Other tests also may be done to
confirm a diagnosis of cirrhosis or to look for possible complications. These
Liver biopsy, the only test that can directly confirm a diagnosis of
cirrhosis. Examination of liver tissue also may reveal signs of inflammation. A
liver biopsy may be done by inserting a needle between two of the right lower
ribs to remove a sample of liver tissue. The tissue sample is then
Paracentesis, to help diagnose the
cause of fluid buildup in the abdominal cavity (ascites) or to
detect infection in the abdominal fluid (spontaneous bacterial peritonitis). Paracentesis is a procedure in which a needle is inserted
through the abdominal wall to remove fluid from the abdominal cavity. The fluid
can then be analyzed.
look for enlarged veins (varices) in the digestive tract that could cause
variceal bleeding. Endoscopy allows a doctor to
examine the inside of organs, canals, and cavities in the body using a thin,
flexible, lighted viewing instrument called an endoscope.
Endoscopic retrograde cholangiopancreatogram (ERCP),
to look inside the tubes (bile ducts) that drain the liver, pancreas, and
gallbladder. ERCP may be done if your doctor thinks a condition called primary
sclerosing cholangitis (PSC) might be leading to your liver problems.