laparoscopy. The most frequent diagnosis was live neoplasia in 195 (10.75%), followed by fatty liver in 187 (10.31%). The other diagnoses are listd. In fatty liver the sex relations M: F was 1.83, the average age was 37.1 years. Granulomatous hepatitis was diagnosed in 123 (6.78%), being the sixth most frequent pathology of this series, 33 (26.82%) were caused by typhoid feverl, 29 (23.57%) by brucela and 25 (20.32%) by tuberculosis. The most frequent diagnoses at the pediatric age were fatty liver, biopsies without significative abnormalities and granulomatous hepatitis. (Rev Med Hered 1994; 5:129-137) KEY WORDS: liver biopsy , diagnoses. RESUMENEl presente trabajo revisa 1813 biopsias hepáticas realizadas en el Hospital Nacional Cayetano Heredia de 1969 a 1993, para demostrar en forma estadística la incidencia de la patología hepática determinada por este procedimiento. Se discuten y comparan los resultados con los de la literatura nacional y extranjera. 887 (48.92%) correspondieron a pacientes del sexo masculino y 926 (51.07%) al sexo femenino. El promedio de edad fue de 40 años y 276 (15.22%) pertenecieron a pacientes menores de 14 año de edad. 983(54.22%) se obtuvieron por punción percutánea a ciegas, 501 (27.63%) por cirugía, 215 (11.86%) por punción postmortem y 114 (6.28%) dirigidas por laparoscopia. Se listan los diagnósticos histológicos. En la serie fueron los más frecuentes la neoplasia hepática con 195 (10.75%) y la esteatosis hepática con 187 (10.31%). En estos últimos la relación del sexo femenino sobre el masculino fue 1.83, la edad promedio de 37.1 años. Los casos de

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“…28 . Ή ανοικτή ή χειρουργική βιοψία ήπατος διενεργείται κατά τήν διάρκειαν λαπαροτομίας 29 . Κατ' αυτήν λαμβάνεται τεμαχί διον ήπατος, συνήθως εκ τοΰ κάτω χείλους τοΰ δεξιοΰ λοβοΰ.…”

Section: γ τεχνικαι βιοψιας ηπατοςunclassified

Ηλεκτροκαρδιογραφικαι Μεταβολαι Και Μεταβολαι Της Αρτηριακης Πιεσεως Κατα Την Διαρκειαν Διαδερμικης Δια Βελονης Βιοψιας Του Ηπατος

Καραγιαννησ¹

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'Routine' Liver Biopsy in Upper Abdominal Surgery

Cited by 4 publications

References 3 publications

Liver biopsy in gall stone disease: a prospective study in patients undergoing cholecystectomy

Liver biopsy in gall stone disease: a prospective study in patients undergoing cholecystectomy

La biopsia hepática en el Hospital Nacional Cayetano Heredia de 1969 a 1993

Ηλεκτροκαρδιογραφικαι Μεταβολαι Και Μεταβολαι Της Αρτηριακης Πιεσεως Κατα Την Διαρκειαν Διαδερμικης Δια Βελονης Βιοψιας Του Ηπατος

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