Our doctors, nurses and other healthcare professionals at BIDMC will help you learn about your hepatobiliary disease, the tests you will have, any necessary preparations, the procedure or operation you will need, the recovery period, your medications, returning home and much more.
The strength of our program is due in part to the close working relationships we have with a renowned team that includes hepatobiliary and transplant surgeons, interventional radiologists, hepatologists, gastroenterologists, oncologists, infectious disease specialists, radiologists, pathologists, and nurses among others.
There are many benefits to seeking care at our Transplant Institute if you have hepatobiliary disease, whether or not you may need a solid organ transplant. Transplant surgeons complete training as general surgeons first, and then go on to concentrate in solid organ transplantation including liver transplantation. Because of our experience and expertise in caring for patients with liver disease and operating on the liver, we are highly proficient in all matters pertaining to the hepatobiliary system, including surgery and mastering the complexities of the liver and biliary system. We also understand and value the importance of nurturing a long-term relationship with our patients who may need lifelong monitoring and treatment for hepatobiliary illness. Many times, working together with other BIDMC specialists, we can manage liver and other hepatobiliary conditions to help prevent further complications, including delaying transplant, should it be necessary, for as long as possible.
The Liver Center at BIDMC
The Transplant Institute works very closely with BIDMC's acclaimed Liver Center and our newly established multidisciplinary Liver Tumor Clinic, which offer world-class, multidisciplinary care - including novel therapies and treatment protocols - to adults with all aspects of hepatobiliary disease. The Transplant and Liver Centers' core concept integrates patient care with advanced research. Specialists treat all forms of acute and chronic liver disease, from viral hepatitis and HIV co-infection to tumors, liver failure, hepatic encephalopathy and transplantation surgery. Our dedicated Liver Research Center, the first of its kind in New England, enrolls more than 1,000 patients annually in clinical trials.
Recognized for excellence and innovation, the Liver Center is at the forefront for developing innovative therapies featuring new agents for hepatitis C virus (HCV), noninvasive evaluation of liver fibrosis to spare many patients from liver biopsy, and strategies to prevent liver failure and liver cancer. Early identification of liver cancer and tumor ablative treatment, followed by transplantation, has led to improved patient survival and outcome.
We also see patients in one dedicated, comfortable location for convenient, personalized and exceptional care.
Center for Interventional Gastroenterology
The Center for Interventional Gastroenterology is home to the largest referral practice for endoscopic retrograde cholangiopancreatography (ERCP) in New England. BIDMC gastroenterologists perform approximately 1,400 ERCPs and 500 endoscopic ultrasounds (EUS) annually to diagnose and treat a variety of complicated pancreas, bile duct and liver problems, including pancreatic cancer with 24-hour availability. Physicians use ERCP to ease symptoms associated with pancreatic and bile duct cancer to keep patients more comfortable, to treat pancreatitis (an inflammation of the pancreas) or to remove gallstones or other obstructions in the bile ducts without surgery.
BIDMC enjoys an international reputation for state-of-the-art radiological imaging, and routinely available techniques include rapid multidetector CT angiography and MR angiography for depicting the blood vessels supplying the liver. Other techniques include CT or virtual colonography and MRCP (magnetic resonance cholangiopancreatography), a non-invasive method for imaging the bile ducts and pancreas. In the Image Processing laboratories, 3-dimensional reconstructions of CT scan images are used to plan surgical management and actual procedures.
BIDMC has also helped pioneer the development of image-guided tumor ablation therapies such as radiofrequency ablation of liver tumors, which is performed under CT and ultrasound guidance.
BIDMC pathologists have extensive experience in the study of biopsy and surgical specimens to delineate a variety of inflammatory and tumorous conditions affecting the liver and pancreas/biliary tract. Pathologists provide key analysis and determination leading to specific diagnosis and stage of inflammatory and tumor diseases, detection of precancerous tissue, and monitoring response-to-therapy.