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IS IT HISTORY TO TAKE PARTS OF THE LIVER?
A liver biopsy is important in the evaluation of liver diseases. However, today, thanks to new technologies, it is now possible to measure the liver with ultrasound waves instead of a biopsy, said Prof. Dr. “Measurements can be made in minutes with fibroscan, which is an easily applied procedure in liver examinations. The liver sampling area is growing 100 times and a wider area is being evaluated with the fibroscan device, which is an alternative method to liver biopsy for determining chronic liver diseases. There are also no side effects,”he explained.
A gastroenterologist who emphasizes that a liver biopsy is very important for accurately determining the stages of liver disease, making a treatment decision for chronic liver diseases, and then monitoring treatment, Prof. Dr. “The method called ‘transient elastography’ performed with the Fibroscan device comes across as an important application in the evaluation of liver fibrosis with both its non-interventional and its reproducibility,” said.
The elasticity of tissues is measured numerically
Turkey Medicals member and Mersin hospital Gastroenterologist Prof. Dr. Who said that Fibroscan is a device that numerically measures the elasticity of soft tissues using the transient elastography method. Dr. “Fibroscan sends low frequency ultrasonic vibrations to the liver tissue and the resulting wave propagates by multiplying in the tissue. The speed of transmission of the wave here is associated with the elasticity of the tissue through which it passes. Therefore, as the hardness of the tissue increases, the propagation speed of the wave also increases. Here the device detects this speed and creates a numerical result and objectively reveals the amount of fibrosis in the liver,” he said.
There is no need to remove parts from the liver
Stating that the Fibroscan process does not require the removal of parts from the liver according to the biopsy, Gastroenterologist Prof. Dr. “In this process, the liver as a whole is evaluated in a much broader way. This is a very important advantage over a biopsy. It is very important that it is especially easy to apply, performed in minutes, and no pain or pain is felt. In addition, it is a side-ineffective method, since it is not an interventional procedure. Moreover, no special preparation is needed before it, except for going hungry. The fact that it is repeatable is also one of its important advantages. Thanks to this method, the level of liver lubrication and the level of damage can be determined by measuring the flexibility, hardness of the liver,” he said.
Diseases in which the method is used
Stating that Fibroscan technology can be used in all liver diseases that cause chronic liver damage, Gastroenterologist Prof. Dr. explained the diseases in which the method is used as follows:
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Liver enzyme Heights, viral disease, hepatitis, hepatitis C, Hepatitis D (delta hepatitis), autoimmune hepatitis, drug-induced chronic liver damage, primary biliary cholangitis (bile ducts of autoimmune disease), preoperative risk assessment for liver cirrhosis linked to non-portal hypertension, Wilson’s disease, in which regardless of the reason, due to accumulation of fatty liver damage and infection (hepatosteatoz fat).
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