Advanced Liver & Hepatology OPD

The Advanced Liver & Hepatology OPD is designed for people who need expert opinion on liver, bile duct, gallbladder and pancreatic conditions. Many liver diseases develop silently, and patients often arrive after an abnormal ultrasound, a raised enzyme level on a routine check-up or a family member's diagnosis. Our OPD turns confusion into a clear diagnosis and a practical plan.

Conditions We See

• Fatty liver disease (MASLD) and alcohol-related liver disease
• Hepatitis A, B, C, D and E, including chronic infection
• Autoimmune hepatitis, primary biliary cholangitis and primary sclerosing cholangitis
• Wilson disease, hemochromatosis and other metabolic liver disorders
• Cirrhosis and its complications, such as ascites, varices and encephalopathy
• Liver tumours and cancer screening in high-risk patients
• Drug-induced liver injury and unexplained abnormal liver tests
• Jaundice, gallstones and bile duct disease
• Paediatric liver disorders, in coordination with paediatric specialists
• Pre-transplant and post-transplant follow-up

What Happens During Your Visit

1. Detailed history and examination. The hepatologist reviews symptoms, family history, alcohol use, medicines, herbal products and previous reports. Please bring all documents, scans and prescriptions.

2. Focused testing. Depending on your condition, tests may include liver function tests, viral markers, autoimmune and metabolic profiles, ultrasound, FibroScan for liver stiffness and fat, and, when required, MRI, CT or endoscopy. Coordination with our laboratory and imaging departments keeps waiting time short.

3. Clear diagnosis and plan. You receive an explanation of what is wrong, how serious it is and what can be done, in simple language and without unnecessary jargon.

4. Treatment and follow-up schedule. You leave with a written plan covering medicines, diet, lifestyle, monitoring dates and warning signs that need urgent attention.

Non-Invasive Assessment

FibroScan and other elastography tools measure liver stiffness and fat without a needle, helping doctors judge fibrosis and cirrhosis quickly. Combined with blood-based scores and imaging, this often avoids the need for a liver biopsy. When biopsy is necessary, it is planned and performed under image guidance with safety checks.

Multidisciplinary Support in One Place

Liver disease affects nutrition, mood, bones, kidneys and daily life. The OPD works closely with:

• Dietitians for fatty liver, cirrhosis and metabolic conditions
• Endoscopists for variceal screening and bile duct procedures
• Liver surgeons and transplant physicians for tumours and advanced disease
• Interventional radiologists for drainage and vascular procedures
• Counsellors and de-addiction support for alcohol-related disease
• Vaccination and infection-prevention services

This connected model means you are not sent from one department to another without direction.

Screening and Preventive Hepatology

People with cirrhosis, chronic hepatitis B or a strong family history need regular screening for liver cancer, usually with ultrasound every six months. The OPD keeps track of these schedules, along with endoscopy for varices, vaccination for hepatitis A and B and bone health checks. Early detection at this stage often makes treatment simpler and more successful.

Special Clinics and Services

• Chronic hepatitis clinic: Antiviral therapy for hepatitis B and C, with monitoring
• Fatty liver and metabolic clinic: Weight, diabetes and lifestyle-focused management
• Cirrhosis clinic: Prevention of complications and transplant timing
• Autoimmune and cholestatic liver clinic
• Pre-transplant assessment clinic: Evaluation for eligibility, donor discussion and counselling
• Second-opinion service: Review of reports and treatment plans

Who Should Visit

Consider a hepatology consultation if you have persistently abnormal liver tests, fatty liver on ultrasound, yellow eyes or urine, unexplained fatigue, abdominal swelling, a history of hepatitis, heavy alcohol use, diabetes with obesity or a family history of liver disease. You do not need to wait for symptoms, as early assessment protects the liver.

Patient-Friendly Care

We aim to keep the OPD experience simple. Patients are guided on appointments, test preparation, reports and follow-up. Family members are welcome to attend, and doctors explain findings so that patients can take an active role in decisions. Regional-language communication and written instructions help patients from different backgrounds feel comfortable.

Continuity of Care

A liver condition is rarely a one-visit problem. Our follow-up system reminds patients of tests and appointments, adjusts treatment as the condition changes and identifies early signs of deterioration. If admission, procedures or transplant become necessary, the OPD team hands over care smoothly to the relevant units.