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You will be referred to us if there is a concern regarding your liver, pancreas or biliary system. We manage a wide range of conditions including cirrhosis, alcohol-related liver diseases, fatty liver, autoimmune conditions, biliary conditions, metabolic liver disease and cancers of the liver, gallbladder or pancreas.
We are a regional referral unit for complex liver and pancreaticobiliary diseases, and viral hepatitis, seeing patients from South West London hospitals. We work very closely with the King’s College Hospital for patients where liver, pancreas or biliary surgery, including liver transplantation, is being considered.
The historical routine waiting time to be seen in clinic was 3-6 months, but we hope the introduction of a new model of streamlining assessment and investigations once your GP has referred you to us, called the Hepatology Clinical Assessment Service (CAS) will mean more rapid evaluation (see Hepatology CAS leaflet). We have currently moved to the CAS service as a pilot project. Traditionally, there have been four general clinics per week at St. George’s including Monday mornings and Tuesday afternoons, and a weekly clinic on Wednesday afternoon at Queen Mary’s Hospital (Roehampton) and alternate weeks at The Nelson Health Centre (South Wimbledon). Additionally, there are two viral hepatitis clinics at St. George’s on Tuesday afternoons, and a Stable Cirrhosis clinic on Monday morning. Due to coronavirus pandemic, most clinics have become telephone consultations though we retain capacity to see patients face-to-face at the clinician’s discretion. Please carefully look out for any communications about your clinic appointments.
In addition to our out-patient work we have a dedicated in-patient hepatology service with a daily review of patients with liver, pancreatic and biliary related diseases by a consultant liver specialist. A Gastro-intestinal and Liver Day Unit is also being piloted to enable patients to be assessed or receive treatment without the need for admission.
Our role as a teaching hospital means we are responsible for training medical students, trainee doctors and allied health professionals. We also have an active research programme including participation in national and international studies, for which you may be approached to take part.