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Hepatology and liver disease

The L&D provides a hepatology clinical service covering all aspects of liver disease, with dedicated liver clinics as well as endoscopy lists for variceal treatment.

Treatment for hepatitis B and hepatitis C patients are available locally. Other liver diseases such as alcoholic & non-alcoholic liver disease, auto-immune hepatitis as well as metabolic liver disease (such as iron or copper overload conditions) are managed here too.

The hospital has a Hepatology Nurse Specialist Opal Greyson. She conducts the Hepatitis C clinics, which commenced early in 2011. Since 1997 Opal has specialised in the study of liver disease (Hepatology), working at Kings College London and Barts & The London Hospitals – the last 4 years managing patients undergoing treatment for Hepatitis B and C.

Opal works on Tuesday and Thursday at the L&D.
Opal.greyson@ldh.nhs.uk

Services provided

  • Teaching session about viral hepatitis to internal and external staff
  • Weekly nurse lead clinic on a Tuesday am and pm only
  • Provides education about viral hepatitis
  • Conducts assessment of all Hepatitis C patients prior to commencing treatment
  • Starts Hepatitis C patients on antiviral therapy (pegylated interferon and ribavirin and where appropriate triple therapy (additional telapravir or bocepravir)) to try and eradicate the virus
  • Telephone helpline
  • Buddy scheme support (introducing patients on similar background to ex-patients prior to starting treatment)

The Hepatology team also has strong well-established links with Addenbrookes Hospital in Cambridge, where complex liver patients, including those with acute liver failure, liver cancers & potential candidates for a liver transplant are referred.

Joint clinics with the hepatology team from Addenbrookes are conducted quarterly, where potential transplant candidates can be assessed at an early stage, and patients who have already been transplanted are followed up. Joint clinics are also conducted with Genito-urinary medicine for patients with viral hepatitis & HIV.

Endoscopic treatments available at the L&D for managing varices include:

  • band ligation (applying a rubber band on the varix in the gullet to eradicate it),
  • sclerotherapy (injecting a blood clotting agent directly into the varix), and
  • superglue injection (again, directly into varices in the stomach).

Please follow these links for more information about Liver Disease and Hepatology:
British Liver Trust
Addenbrookes Hospital
British Association for the Study of Liver

Staff

Consultant Gastroenterologist
Consultant Gastroenterologist
Consultant Gastroenterologist
Consultant Gastroenterologist
Consultant Gastroenterologist
Consultant Gastroenterologist
Consultant Gastroenterologist
Consultant Gastroenterologist