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In addition to the management of patients with cirrhosis, alcohol-related liver diseases, fatty liver, autoimmune conditions, biliary conditions, metabolic liver disease and cancers of the liver, gallbladder or pancreas there are areas of additional expertise in the following:
We are a major centre for treatment for primary liver cancer offering a range of non-surgical treatments including transarterial chemoembolization (TACE), microwave ablation, oral chemotherapy (e.g. sorafenib and lenvatanib), and strong links with King’s College Hospital for consideration of liver radiotherapy (SIRT) and liver surgery including resection and transplantation.
We are regional hub treating patients with viral hepatitis B and C infections, including providing highly effective direct acting antiviral medication for hepatitis C. The service is consultant-led in conjunction with clinical nurse specialists and specialist senior pharmacists. There are weekly multidisciplinary meetings to optimise treatment plans for patients.
Local Alcohol Prevention Service
We have a team of alcohol nurses, an alcohol clinical specialist nurse and lead consultant who work together to help patients who wants to reduce their alcohol intake and support those that have given up entirely. This work involves work within the hospital and community alcohol services.
Management of Portal Hypertension
We offer a range of service for patients with varices related to portal hypertension including a dedicate variceal screening and treatment endoscopy list, radiological portal pressure measurement and expertise in transjugular intrahepatic portosystemic shunts (TIPSS). For patients with ascites (abdominal fluid) related to portal hypertension, we offer an abdominal paracentesis (drainage) service and can offer TIPSS in selected cases.
The endoscopy unit at St George’s Hospital offers both endoscopic ultrasound scanning (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) to aid in the diagnosis, management and treatment of patients with pancreatic and hepatobiliary disease. There is a very close working relationship with the radiology department and our interventional radiology consultant colleagues with two weekly meetings being held to discuss patients with both cancer and non-cancer related illnesses.