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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 Malaysia 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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Malaysia is a rich culturally-oriented tourist destination and has a beautiful blend of modernization with a relaxed lifestyle. The population of the country is 32 Million people and Malaysia’s economy ranks in the fourth position in terms of size in Southeast Asia, The electronics, automotive, and construction industries are the biggest industries in Malaysia. The capital is Kuala Lumpur and It is the country’s largest urban area and is the cultural, commercial, and transportation center.
Presently, Malaysia stands as a renowned destination for its exemplary healthcare facilities, offering these high-quality services at notably affordable costs when juxtaposed against other globally recognized medical nations. As per predictions from the Ministry of Finance, the influx of medical tourists is expected to surge beyond 2,000,000 million by 2020. This forecasted growth can be largely attributed to the exemption of taxes imposed on medical bills.
The cities that top the list of medical travel include Kuala Lumpur, Penang, Selangor, Sarawak, and Melaka. Statistics reveal that among the 1.2 million patients who have visited Malaysia for medical care in 2017, 600,000 alone were from Indonesia. The most-sought-after medical procedures are cosmetic surgery, Brazilian butt-lift, and dental surgery. Malaysia is a favorite destination among medical tourists globally for the following reasons.
Some of the top-rated five-star medical tourism hospitals within the country include Columbia Asia Extended Care Hospital situated in Selangor, Sunway Velocity Medical Centre located in Kuala Lumpur, and Sunway Medical Centre based in Selangor.
Undoubtedly, Malaysia's appeal is immediately evident. The variety of experiences it offers, from bustling cities to idyllic landscapes, entrances visitors. Malaysia's multiculturalism, expressed through unique customs and diverse cuisines, only enhances its charm. This draws tourists from all corners of the globe, leaving them yearning for more. Succinctly, the splendor and diversity of Malaysia make it hard to resist repeated visits.
The must-visit cities in Malaysia renowned for their world-class appeal include Malacca, Langkawi, Kuching, Spaden, Johor Bahru, and Taiping.
Malaysia is a place that's warm all year round, as being in the tropical region. But since it's close to the ocean, the air can get pretty moist. Still, it's re-assuring to note that it doesn't get too hot, with temperatures usually staying between a pleasant 20°C and 30°C all throughout the year. Those who prefer cooler weather can visit the highlands in Malaysia, where it's generally chillier.
When planning a trip it's important to take into account the best times to visit different parts of the country. If you're eyeing the east coast, try to schedule your visit between March and September; this period is relatively drier than other months. On the other hand, the west coast is better visited from November to August. It's best to avoid the heavy rains which usually occur from September to October. With this information, you can plan to get the best out of your trip to Malaysia.
The Country has a well-developed transport network and efficient rail links which makes all travel around the country easy.
It is advisable to book domestic transport well in advance during the main festivals, such as Chinese New Year, Hari Raya Pusa and Hari Raya Haji. Domestic flights and domestic express bus services are often sold out weeks before these festivals. All the major cities in Malaysia have an airport and most budget airlines operate into the country.
In the larger cities of Malaysia, you'll find that transportation is convenient with many kinds of vehicles to choose from. Specifically in Kuala Lumpur, the capital city, there's a broad range of public transportation options to get around. You can hop on buses for an affordable ride or opt for minibusses, locally known as "bas-mini" to navigate through narrower streets.
Furthermore, taxis are easily accessible in Kuala Lumpur, providing a convenient alternative when you prefer more comfort or need to reach a specific destination quickly. If you would like to experience something traditional and fun, pedicabs or "trishaws" as they are commonly known, are present in some parts of the city offering you a unique ride.
Additionally, Kuala Lumpur also boasts a well-connected train network, including rapid transit and commuter rail services, facilitating quick and efficient travel across the city. It's safe to say that in Kuala Lumpur, moving around is smooth and easy, thanks to these diverse means of transportation.
In Malaysian towns and cities, various modes of transport are used, including ferry services. In cities, the rail network is a good way to get around, especially the KL Monorail and transit trains.
The residents of the following countries holding a valid passport are the ones required to apply for a Malaysian tourist visa. China, India, Sri Lanka, Nepal, Myanmar, Bangladesh, Pakistan, Bhutan, Serbia, and Montenegro
All other nationalities will not need a visa to visit Malaysia. You will normally be given permission to stay for 3 months on arrival. Visas for longer stays or for non-tourist purposes must be obtained from the nearest Malaysian diplomatic mission before you travel.
The Malaysian authorities are running a vigorous campaign against illegal immigration. Don’t overstay your visa, or violate the terms of entry. Even if you overstay for just a few days, you can be fined, detained, deported, and blacklisted. Flight costs will be the responsibility of the individual.