About the Hepato-Pancreato-Biliary System
The hepato-pancreato-biliary system is made up of the liver, its bile duct and the pancreas. The liver is a rather large organ, and it sits under the ribs on your right side. It is divided into a right and left lobe. This organ is essential and has many functions within the body including the creation of bile which helps digestion. Additionally, it helps break down the food we eat and stores it as sugar. The liver makes substances that allow blood to clot. Finally, the liver serves as the major organ to process and filter medications and toxins. Of note, the liver is also the only organ that can partially grow back after cutting part of it out.
The biliary system is made up of the bile ducts and the gallbladder. The bile ducts carry bile from the liver to the small intestine. The gallbladder stores the bile until you eat at which point it is released from the gallbladder to help you digest the fats in the food. The bile ducts can be divided into those inside the liver (intrahepatic), outside the liver (extrahepatic) and right where the duct comes out of the liver (hilar).
The pancreas is an organ that sits in the upper abdomen, behind the stomach and the colon. It has two main functions. The first job of the pancreas is to make insulin which helps control the body’s sugars. This is called the “endocrine” function. The second job of the pancreas, called the “exocrine” function, is to make enzymes which help with digestion.
What We Offer
Liver, pancreas and biliary procedures performed, and illnesses treated include:
- Laparoscopic and open liver surgery
Primary liver cancer, bile duct cancer, gallbladder cancer, and metastatic cancer to the liver (colon, neuroendocrine, and other), Benign tumors (adenoma, hemangioma), and Cysts (simple, complex and hydatid)
- Laparoscopic and open pancreas surgery (Whipple, body or tail of pancreas, Cyst marsupialization, Puestow Procedure)
- Laparoscopic and open Bile duct surgery and reconstruction
Bile duct cancer, injury, stricture, bile duct cyst
- Local Regional Therapy of Cancers in the Liver
Yttrium-90 Selective Internal Radiation, Microwave Ablation, Hepatic Artery embolization
- Advanced Liver Disease Care (Hepatology)
Complications of advanced cirrhosis, portal hypertension and liver cancer screening
- Transjugular intrahepatic portosystemic shunt (TIPS) or Surgical Shunt
Complications of portal hypertension (bleeding and/or ascites)
- Liver Transplant Evaluation
Patients can have their liver transplant evaluation performed locally, have their information compiled and sent with them to a transplant center.
- ERCP (endoscopic retrograde cholangiopancreatography)
A procedure used to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas by combining use of an endoscope and x-ray
A procedure that uses small endoscopes to directly visualize the bile ducts
A procedure that uses small endoscope to directly visualize the pancreatic ducts
- EUS (endoscopic ultrasound)
A procedure using an ultrasound at the end of an endoscope to diagnose cancers in the bile ducts and pancreas