Gastroenterology covers the digestive system. It focuses on diagnosing, treating, and managing conditions of the stomach, intestines, liver, and pancreas.
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While the fibrotic scarring of cirrhosis is largely irreversible, the clinical course of the disease can be significantly altered. The goals of treatment at Liv Hospital are threefold: to treat the underlying cause to prevent further damage, to manage the complications of portal hypertension to prevent hospitalization, and to optimize the patient for liver transplantation if indicated. We employ a multidisciplinary strategy involving hepatologists, dietitians, and interventional radiologists to stabilize the patient’s condition and improve quality of life.
Halting the injury is the most effective way to preserve remaining liver function.
Fluid retention is the most common complication requiring management.
Preventing hemorrhage is a critical safety goal.
Treating confusion involves reducing the production and absorption of ammonia in the gut.
Cirrhosis is the primary risk factor for primary liver cancer.
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No, this is an outdated belief. Patients with cirrhosis actually have higher protein needs because their muscles are wasting away. A high-protein diet is recommended, though vegetable-based proteins may be better tolerated in patients with severe encephalopathy.
TIPS stands for Transjugular Intrahepatic Portosystemic Shunt. It is a non-surgical procedure where a radiologist places a metal stent inside the liver to create a tunnel for blood to flow through, bypassing the scar tissue and lowering pressure.
In cirrhosis, Lactulose is used as a medicine, not just for constipation. Its job is to trap ammonia (a brain toxin) in your gut and flush it out of your body. You must take it to have 2-3 bowel movements a day to protect your brain.
This is a medical emergency. Symptoms include vomiting blood or passing black, tarry stools. You must go to the emergency room immediately for resuscitation, drugs to stop bleeding, and endoscopy to band the veins.
Cholangiocarcinoma is rare and aggressive; surgery is the only curative option when tumors are resectable, but only a minority qualify at diagnosis, so expert evaluation
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