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A liver biopsy is a medical procedure performed to collect a small piece of liver tissue, so it can be examined closely under a microscope for signs of disease or damage. This procedure is usually carried out to detect the presence of abnormal cells in the liver, such as cancer cells. Your doctor may suggest a liver biopsy if the result of your blood tests or imaging studies shows that you might have a problem in your liver. Although biopsies are usually associated with cancer, it does not necessarily mean that you have cancer if your doctor recommends this test.
A liver biopsy is most often used to:
Identify the cause of unexplained jaundice (yellowing of the skin), persistent abnormal liver blood tests (liver enzymes), a liver abnormality found on CT scan, ultrasound, or nuclear scan, as well as unexplained enlargement of the liver
Determine the severity of the liver disease
Grade and stage hepatitis B and C
Monitor the liver after a liver transplant
Help develop the best treatment for liver damage or disease.
Laparoscopic biopsy
Laparoscopic biopsy uses a laparoscope, which is a tube-like instrument with a tiny camera attached to it, to collect the sample.
Before the laparoscopic biopsy, you will be given a general anesthetic. Your doctor will create several tiny incisions in your abdomen. The laparoscope and special surgical tools are inserted through these incisions. The camera within the laparoscope projects images on a monitor. Your doctor uses these images to guide the surgical tools to your liver to take some tissue samples. When the samples are taken, the tools are removed and the incisions are closed with stitches.
Transjugular biopsy
To start the procedure, a small numbing medication is applied to one side of your neck. Your doctor will then create a small incision at the numbed area and then inserts a thin, flexible tube through the incision into your jugular vein. The tube is then guided through the jugular vein and into the hepatic vein (the large vein in your liver). Once the tube reaches your hepatic vein, your doctor will inject a contrast dye into the tube and creates a series of X-ray images. The contrast dye will show up in the vein, which enables your doctor to clearly see the hepatic vein. Afterward, a biopsy needle is inserted through the tube to take the liver sample.
Percutaneous biopsy
Percutaneous biopsy, also known as a needle biopsy, is the most common type of liver biopsy. It involves the use of a thin needle through your abdomen and into the liver. To start the procedure, your doctor will tap your abdomen or use ultrasound images to locate your liver. Ultrasound is sometimes used to guide the needle into the liver. Your doctor will apply a numbing medication and then creates an incision near the bottom of your ribcage. The needle is then inserted through the incision and your doctor will remove a small tissue sample.
You can leave the hospital on the same day as the procedure. However, since it takes around a week until the result of your biopsy comes back from the pathology lab, plan to stay in Greece for about 7 days. Once the result is ready, you will have to attend a follow-up appointment to discuss the results with your doctor. If everything is fine, you will be allowed to travel home afterward.
You need to take it easy and rest for at least 1 day. You should be able to resume your normal activities after a few days. However, avoid strenuous activities and heavy lifting for a week following your liver biopsy.
Your doctor will give you detailed aftercare instructions that you need to follow. In general, you need to avoid taking aspirin or products that contain aspirin for a week. Your doctor will prescribe pain medication to help with your discomfort, make sure to take them as directed.
A liver biopsy is a safe procedure with high success and accuracy rates. Although it is safe, there are still some possible risks and side effects that you will need to be aware of. These include:
Bleeding
Pain
Infection
Injury to a nearby organ.
A transjugular biopsy carries very rare risks of hematoma in the neck, puncture of the lung, temporary voice problems, and temporary problems with the facial nerves.
In some cases, your doctor may be able to make a diagnosis of liver disease based on physical examination, medical history, and blood testing. Doctors may also use imaging techniques as an alternative to liver biopsy. The simplest imaging technique that’s used is elastography (mostly known as FibroScan), which is similar to an ultrasound and can measure the stiffness of a liver.
Before a liver biopsy, you may experience unexplained symptoms and your doctor may not be able to make an accurate diagnosis of your problem. After the procedure, your doctor should be able to make a diagnosis and know for sure the condition of your liver. The results will allow you and your doctor to create a treatment plan.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Located at the very bottom of the Balkan Peninsula, Greece is a mesmerizing blend of sun-drenched islands and historical marvels. Boasting approximately 2,000 islands, an impressive 170 among them are inhabited and teeming with life. Greece's geographical charm has been nowhere short of a magnet to travelling enthusiasts, pulling in a spectacular count of over 24 million wanderlust-struck visitors each passing year.
Greece turns out to be a preferred hotspot for a particular category of globe-trotters. Travelers come from the farthest stretches of the world seeking its array of top-tier beaches to soak up the sun, the warm ocean for an invigorating dip, the array of ancient relics for their history fix, and to immerse into an engaging culture. The universal allure of Greece, seemingly, never ceases to captivate the hearts of explorers worldwide.
The upward shift in Greece's status as a medical tourism hub has been quite noticeable in recent years. Medical tourists are being increasingly drawn to the country, a relative newcomer in the industry, due to a myriad of reasons. One of the core attractions is its health care system, which holds a high rank on the global scale. However, in spite of boasting of world-class standards, the medical services in Greece are pleasantly affordable. In fact, it flaunts some of the most pocket-friendly medical care prices across Europe and even globally.
The medical services that Greece provides run a comprehensive gamut. Cosmetic surgery and fertility treatments are particularly sought-after medical services, favoured by numerous medical tourists. Orthopedics also sees a consistent flow of patients, along with cardiac care procedures. The well-established oral and dental sector in Greece is another popular draw for people wanting to combine their medical treatments with a relaxing vacation. The availability of such diverse, high quality, yet affordable healthcare options certainly puts Greece on the map as a promising medical tourism destination.
The captivating city of Athens, the crown jewel of Greece, presents a dazzling blend of antiquated splendor, enchanting landscapes, and a vibrant modern core. The capital prides itself in harboring an unparalleled assortment of Greek ruins and antiques. Prime among them is the Acropolis, an iconic ancient citadel perched on a rocky outcrop. The Greek Agora, a central public space in ancient Greek city-states, adds an extra charm to Athens’ archaeological grandeur.
On the other hand, the striking island of Santorini stands as another touristic magnet in Greece. Admired far and wide, it carries the reputation of being the most breathtaking island in the country. The enormous allure of Santorini with its distinctive architecture, caldera views, and famous sunsets, keeps it perennially embedded in the bucket lists of travelers worldwide. From the captivating capital of Athens to the charming Santorini, Greece exhibits alluring facets that are truly hard to resist.
It is best known for its unique landscape and cliff-top towns. While Santorini is the most spectacular, Mykonos is the most glamorous. It is noted for its classy seafood restaurants and boutique hotels. Some of the most famous attractions in Mykonos, besides its beaches, are Paraportiani and Little Venice.
Set on the Mediterranean, Greece experiences a climate that is typically balmy and sun-soaked throughout the year with a cycle of four distinct seasons. Summers, spanning June to August, bring about warm and agreeable temperatures. This peak season draws in a large number of tourists, making it an ideal time to take a dive into the azure seas.
As September ushers in the fall season, the weather across Greece turns cooler but largely stays clear. On the flip side, winters starting from December to February reveal a different picture. Coastal cities remain warm but the country's northern regions experience significantly lower temperatures, occasionally even witnessing snowfall.
As March marks the arrival of spring, the weather begins to warm up again, though evenings can retain a cool nip in the air. Each season has its unique charm and adds to the overall allure of Greece.
Athens International Airport holds the distinction of being the largest and busiest hub for international air travel in Greece. This is typically the point of arrival and departure for a majority of international tourists exploring Greece. The extensive network of this airport caters to both domestic and international flights, connecting many global cities like Dubai, London, Moscow, and New York to the heart of Greece.
Among affordable means of transport, the ferry services stand out, particularly for travelling among the islands. They run on a frequent basis, with services especially ramped up during the sun-soaked summer months. For land travel, buses come across as largely comfortable and hassle-free, although the network is somewhat limited.
For intra-city travel within major Greek metropolises, the extensive network of buses and trolleybuses prove to be reliable options. Particularly in Athens, the capital city, the metro and tram systems offer additional efficient and cost-effective ways to explore the local attractions. Additionally, taxis, which are conveniently available quite everywhere, turn out to be extremely pocket-friendly. Whether hopping between islands or navigating city streets, Greece offers a range of transportation options to suit the needs and budgets of different travelers.
Greece is part of the Schengen Area, which means that citizens of most countries can travel to Greece without a visa for up to 90 days within a 180-day period.
Citizens of the following countries do not need a visa to visit Greece:
Citizens of all other countries need to obtain a visa to visit Greece.
You can apply for a Greek tourist visa at the Greek embassy or consulate in your home country. The visa application process can vary depending on the country where you are applying, but there are some general requirements that all applicants must meet, such as having a valid passport, proof of onward travel, and proof of financial means.