Symptoms or Conditions Addressed

• Unexplained liver enzyme abnormalities

• Chronic jaundice or liver dysfunction

• Ascites or fluid retention

• Suspected liver fibrosis or cirrhosis

• Monitoring after liver transplantation

Procedure Overview

1. Pre-procedure Assessment

   • Blood tests (including coagulation profile), liver function tests

   • Imaging (Ultrasound, CT) to plan the procedure

   • Assessment for sedation and patient fitness

2. TJLB Procedure

   • Performed under local anesthesia with sedation

   • A catheter is inserted through the jugular vein in the neck

   • Guided into the hepatic vein and a small tissue sample is obtained

   • Imaging ensures safe access and prevents complications

3. Post-procedure Care

   • Short hospital stay: usually 1 day

   • Monitoring for bleeding or neck/abdominal discomfort

   • Rest and avoidance of strenuous activity for 24–48 hours

   • Follow-up to review biopsy results

Benefits of Transjugular Liver Biopsy

• Minimally invasive with low risk of bleeding

• Safe for patients with ascites or coagulation disorders

• Can be performed even in critically ill patients

• Provides adequate liver tissue for diagnosis and staging

• Short hospital stay and faster recovery

Transjugular Liver Biopsy Cost in India

Table 1: Average Transjugular Liver Biopsy Cost in India

Factors Affecting Cost

1. Hospital facilities – Advanced interventional radiology centers may charge more

2. Patient condition – Critical illness or co-morbidities may require extra monitoring

3. Imaging and lab tests – Pre- and post-procedure evaluations

4. Complexity of biopsy – Single vs multiple tissue samples

5. Follow-up care – Consultation and review of biopsy results

Who Should Consider Transjugular Liver Biopsy?

• Patients with bleeding disorders or coagulation issues

• Individuals with ascites or difficult liver access

• Patients needing diagnostic liver tissue safely

• Candidates referred by hepatologists, gastroenterologists, or transplant teams