Biopsy is a procedure in which a small tissue from any organ or lump in the body is taken to be examined under a microscope. Biopsy is the most definitiive test for any kind of disease. If a person is diagnosed to have any kind of liver dieases through blood tests or imaging tests like Ultrasound, CT Scan or MRI then Liver Biopsy might be required to confirm the diagnosis. Liver Biopsy is also done to gauge the extent of the disease specially in cases of Liver Cirrhosis.
The most common type of liver biopsy is called percutaneous liver biopsy. It involves inserting a thin needle through your abdomen into the liver and removing a small piece of tissue. Two other types of liver biopsy — one using a vein in the neck (transjugular) and the other using a small abdominal incision (laparoscopic) — also remove liver tissue with a needle.
A liver biopsy is commonly performed to help diagnose and stage certain liver diseases, including:
Non-alcoholic fatty liver disease
Chronic hepatitis B or C
Autoimmune hepatitis
Alcoholic liver disease
Primary biliary cirrhosis
Primary sclerosing cholangitis
Hemochromatosis
Wilson's disease
Liver Biopsy has some risks associated with it if not done carefully. It is due to this reason that non invasive diagnostic tests like Liver Elastography on Ultrasound / CT / MRI are gaining more importance than biopsy. The risks associated with liver biopsy are :
Pain - Pain at the biopsy site is the most common complication after a liver biopsy.
Bleeding - Excessive bleeding may require you to be hospitalized for a blood transfusion or surgery to stop the bleeding.
Infection - Sometimes bacteria may enter the abdominal cavity or bloodstream while doing liver biopsy.
Accidental injury to a nearby organ. The needle may stick another internal organ like gall bladder or lung during biopsy.
In a transjugular procedure, a thin tube is inserted through a large vein in your neck and passed down into the vein that runs through your liver. If you have a transjugular liver biopsy the risks include:
Hematoma Collection of blood in the neck.
Facial Nerves - Short term problem like drooping eyelids if any facial nerve gets injured.
Voice problems - You may be hoarse, have a weak voice or lose your voice for a short time.
Lung Puncture - If the needle accidentally sticks your lung, the result may be a collapsed lung (pneumothorax).
Liver Biopsy can be done under local anaesthesia or general anaesthesia. You would be asked to come to the hospital in fasting status for 6-8 hours.
Percutaneous biopsy is normally done under the guidance of ultrasound or CT Scan and the procedure takes not more than 15 minutes. A small incision is made under the rib cage which does not require any stiches after the procedure.
Transjugular biopsy is done under C-Arm in the operation theatre. A small incision is made in the neck region after applying local anaesthesia. A thin flexible tube is inserted through the jugular vein in the neck and pushed to the hepatic vein in the liver. Contrast dye is injected through the plastic tube and x-rays are taken. A biopsy needle is then inserted through the flexible tube and samples from the liver are taken.
Laparoscopic biopsy - You'll be positioned on your back on an operating table and your doctor will make one or more small incisions in your abdomen. Special tools are inserted through the incisions, including a tiny video camera that projects images on a monitor in the operating room. The doctor uses the video images to guide the tools to the liver to remove tissue samples. The incisions are closed by stitches.
Cost of the liver biopsy depends upon the type of biopsy being done. It ranges from USD 1000 to USD 1500. For query please whatsapp at +91-9958222443 or email to indianhealthconsultants@gmail.com
Cancer treatment requires high quality equipments and care. Hence in India cancer hospitals are majorly tertiary care setups. Some of the best cancer hospitals in India with best in class facilities are located in Delhi/NCR and Mumbai. In Delhi/NCR we have hospitals like Fortis Memorial Research Institute, Gurgaon, India whcih is considered as one of the most advanced hospitals for cancer treatment. Apart from Fortis we have Paras Hospital Gurgaon, India which is a great setup for cancer surgeries. Similarly in Munbai we have Nanavati hospital which offers great cancer treatment facilities all the way from cancer surgery, chemotherapy, liver transplant, bone marrow transplant and even heart and lung transplants.
Our Hospitals have the latest MRI, CT Scan, Digital X-Ray, Mammography, Ultrasound, Colour Doppler, PET CT Scan, Gamma Camera (Nuclear Medicine Scans), Image Guided Radiation Therapy, Gamma Knife, Cyber Knife, Thoracosopy, Sleep Study, Lung Ultrasound Bronchoscopy EBUS etc which gives us the diagnostic and theraputic confidence for providing the right treatment.
Modular fully equipped Operation Theatres with hepa-filters for zero infection rate and C-Arm backed by a state of art ICU helps us in providing world class treatment to our patients. Similarly in cases of transplant our well equipped isolation rooms ensure a zero infection rate which is very important for transplant patients as they have compromised immunity after the surgery.
Our team of doctors include some of the best names from the Indian Medical Fraternity. Dr Ankur Garg - Liver Transplant, Hepato Biliary and Pancreatic Cancer Surgeon, Dr Kaushal Yadav, Dr Abhishek Mitra, Dr Niranjan Naik, Dr Rama Joshi, Dr Sumita Singh, Dr Priyanjana Sharma, Dr Shilpi Sharma Dr Rajiv Yadav, Dr Vikram Singh- All Cancer Surgeons, Dr Pradeep Bansal and Dr Dipanshu Gupta - Urologist and Kidney Transplant Surgeons, Dr Rahul Bhargava and Dr Dharma Choudhary - Bone Marrow Transplant Specialists, Dr Vinod Raina, Dr Suresh Advani - Medical Oncologists, Dr Sandeep Attawar and Dr Hemant Pathare - Heart & Lung Transplant Surgeons, Dr J S Virk- Orthopaedic Cancer Surgeon, Dr Amal Roay Chaudhoory and Dr Subodh Pande Radiation Oncologists.
Nigerian Patient shares her experience during her treatment in India. Her treatment was absolutely scientifically planned from the time she got in touch with us till the time she departed.
In this video you would see the patients from several countries sharing their experiences about treatment in Indian Hospitals for all kinds of conditions. Watch the video to know what to expect when you come to India.
Dr James a renowned surgeon & owner of 40 bedded hospital in Nigeria, came to India along with his wife to get Radiation Therapy for his Prostate Cancer. Dr James is sharing his experience in India.