Indications for transjugular liver biopsy

What are the specific indications for transjugular liver biopsy?

  • • Coagulopathy
  • • Need for hepatic venous pressure gradient (HVPG)
  • • Massive obesity
  • • Ascites?

Ascites is often listed as an indication for transjugular liver biopsy and a contraindication for percutaneous liver biopsy.

However, several studies have demonstrated no significant difference in minor or major complication rates with percutaneous liver biopsies in patients with or without ascites and normal coagulation.

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