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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 Indonesia 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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Indonesia is a country in Southeast Asia, located between the Indian and Pacific oceans. It is the 4th most populous country in the world with over 260 million inhabitants. The country consists of more than 17,000 islands, which makes it the largest island country in the world. It is packed with beaches, volcanoes, tropical jungles, exotic animals, and culture. This wonderful country invites any adventurous traveler to explore its dramatic landscape. Today, Indonesia is also a potential medical tourism destination. Although it is not as popular as its neighboring countries such as Malaysia, Singapore, and Thailand in terms of medical tourism, the country actually houses numerous excellent medical centers. Many of the medical practitioners are well-trained and can communicate in English. The medical centers are equipped with cutting-edge technology and offer a wide range of affordable treatments. Some of the most sought-after treatments are blepharoplasty, liposuction, and breast augmentation.
From busy metropolises, and sparkling beaches, to tropical rainforests, tourists will be able to find anything they want here.
Indonesia experiences an entirely tropical climate. The average temperatures can vary based on the area. Coastal areas have an average temperature of 28 °C, the inland and mountain areas have an average of 26 °C, and the higher mountain areas have an average of 23 °C. There are two seasons in the country, but the seasons can start differently in each region. Generally, June to October is the dry season and November to March is the rainy season. The dry season is influenced by the Australian continental air masses and has a slightly cooler temperature than the rainy season. Tourists can expect mostly sunny days, but there will be some short rain showers. The rainy season can be very humid, and wet, and has a significant amount of rain.
Indonesia is well-connected by airports in almost every region. However, the largest airports are Soekarno-Hatta International Airport in Jakarta and Ngurah Rai International Airport in Bali. Both airports serve domestic and international flights to major cities around the globe. There are budget airlines in almost every airport, including Air Asia, Citilink, and Wings Air. Domestic flights can be rather expensive but will make traveling around the cities a lot easier.
Getting around the islands of Java and Sumatra can easily be done by trains operated by PT. KAI. There are 5 classes of trains: economy, business, executive, priority, and sleeper. The economy class can be a little uncomfortable and crowded, but tourists can get around several cities for as low as $4. Since the country is an archipelago, tourists can also travel from one island to another by ferry boats (long-distance) and speed boats (short distances such as Bali to Lombok).
Most of the cities will have their own mode of transport. The most common mode of transport is taxis and buses. Taxis are normally metered, but some drivers refuse to use the meter and force tourists to pay a fixed fare. Tourists should avoid riding these kinds of taxis and always insist on using the meter. The most reliable taxi companies are Blue Bird and Express. Bigger cities like Jakarta have MRT, LRT, and KRL (local trains).
Citizens of 170 jurisdictions can visit and stay in Indonesia for up to 30 days. Visa on arrival is available for 68 countries including Japan, the United Kingdom, and the United States. Nationals not listed in the visa exception agreement and visa on arrival need to obtain a visa before entering the country. It is advisable to check at your nearest Indonesia Embassy or Consulate for the visa policy. All visitors will need to have a passport valid for at least 6 months and a valid return ticket.