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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 Hungary 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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Positioned in the core of Central Europe and completely surrounded by land, this historically enriched nation is among the world's top 15 tourist favorites. It's a hotspot teeming with UNESCO World Heritage sites, a testament to its rich past.
The country boasts eye-catching architectural marvels and relaxing thermal baths and spas, the most talked-about amongst these being the Szechenyi baths nestled in the nation's capital, Budapest. This combination of cultural heritage and relaxation opportunities lends the country a unique charm that continually lures in visitors from around the globe.
While Hungary possesses only one facility accredited by the Joint Commission International, it leans on the trusted expertise of its local accreditation board. This board, licensed by pillars of authority such as the Hungarian Ministry of Health and the State National Health Commission and Medical Service, ensures the maintenance of high healthcare standards.
Each year sees a burgeoning number of medical tourists making the journey to Hungary. Many among them travel specifically for Liver Biopsy procedures. Dental and cosmetic treatments, in particular, draw significant attention due to Hungary’s competitive pricing, often regarded as the most economical across Europe.
With less than 10 million inhabitants sprinkled across an approximate area of 93,030 square kilometers, Hungary may appear relatively modest in size. However, within its boundaries, it hosts an impressive number of UNESCO World Heritage Sites. Alongside these acclaimed landmarks, it also boasts a multitude of exquisite attractions, making it a country that belies its physical size with its magnificently rich offerings.
Hungary is characterized by the presence of four clearly demarcated seasons.
Hungary has five large airports, but international flights usually land at Ferenc Liszt International Airport. The airport is still commonly called “Ferihegy.” It offers international connections mainly to Europe, Africa, the Middle East, and North America. Several budget airlines such as Wizz Air, EasyJet, and Ryanair operate many flights from this airport. Flights to/from Schengen countries use Terminal 2A (also known as the Schengen terminal), while flights from non-Schengen countries use Terminal 2B. Another year-round international airport is Debrecen International Airport. The airport serves Wizz Air and Lufthansa along with several seasonal airlines. There aren’t many domestic flights in Hungary because traveling to one city to another usually only takes three hours by train or bus.
Visitors can get into the city from the airports by bus or taxi. If you wish to travel by taxi, make sure to use regulated taxis such as Főtaxi, the company has trained and experienced drivers to ensure passengers’ safety. The fare is 300 HUF/Km (1.03 USD). A ride to Budapest from Ferenc Liszt International Airport should cost around 7200 HUF (24.8 USD).
Buses are another easy option to get to the city center. Bus tickets are relatively cheap, single tickets are 350 HUF (1.30 USD) and can be purchased at the airport post office, BKK customer points in arrivals halls, the newsagents, and from the ticket machine at the bus stops. Drivers also sell tickets for 450 HUF (1.60 USD). It is recommended to buy daily or multi-day travel-cards and passes which are valid for an unlimited number of trips within their validity periods. The multi-day pass costs 1650 HUF (6.15 USD)
Hungary has a highly developed transport system. To travel to another city, tourists can use Intercity (IC), the fastest trains that link major cities with Budapest. Buses are a more economical way to travel inter-city. Buses are efficient. Tickets can be purchased from the bus driver. Taxis are good, but make sure to always inspect the change that taxi drivers give you. Drivers commonly give tourists outdated Romanian currency that looks similar to Hungarian currency but has no value. Hiring a car is another good option if you want to travel to many destinations, most roads are two lanes and the main roads are in good shape.
European Union, American, and Canadian passport holders can stay in Hungary without a visa for up to 90 days, as long as the passport is valid for at least three months. Citizens of EU/EEA member and 33 countries are granted visa-free entry for a maximum period of 90 days.
Hungary is also a part of the Schengen Agreement. The Schengen Visa allows the holder to travel to any member countries using one single visa. The Schengen Visa is only issued to citizens of countries who are required to obtain a visa before entering Europe. For more information:
With its stunning landscapes, laden with history and soaked in culture, Hungary truly is a gem to behold. Brimming with a myriad of delights to cater to diverse preferences, it offers everything from captivating landscapes and historical marvels to lively metropolises teeming with life, and a wealth of culinary delights. Indeed, Hungary ensures every visitor takes away an indelible wealth of wonderful memories.