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MRI scans

The London Liver Centre at London Bridge Hospital

MRI scans

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

Consultant looking at MRI scan

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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    Irreversible electroporation (IRE) NanoKnife

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    Colorectal liver metastases

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    Total pancreatectomy

The outstanding London Liver Centre team

London Bridge Hospital is proud to host London Liver Centre’s consultants, many with international reputations for their pioneering work in HPB medicine, whose skills were honed at King’s College Hospital NHS Foundation Trust. Teams of specialised HPB clinicians including consultant physicians, surgeons, radiologists and pathologists, clinical nurse specialists and consultant intensivists enable London Bridge Hospital to offer comprehensive and complex care to patients from all over the world. In addition, we have a 24 hour on-call emergency service and provide both inpatient and outpatient care for routine and critical cases.
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

Phil Harrison

Dr Phil Harrison

Consultant Hepatologist

Michael Heneghan

Professor Michael Heneghan

Consultant Hepatologist

Parthi Srinivason

Mr Parthi Srinivasan

Consultant Liver, Biliary and Pancreas Surgeon

Dr-Raj-Srirajaskanthan

Raj Srirajaskanthan

Consultant Gastroenterologist & NET specialist

Andreas Prachalias

Mr Andreas A. Prachalias

Consultant Liver, Biliary and Pancreas Surgeon

Dr-Deepak-Joshi-Consultant-Hepatologist

Dr Deepak Joshi

Consultant Hepatologist

Caring for our patients

The comprehensive care you will receive covers all needs for both outpatients and inpatients. We are committed to delivering bespoke care, sensitive to any specialist requirements or cultural needs.  Our hepatology Clinical Nurse Specialists (CNS) support patients throughout their healthcare journey. These nurses, like consultants, specialise in their fields of medicine. Alongside deep medical knowledge, they offer a huge amount of support for our patients and their families.

Ania Dabrowska

Ania Dabrowska

Clinical Nurse Specialist

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:

Consultant with patient

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).

Nurse with patient undergoing MRI scan

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.

Technician using microscope

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

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

We offer Living Donor Liver Transplantation (where a donor, usually a relative, will donate part of their liver to the recipient). All donors and recipients are thoroughly assessed undergoing a full and comprehensive medical, psychiatric, cardiac and hepatological assessment.

Emergency Auxiliary Partial Orthotopic Liver Transplants

In the case of acute liver failure, in emergency situations, the team at London Bridge Hospital can mobilise at speed to perform an auxiliary partial orthotopic liver transplant (APOLT). This is where the failing liver is supported by a transplanted section from a living donor. This graft remains in place until the host liver regenerates and regains functionality after which the transplanted ‘auxiliary’ section atrophies with the gradual withdrawal of immunosuppressant drugs. This removes the need for a lifetime of medication.

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
  • 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

  • Distal pancreatectomy

    Need to know

    A distal pancreatectomy is a surgical procedure to resect (remove) the tail of the pancreas. It is carried out if there is a tumour in the body or tail of the pancreas. Quite often, the spleen is removed as part of the procedure. However, your consultant surgeon will try to preserve it if possible. 

  • 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...

  • 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...

  • 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.

  • 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...

  • Alchohol 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...

  • 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. Cirrhosis...

  • 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...

  • Gallstones

    Need to know

    The gallbladder is a pear-shaped organ beneath your liver. It stores bile, which helps your body digest fat. Sometimes gallstones (small stones of cholesterol) develop in the gallbladder or nearby bile duct. When this happens, most people have no symptoms but it can lead to biliary colic or other symptoms...

  • 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

Robert Hutchins

Consultant General Surgeon

Specialties

General surgery,Hepato Pancreato Biliary Medicine: HPB,Colorectal,GI General Surgery,Gastroscopy OGD,ERCP

Works at

London Bridge Hospital

Consultant

William Alazawi

William Alazawi

Consultant Hepatologist and GI Endoscopist

Specialties

Gastroenterology,Hepato Pancreato Biliary Medicine: Hepatology,General Gastroenterology,Gastroscopy OGD,Colonoscopy,Endoscopy

Works at

London Bridge Hospital

The Princess Grace Hospital

London Digestive Centre

Consultant

Terence Wong

Consultant Gastroenterologist and Hepatologist

Specialties

Gastroenterology,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.

020 7234 2730
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