Please read the following terms and conditions carefully before you book appointment with us.
1. Registered user can book only his/her own appointment.
2. The patient would be given two complimentary OPD consultations within two weeks of your paid consultation.
3. Beyond two weeks of paid OPD consultation, Kindly make a fresh appointment and pay at the reception counter of National Hospital.
4. First/Paid appointment can not be re-scheduled.
Transjugular liver biopsies (TJLB)
Transjugular liver biopsies (TJLB)-
To establish the etiology of chronic liver disease (once routine panel of etiological workup is negative) liver biopsy is required. Normally it can be done through transabdominal percutaneous route. But in case of ascites or coagulopathy, transabdominal liver biopsy is not safe and hence TJLB is done via internal jugular vein. It is safe procedure but has small risks of complications.
Prior to procedure the gastroenterologist will discuss with the patient and their relatives the benefits, risks, alternatives and technical details of TJLB.
HVPG is measured to document portal hypertension and measures the pressure gradient between portal vein and hepatic vein. Value more than 5 mm Hg is considered to establish portal hypertension. HVPG has prognostic significance in a liver disease patient since it can predict the risk of bleed from esophageal varices. HVPG can also assess the response of medications to reduce the portal pressure (Propranolon/carvedilol). It is safe procedure but has small risks of complications. Prior to procedure the gastroenterologist will discuss with the patient and their relatives the benefits, risks, alternatives and technical details of HVPG.
