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Transjugular Liver Biopsy

I am having a transjugular liver biopsy on the 26th to test for Autoimmune Hepatitis.

I am very nervous.

Will I experience pain? Will I feel significant interaction on my insides? Will my movement be abbreviated so that I don't screw myself up?

I have asked these questions to my hepatologist but she has been very vague and general in her response, and I am wondering what others who have gone through the procedure have experienced.

I am 19, and this is my first medical procedure, and certainly the first time I will be awake for anything such as this.

I am very, very scared. Can you give me a good reason not to be! :(
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91778 tn?1252555170
Hi, don't know if you will see this I have been gone on Vacation and didn't see this till today. I had my biopsy done through the neck also cause of low blood platelets. It was so easy, a lot easier than through the side of the back. You won't even feel it. They say you will be awake through the operation,with mild sedation. But the only thing I remember was hearing the doctor say OK it's in. Then I heard him say we are done. Little dot on my neck like a bite, went away completely after a month or so. you will be glad that you are having it done that way. It is nothing to worry about at all!! Just rest that day. I did the next day too just in case. But no worries. Take Care
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Avatar universal
If you made my day - thank you. Now I have to find out whether I can get in the country I am living in.
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If you mean drugs for use during biopsy, one they commonly use is VERSED. You are still a bit awake so you can respond to the doctor's instructions but there is no pain and it wears of quickly. Works like a charm.
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I want some of the drug you are talking about. I didn't have a very good experience three years ago and I am due a new biopsy in the next couple of months. I am dreading it and want to take something that will make me unaware of the whole thing. Any idea of the actual name of the drup you were given?
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Avatar universal
some information regarding liver biopsy and the different types of liver biopsy methods... [url=www.hcvadvocate.org/hepatitis/About_Hepatitis_pdf/1.1_Hepatits_C/biopsy.pdf]www.hcvadvocate.org/hepatitis/About_Hepatitis_pdf/1.1_Hepatits_C/biopsy.pdf[/url]
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Avatar universal
I am sorry you have to go thru this, especially at such a young age.  the following websight has a small summary on the transjugular procedure.

http://janis7hepc.com/biopsies.htm

You are the first person I have seen post here (in a year) that has had this kind of biopsy.  It is done thru the vascular system, entering thru the jugular vein, and this is supposed to reduce bleeding.  However, according to the info I read, the samples are small and fragmented and 80-97% of the time there is enough to determine the liver histology.

most people get needle biopsies - thru the skin into the liver. I had a laproscopic biopsy and it was very smooth and I recovered easily.
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Avatar universal
way
It use to
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omg... it doesnt accept tags in this forum :/
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way
From your description I'd say there would be less (or no) pain than compared to a regular "cutting needle biopsy". They tell you it feels like someone punched you in the side afterwards-but I never felt ANY pain at all from mine, just a bit of tenderness if I probed the puncture site.

Do not worry about being awake during the procedure. You will not even remember it...the drug they give you is like a "date rape" drug in that it causes amnesia. I think they also give the same drug for many dental procedures. The last thing I remember is talking to my doctor right before the biopsy. The only thing I felt was the IV and the shot for the local.

Really don't worry.
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Avatar universal
I felt the same way, scared and didn't know if I'd be in pain.  Well, I had mine in Dec.2005 and I can tell you it was quick and painless.  Please try and relax, it will be over before you know it and you'll be giving the newbie's that ask the same questions about a biopsy as we are telling you.  Smile

Beagle :)
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Avatar universal
They go down through your jugular and heart with a small tube instead of from the side. It's because when I was in the hospital I had slight ascites, and they don't want to take any chances. Going through the jugular reduces the risk of bleeding, while ascites raises the risk of bleeding.

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I just noticed that it said transjugular.  HaHA lol
I didn't even notice that.  I guess Brian Fog has stepped in again.

Steve
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Avatar universal
way
What on earth is a "transjugular Liver biopsy?" Do they go in through your jugular vein??

Mine was called a "cutting needle biopsy" and thats where they punch in through your side.

Either way don't worry about your movement, the drugs they give you are such that you can co-operate with your doctor during the procedure, but you don't remember it or even the procedure and you wake up after it's all over. I had no pain but the laying on your side for four hours was a bit uncomfortable.
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Avatar universal
It was a piece of cake.  I was worried too and it is just a waste of time over this.  Nothing at all to it.  Don't worry and good luck.

Take care,

Steve
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Avatar universal
I had mine in January and it was no big deal. Waiting for the biopsy to happen and waiting 4 hours on your side afterwards was the hardest part for me. There's always a risk w/ any medical procedure. Like you, I was scared but really, it was easy for me. I hope it is for you too.    tracy
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142354 tn?1228246748
Hello...........
                I had a biopsy july 3 2006. It was an easy procedure. It didn't hurt at all .Some soreness the next day but not to bad. You will be just fine . Good luck !
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