The London Liver Centre at London Bridge Hospital
Specialist care for conditions of the liver, pancreas and biliary system
Appointments & Enquiries
020 7234 2730
4th floor, Emblem House
27 Tooley Street
London SE1 2PR
About the London Liver Centre
The London Liver Centre at London Bridge Hospital specialises in a wide range of acute and chronic conditions affecting the liver, pancreas and the associated biliary system. Our hepato-pancreato-biliary (HPB) teams are supported by the latest technology for the diagnosis and treatment of liver disease and other related conditions for both inpatients and outpatients.
Liver disease is one of the top five causes of premature death in England and Wales and is on the increase in the UK. The London Liver Clinic's consultants are leaders in HPB medicine, which means you can always be assured that you are in the hands of the foremost clinicians in their field.
We provide liver transplantation, liver and pancreatic intensive care and general hepatology, including treatment for both hepatitis B and C. Our services cover all benign and malignant liver and HPB-related conditions.
Our internationally renowned liver physicians and surgeons have extensive experience in:
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All hepato-pancreato-biliary cancers
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Fatty liver disease
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Nonalcoholic fatty liver disease and NASH
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Autoimmune liver diseases, such as autoimmune hepatitis, primary biliary cholangitis and primary sclerosing cholangitis
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Complex hepatobiliary and pancreatic surgery (including laparoscopic surgery)
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Endoscopic hepatobiliary intervention ERCP and EUS
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Living donor liver transplantation
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Management of complications of end-stage liver disease and portal hypertension
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Management of secondary liver cancers
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Viral hepatitis management and treatment
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Chronic and acute pancreatitis
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Neuroendocrine tumours
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Cholangiocarcinoma (bile duct cancer)
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Hepatocellular carcinoma
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Colorectal liver metastases
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Total pancreatectomy
The outstanding London Liver Centre team
Meera’s story
Watch her remarkable story as she travelled to the UK and underwent NanoKnife treatment at London Bridge Hospital.
We found excellent multidisciplinary team working, with close collaboration between all staff, including live donor liver transplants in conjunction with a local liver specialist team.
Care Quality Commission report, London Bridge Hospital, 2017
Raj Srirajaskanthan
Consultant Gastroenterologist & NET specialist
Mr Andreas A. Prachalias
Consultant Liver, Biliary and Pancreas Surgeon
Caring for our patients
Some of the conditions we treat
Our team of HPB physicians, surgeons and oncologists have extensive experience in the treatment of a wide range of conditions including:
Liver tumours
Consultants at the London Liver Centre have a long-established reputation in the treatment of both benign and malignant liver tumours, whether primary or metastatic. All treatment options are available, from surgery and chemotherapy to trans-arterial chemo-embolisation, and from portal vein embolisation to Selective Intra-Arterial Radiation Therapy (SIRT).
Pancreatic cancer
Pancreatic cancer is now the fourth most common cause of cancer death in the UK, with around 7,000 new patients diagnosed every year in this country alone. Our consultants specialise in surgical techniques including pancreatoduodenectomy (originally known as the Whipple operation) for those whose tumours are operable and palliative treatments for more advanced conditions.
Biliary cancer
Biliary cancers such as bile duct cancers are rare, but can occur anywhere in the bile duct system, including the gallbladder. Bile duct cancers account for 10-15% of all primary liver cancers. Our consultants will discuss the location and stage of any tumours alongside possible treatment options, which might include surgery, chemotherapy or photodynamic therapy.
Neuroendocrine tumours (NETs)
NETs are tumours found in any organ of the body, most commonly in the gastrointestinal tract or pancreas. These tumours can vary in behaviour from being slow growing to aggressive. Treatment depends on where the tumour arises, its stage, and whether they secrete hormones. Incidence is much higher than previously thought and new treatments are showing promising results in this evolving field of medicine.
The latest surgical techniques in living donor liver transplantation
Living Donor Liver Transplantation
Emergency Auxiliary Partial Orthotopic Liver Transplants
Comprehensive diagnostics and imaging
The Centre's facilities incorporate an extensive range of the most advanced technology and equipment to help diagnose and treat all liver and HPB conditions. Diagnostic tests include:
- Liver ultrasound - performed in our imaging department under the care of our specialist liver radiologists
- Positron emission tomography (PET) scan - used to produce detailed 3-dimensional images of the inside of the body, including any abnormal areas
- Fibroscan – a non-invasive tool to assess liver fibrosis and liver fat
- ERCP (endoscopic retrograde cholangio-pancreatography) – for therapeutic bile duct and pancreatic duct interventions
- Cellvizio (a probe-based confocal laser endomicroscopy system) - generates 'optical biopsies', providing real-time microscopic video images of bile duct tissue or pancreatic cysts
- CT (Computerised Tomography) scan – used to identify and stage liver tumours and damage
- Liver MRI (Magnetic Resonance Imaging) scans - used to characterise liver tumours and helps to differentiate between different types of tumours
- Liver biopsy – sometimes required to determine the cause and degree of liver disease
- EUS (endoscopic ultrasound) – a special endoscope uses ultrasound to produce detailed images of the bile duct, pancreas and liver
A wider multidisciplinary team
The team is supported by dedicated liver physicians, pathologists, anaesthetists and liver intensive care specialists, many from King’s College Hospital, where they have successfully completed hundreds of liver transplants as well as clinical trials. They are supported by local highly specialised liver clinicians including clinical nurse specialists, dietitians and physiotherapists. All meet regularly to discuss complex cases as part of an HPB multidisciplinary team meeting. This means patients receive opinion and expertise from not just one but from a diverse range of HPB and liver specialists.
Consultant radiologists provide specialised analysis of pre-operative imaging and are available during surgery for intra-operative ultrasound. Referring to colleagues in subspecialty areas where appropriate, we ensure that patients are given the best care possible across all hepatobiliary conditions.
Completing the team, and vital to our status as a transplant centre, are our two full-time donor and recipient transplant coordinators.
View all treatments and services
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Viral hepatitis A B C and D
Need to know
The main types of viral hepatitis are hepatitis A, B, C, D and E. Viral hepatitis can be either acute or chronic (lasting more than six months). Hepatitis B and C have also been described as silent epidemics. At HCA UK, we can help you test for and diagnose viral hepatitis, and advise on treatment options...
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Primary biliary cholangitis
Need to know
In primary biliary cholangitis, the body's defence system attacks the ducts that pass out of your liver. It's not clear why this happens, but it causes the ducts to become inflamed and blocked. In turn, bile, the liquid used to help digest fats and remove waste products from your body, builds up in the...
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Pancreatic necrosectomy
Need to know
Pancreatic necrosis is serious complication of acute pancreatitis which can be fatal, particularly if it becomes infected. Pancreatic necrosectomy is a surgical intervention that offers several options including the conventional open, percutaneous, laparoscopic, endoscopic or 'step-up' approaches.
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Liver transplant
Need to know
Living donor liver transplantation increases the recipient’s quality of life and life expectancy. The surgery can be performed at an optimal time before the recipient’s health deteriorates unduly. The recipient will receive a high-quality graft (the section of donated liver), usually...
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Alcohol related liver disease
Need to know
Prolonged alcohol misuse can reduce the liver's ability to regenerate. ALD refers to liver damage caused by excess alcohol intake. It has three stages: 1. Alcoholic fatty liver disease. A build-up of fats in the liver. 2. Alcoholic hepatitis. Inflammation of the liver. 3. Cirrhosis. Accumulated scar...
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Cirrhosis
Need to know
Cirrhosis is the result of long-term, continuous damage to the liver and may have many different causes. The damage leads to scarring known as fibrosis. Irregular bumps (nodules) replace the smooth liver tissue and the liver becomes harder. Together, the scarring and nodules are called cirrhosis. ...
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Non alcoholic fatty liver disease
Need to know
Fatty liver is a condition where you have too much fat in your liver. There should be little or no fat in a healthy liver. Fatty liver that isn't caused by alcohol is called non-alcohol related fatty liver disease (NAFLD), which can lead to non-alcoholic steatohepatitis (NASH) and, at advanced stages...
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Gallstones
Need to know
Sometimes gallstones (small stones of cholesterol) develop in the gallbladder or nearby bile duct. The gallbladder is a pear-shaped organ beneath your liver. It stores bile, which helps your body digest fat. When this happens, most people have no symptoms but it can lead to biliary colic or other symptoms...
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Genetic liver conditions
Need to know
Genetic liver conditions include haemochromatosis, alpha-1 antitrypsin (AAT) deficiency and Wilson disease. They occur as a result of too much iron, a lack of the AAT protein, or a build-up of copper, respectively, in the body. Each of these diseases can cause a range of complications in your body, not...
Other London Bridge Hospital HPB consultants
Consultant
Specialties
General surgery,Hepato Pancreato Biliary Medicine: HPB,Colorectal,GI General Surgery,Gastroscopy OGD,ERCP
Works at
London Bridge Hospital
Consultant
Specialties
Private Gastroenterologist,Hepato Pancreato Biliary Medicine
Works at
London Bridge Hospital
The Princess Grace Hospital
London Digestive Centre
Consultant
Specialties
Private Gastroenterologist,Hepato Pancreato Biliary Medicine: General Gastroenterology,Gastroscopy OGD,Colonoscopy,Flexible sigmoidoscopy,ERCP,Video capsule endoscopy,Endoscopic ultrasound,Endoscopy
Works at
London Bridge Hospital
Our location
4th Floor, Emblem House
27 Tooley Street
London SE1 2PR
Contact Us
The London Liver Centre is situated in London Bridge Hospital.