Complications following percutaneous liver biopsy. A multicentre retrospective study on 68 276 biopsies

F. Piccinino, E. Sagnelli, G. Pasquale, G. Giusti, A. Battocchia, M. Bernardi, R. Bertolazzi, F. B. Bianchi, E. Brunelli, G. Budillon, L. Buscarini, A. Cargnel, G. Carrara, N. Carulli, L. Caruso, V. Cataldi, G. Celle, L. Chiandussi, L. Chiesa, M. ColomboM. Coltorti, C. De Bac, C. Del Vecchio Blanco, G. Di Marco, F. Fiaccadori, M. G. Filippazzo, F. Fornari, A. Francavilla, M. Frezza, V. Gallo, V. Galvani, T. Givatto, C. Iannuzzi, C. M. Izzo, S. Le Moli, G. Longo, G. Magnani, M. Manai, F. Manenti, O. Manghisi, G. Manzillo, G. Marenco, F. Miglio, G. Molino, P. G. Mosca, R. Moschetta, C. Panella, G. Panichi, G. Parrilli, G. Pastore, C. Peluso, A. Picciotto, G. Pilleri, E. Pisi, M. Ponz de Leon, M. Rago, G. Raimondo, G. Realdi, M. Rizzetto, A. Rizzo, G. Ronchi, F. Rossi Fanelli, G. Ruggiero, N. Russo, A. Satta, D. E. Sansonno, C. Struglia, P. Tolentino, F. Tremolada, C. Trischitta, G. Verme, P. Viganò, G. Visco, P. Zivelonghi

Research output: Contribution to journalArticle

Abstract

This paper reviews the complications that arose after 68 276 percutaneous liver biopsies performed from 1973 to 1983. The complications are analyzed in relation to the underlying liver disease and to the type of needle used. Death was infrequent (9/100 000); it was always due to haemoperitoneum and occurred only in patients with malignant diseases or cirrhosis. Complications were less frequent in AVH (44/100 000) than in other liver diseases (from 125 to 278/100 000). Death, serious haemorrhagic complications, pneumothorax and biliary peritonitis were more frequent after biopsy with the Trucut needle than after biopsy with Menghini's needle (3/1000 against 1/1000). Sixty-one percent of complications were discovered within two hours of biopsy and 96% within one day. The data indicate a post biopsy observation period of at least 24 hours. The day-case procedure should be reserved for patients not presenting liver tumour or cirrhosis.

Original languageEnglish
Pages (from-to)165-173
Number of pages9
JournalJournal of Hepatology
Volume2
Issue number2
DOIs
Publication statusPublished - 1986

ASJC Scopus subject areas

  • Gastroenterology

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    Piccinino, F., Sagnelli, E., Pasquale, G., Giusti, G., Battocchia, A., Bernardi, M., Bertolazzi, R., Bianchi, F. B., Brunelli, E., Budillon, G., Buscarini, L., Cargnel, A., Carrara, G., Carulli, N., Caruso, L., Cataldi, V., Celle, G., Chiandussi, L., Chiesa, L., ... Zivelonghi, P. (1986). Complications following percutaneous liver biopsy. A multicentre retrospective study on 68 276 biopsies. Journal of Hepatology, 2(2), 165-173. https://doi.org/10.1016/S0168-8278(86)80075-7