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Old 10-28-2006, 07:50 PM   #1
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mnmnmnmn HB User
what is to learn from liver biopsy

So I am a 28 year old that has been sick for last 7 weeks following what was thought to be viral infection that led to pancreatitis. Have had pain on right side continually now and they are going to go take my gallbladder out. However they also want to do a liver biopsy, I guess cause they arent sure exactly what is causing this pain. Liver enzymes are good, have had many hepatitis tests that are negative. So what would they learn from a liver biopsy? What does a liver biopsy tell you??

 
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Old 10-29-2006, 01:00 AM   #2
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Re: what is to learn from liver biopsy

Blood tests don't always show liver damage. A biopsy, can show exactly what the liver is doing. They take a small sample and look at it under a microscope. From there they can see of the liver cells are damaged/altered (fibrosis) or have died (cirrhosis). But I am suprised they are going to take your gallbladder out without ruling out gallbladder problems first. Or even knowing what the actual problem is.

 
Old 10-29-2006, 02:01 PM   #3
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Re: what is to learn from liver biopsy

Yeah, I agree with kmacdona on this one. It's unusual that they'd be willing to remove your gall bladder without a fair amount of testing first - even more surprising is that they're willing to do a liver biopsy so quickly as well?

What tests have you had done so far?

 
Old 10-29-2006, 03:05 PM   #4
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Re: what is to learn from liver biopsy

thanks for the response....as for tests they have done plenty. US showed funny looking pancreas (apparently from inflammation), CT was normal, Endoscopy was normal other than some small areas of inflammation (expected since i had been sick), HIDA was normal with no stones, and MRCP was also normal. So since i continue to have pain in middle of chest that goes down to right side, they think it is either a sphincter of odi dysfunction or gallbladder problem like crystals or sludgy bile. Since I have pancreatitis they are a little hesitant to ERCP to look at Odi, we have decided that removing the gallbladder is next option. I do have a pylop in gallbladder. They are fairly sure that I have something wrong with either the bile or the ducts from pancreas and/or gallbladder since I have had pancreatits and continue to have pain every day. All of my physicians have agreed that I am a hard case in that nothing is classic, many grey areas. And all agree taking my gallbladder out is essentially a diagnostic approach. The only thing I can think that they want to do the liver biopsy is because that is where some of my pain is, and if it is a duct problem they can see the amount of damage to liver i guess, but i dont know. I only had slightly elevated liver enzymes when i first got sick. So I guess I am confused as well, but I guess if they are going to be there, might as well do it as opposed to have to go back to do it later.

 
Old 10-31-2006, 11:24 PM   #5
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kmacdona HB User
Re: what is to learn from liver biopsy

Now that makes a little more sense.
Best of luck.

Let us know how the treatment went and how you're feeling,

MaC

 
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