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We read with interest the recent guidelines by Neuberger et al1 and would like to congratulate the authors on a comprehensive review of the use of liver biopsy in clinical practice. However, we were disappointed that the emerging role of endoscopic ultrasound-guided liver biopsy (EUS-LB) was understated in the recommendations.
EUS-LB has been shown to give histological diagnosis rates of 93.9% with an adverse event rate of 2.3%,2–5 with less patient discomfort when compared with percutaneous liver biopsy (PC-LB).5 We feel the guidelines should also include other potential benefits of EUS-LB over PC-LB that were not mentioned.
The key role of endoscopic ultrasound (EUS) is already well established in assessment of the pancreas and pancreatic lesions.6 Furthermore, EUS is superior to CT for sampling ascites, due to better …
Contributors JDC, SM and DS: drafting and revision of article. AK, AM, J-SS, KL and SS: critical revision of article. GWM: concept, critical revision of article. PS: concept, design, critical revision of article.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; internally peer reviewed.
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