What is liver biopsy needle aspiration for fatty liver

May 03, 2022

Liver biopsy: It is an important method for the diagnosis of fatty liver, especially for localized fatty liver. The biopsy of liver tissue under the guidance of B-ultrasound is far more accurate and safer than blind liver puncture in the past. The significance of biopsy is to determine whether there is fatty infiltration in the liver. , the presence or absence of fibrosis and the exclusion of space-occupying lesions that are difficult to identify in non-invasive examinations also have guiding value for the selection of treatment options. Indications for fatty liver biopsy:

(1) It is difficult to distinguish focal fatty liver or diffuse fatty liver with normal liver islands from malignant tumors, and liver biopsy should be performed under the guidance of B-ultrasound.

(2) To find out the etiology of some rare fatty liver diseases, such as cholesterol ester storage disease, glycogen storage disease, WILSON disease and so on.

(3) Liver biopsy is the only diagnostic method for asymptomatic suspected nonalcoholic steatohepatitis.

(4) Abstinence from alcohol and alcoholic liver disease or unexplained clinical or biochemical abnormalities of alcoholic liver disease, and alcoholic hepatitis require liver biopsy to exclude active infection before corticosteroid therapy is considered. What is liver biopsy for fatty liver

(5) For obese fatty liver patients who lose 10% of their original body weight and still have abnormal liver function enzymes, liver biopsy is required to find other reasons.

(6) Those who are suspected of severe hepatitis due to fatty liver, and require liver biopsy to confirm the diagnosis and understand its etiology.

(7) To evaluate the reliability of certain serological indicators and B-ultrasound, CT and other imaging examinations in the diagnosis of fatty liver and fibrosis, liver biopsy changes should be used as the gold standard and used to objectively evaluate the effect of a treatment regimen on fatty liver. The exact effect of fibrosis treatment.

(8) Any person who is suspected of not being simple hepatocyte steatosis or who is suspected of fatty liver or liver function damage caused by multiple etiologies needs to identify the specific etiology or the main etiology through liver biopsy.

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