Contact:GP Liaison Department
Telephone:+44 (0) 20 7234 2009
Hepatopancreaticobiliary (HPB) surgery refers to surgery involving the liver, pancreas, gallbladder or bile ducts. There are liver, gall bladder and upper gastrointestinal units at London Bridge Hospital and so we are able to provide quick and convenient access to dedicated teams of specialists. These provide rapid and efficient service to avoid time-consuming repeat visits to the hospital and to minimise the discomfort that some gastrointestinal conditions may cause in daily life.
In addition to liver surgery, we also offer the FibroScan® technique, a painless, non-invasive alternative to liver biopsy for evaluating liver fibrosis and In the case you are eligible, you may be able to opt for Irreversible Electroporation (NanoKnife).
The hepatobiliary and liver surgery unit is equipped to deal with a range of conditions, including:
Abnormal liver function tests
A series of tests carried out on a sample of your blood to assess the overall health and anatomical integrity of your liver.
Acute and chronic pancreatitis
Acute pancreatitis is a condition that develops when the pancreas is damaged by an inflammation. Chronic pancreatitis is a condition associated with widespread scarring and destruction of pancreatic tissue.
Biliary reconstruction - Roux-en-y hepaticojejunostomy
Roux-en-Y hepaticojejunostomy is a procedure used for biliary reconstruction, where portions of the biliary or digestive system are either missing since birth or damaged due to illness.
Disorders relating to the conversion of food in the stomach and intestines into soluble and diffusible nutrients.
Dyspepsia (heart burn)
Impairment of digestion, usually accompanied by discomfort following meals.
Endoscopic Retrograde Cholangio Pancreatography (ERCP)
This combined endoscopic and x-ray technique is an important way of treating gallstones that have entered the bile duct. It is also used for treating cancers or other causes of narrowings of the bile ducts that are not suitable for surgery, and sometimes to treat acute or chronic pancreatitis. Experts in ERCP and its associated techniques are attached to the centre.
Gallstone disease and gallbladder surgery
When the bile in the gallbladder becomes over concentrated it can form ‘stones’ or crystals in the gallbladder or bile ducts.
Keyhole gallbladder surgery - Laparoscopic cholecystectomy
London Bridge Hospital is now offering the most advanced form of keyhole surgery for the liver, pancreas and biliary tract. The advantages of this type of surgery are quicker recovery and reduced post-operative pain. These services are provided by highly skilled clinicians (all internationally renowned for their work in this field) in an integrated way to ensure 24-hour Consultant cover throughout your hospital stay. Appointments for an initial consultation can be made by contacting the Hospital GP Liaison Department on 020 7234 2009 or the individual secretary.
Hepatitis diagnosis and screening
Hepatitis is inflammation of the liver, typically caused by viral infections A, B and C as well as auto-immune hepatitis, fatty liver hepatitis, alcoholic hepatitis and toxin induced hepatitis.
Viral hepatitis is an increasing problem, but the treatment is, fortunately, becoming ever more successful. It is also a complex and rapidly changing area. Experienced consultants who are at the forefront of treating these viruses are part of the HPB unit.
Liver cyst excision
A hepatic cyst is usually a solitary nonparasitic cysts of the liver removable by surgery.
Liver resections for tumours (benign and malignant)
A liver resection is carried out to remove a portion of the liver in order to completely extract the tumour and all its surrounding tissue. We can also offer Irreversible Electroporation (NanoKnife) to those who are eligible for the treatment.
When the muscular ring at the lower end of the oesophagus is abnormally relaxed it allows the stomach's acidic contents to flow back or 'reflux' into the gullet (oesophagus).
Oesophageal, gastric, biliary, liver, gallbladder and pancreatic growths
The removal of abnormal growths either completely or partially for biopsy.
Peptic ulcer disease
A peptic ulcer is an ulcer in the way of the stomach or duodenum resulting from the digestive action of the gastric juice on the mucous membrane when it is rendered susceptible to its action.
Whipple procedure for cancer of pancreas
Excision of all or part of the pancreas together with the duodenum in order to remove cancerous growths.
Pancreas surgery for cancer or other diseases of the pancreas
Removal of all or part of the pancreas in order to treat cancer or other pancreatic diseases. In the case you are eligible, you may be able to opt for Irreversible Electroporation (NanoKnife)
All necessary tests and procedures are carried out at London Bridge Hospital by a team comprising leading specialists from the top teaching hospitals including King's College Hospital, St Bartholomew's and the Royal London Trust. The team are up-to-date with the latest advances in medical and surgical treatments of disorders relating to the liver, gall bladder and pancreas, and they treat their patient with the compassion and the time that we know are vital to any person seeking a solution to their hepatobiliary problems.
We hope that this new unit will meet all the needs of every person who has a problem. Although the service aims to be fast and convenient, most importantly the unit provides direct access to a team with the latest ideas in treatment of these disorders, with the compassion and the time that we know are vital to any person seeking a solution to their health care concerns.
Endoscopy is used in a variety of ways in liver and pancreatic diseases. One of its most important uses is to treat enlarged veins or varices in the gullet (oesophagus) to prevent or treat bleeding that can occur in liver cirrhosis, in particular. Gastroenterologists experienced in this area are part of the unit. Find out more here.