Alcohol and Liver
- Patient with alcohol related liver disease will require help from Hepatologist to optimise the liver disease.
- Guidance from Psychiatrist to help with abstinence from alcohol.
- Supportive information in the form of Alcohol Helpline, information on deaddiction centres and Alcohol Anonymous (AA) Clinic will be provided by the Liver Clinic.
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NON ALCOHOL FATTY LIVER DISEASE (NAFLD)
- Common causes of NAFLD are: Obesity, diabetes, hypercholesterolemia, hypothyroidism and hypertension.
- The Liver clinic aims to provide a holistic approach to this condition by providing consultation from Hepatologist, Dietician and Diabetologist for these patients.
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- Viral hepatitis A, B, C, D and E, all present clinically in a very similar fashion especially in the acute phase of illness.
- Although, acute viral hepatitis A and E are self limiting, 1% patients can develop fulminant liver failure.
- Hepatitis B and C can cause chronic hepatitis, which can progress to cirrhosis and liver cancer.
- Deciding which patients infected with hepatitis B and C to treat is challenging and requires detailed assessment which will be provided
The Liver Clinic recommends routine checking for hepatitis B and C for the following individuals:
- Previous needle stick injury, Tattoo
- Blood transfusion
- On dialysis
- Previous operations
- Family member with this condition at the Liver Clinic with the help of the Hepatologist.
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MISCELLANEOUS LIVER CONDITIONS
Liver Clinic will provide management strategies for the following complex liver conditions
- Evaluation of abnormal liver function test (LFT) and Jaundice.
- Decompensated Cirrhosis complicated with portal hypertension, ascites, spontaneous bacterial peritonitis. etc.
- Decision for Transjugular Intra-hepatic portosystemic shunt (TIPS) in decompensated liver disease.
- Autoimmune hepatitis
- Metabolic Liver diseases
- Primary Sclerosing Cholangitis (PSC)
- Primary Biliary Cirrhosis (PBC)
Patients needing a liver resection for primary / secondary liver cancer, Gall Bladder cancer, Bile duct strictures and cancers , will be offered the appropriate surgery at a suitable hospital.
Patients with decompensated cirrhosis and liver cancer may need to be referred for liver transplant.
- Careful assessment and evaluation for need of liver transplant with appropriate counselling will be offered in the Liver Clinic.
- Guidance on both cadaveric and living donor liver transplant.
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- Approximately 1 in 20 people may have gall stones.
- About one in three women, and one in six men, form gallstones at some stage in their life.
- However, a majority of the patients are not symptomatic and do not need any treatment
Please visit our specialists, if you would like to consult regarding gall stones.
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Pancreas: Pancreatitis and Cancers
- Pancreas is one of the most critical and perilous organs to treat.
- Patients suffering from pancreatitis need to know the exact etiology and treatment to follow.
- Pancreatic cancer has one of the worst prognosis and hence it is essential to detect them and treat these cancers early.
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To know more about Acute Pancreatitis Services Click here