| Mini-laparoscopy in the endoscopy unit: Safety and outcomes in over one thousand patients. | |
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MedLine Citation:
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PMID: 21258600 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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AIM: To investigate the safety of consecutive mini-laparoscopy guided liver biopsies for the diagnosis and staging of liver diseases. METHODS: In this study we retrospectively analyzed the safety of mini-laparoscopic liver biopsy performed in an endoscopy unit in 1071 patients. We measured the incidence of bleeding and evaluated the management and outcome of bleeding interventions. RESULTS: The most common etiologies of liver injury were viral hepatitis and autoimmune liver disease. 250 patients had macroscopically and histologically proven cirrhosis. 13 patients had no pathological findings. 33% of all patients had bleeding that required argon plasma coagulation of the puncture site during laparoscopy. Significant bleeding occurred more often in patients with liver cirrhosis compared to non-cirrhotic liver diseases but was effectively treated with laparoscopic coagulation. CONCLUSION: In conclusion, mini-laparoscopy liver biopsy can be performed safely and effectively in high risk patients with advanced liver disease; mini-laparoscopy with liver biopsy can be done safely in an endoscopy unit. |
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Authors:
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Arthur Hoffman; Fareed Rahman; Sarah Prengel; Marcus Schuchmann; Martin Gotz; Markus Moehler; Peter Robert Galle; Ziping Li; Anthony Nicholas Kalloo; Ralf Kiesslich |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: World journal of gastrointestinal endoscopy Volume: 3 ISSN: 1948-5190 ISO Abbreviation: World J Gastrointest Endosc Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-01-24 Completed Date: 2011-07-14 Revised Date: 2011-07-20 |
Medline Journal Info:
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Nlm Unique ID: 101532474 Medline TA: World J Gastrointest Endosc Country: China |
Other Details:
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Languages: eng Pagination: 6-10 Citation Subset: - |
Affiliation:
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Arthur Hoffman, Fareed Rahman, Sarah Prengel, Marcus Schuchmann, Martin Gotz, Markus Moehler, Peter Robert Galle, Ralf Kiesslich, First Department of Internal Medicine, Johannes Gutenberg University Mainz, Mainz 55101, Germany. |
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