[Indications and contraindications of liver biopsy]

In each individual case the indication for liver biopsy depends on assessment of the risks relative to the potential benefits of the procedure. Besides hepatological risk factors, hemostasis and overall health problems must be considered. The benefit of liver biopsy is dependent on recognition of the pathognomonic lesion within the tissue sample obtained. Size and distribution of the different histological features and the size of the biopsy cylinder are, therefore, important determinants for the success of the examination. Whether or not a histological diagnosis may be useful for optimal management of a patient can best be judged if the clinical question has been well defined before the biopsy is performed.