Palm Beach Gastroenterology Consultants
Liver Biopsy
SEQ CHAPTER \h \r 1In a liver biopsy (BYE-op-see), the physician examines a small piece of tissue from your liver for signs of damage or disease. A special needle is used to remove the tissue from the liver. The physician decides to do a liver biopsy after tests suggest that the liver does not work properly. For example, a blood test might show that your blood contains higher than normal levels of liver enzymes or too much iron or copper. An x-ray could suggest that the liver is swollen. Looking at liver tissue itself is the best way to determine whether the liver is healthy or what is causing it to be damaged.
Preparation tc "Preparation " \l 3
- Nothing to eat or drink after midnight.
- IF you still have your gallbladder, you must drink a glass of milk a half-hour prior to your appointment.
- IF you are taking blood pressure or heart medications, please take these medications on the day of your procedure.
- You must have someone to drive you home.
Procedure tc "Procedure " \l 3
Liver biopsy is considered minor surgery, so it can be done at a surgery center. For the biopsy, you will lie on a hospital bed on your back with your right hand above your head. After marking the outline of your liver and injecting a local anesthetic to numb the area, the physician will then insert the biopsy needle and retrieve a sample of liver tissue. In some cases, the physician may use an ultrasound image of the liver to help guide the needle to a specific spot.
You will need to hold very still so that the physician does not nick the lung or gallbladder, which are close to the liver. The physician will ask you to hold your breath for 5 to 10 seconds while he or she puts the needle in your liver. You may feel pressure and a dull pain. The entire procedure takes about 20 minutes.