Hepatology and liver disease
The L&D provides a hepatology clinical service covering all aspects of liver disease, with dedicated liver clinics as well as endoscopy lists for variceal treatment.
Treatment for hepatitis B and hepatitis C patients are available locally. Other liver diseases such as alcoholic & non-alcoholic liver disease, auto-immune hepatitis as well as metabolic liver disease (such as iron or copper overload conditions) are managed here too.
Luis Neto Pereira was recently appointed as the Hepatology Clinical Nurse Specialist. He holds a bleep – 815 and offers advice about hepatology patients, facilitates reviews, being in-reach to wards. He is trained in Paracentesis, performing Ascitic drains for end stage Liver Disease Patients. Luis is also starting is HBV clinics.
He has an important role as liaison with community services to ensure our patients are well supported. Luis can be contacted on 07929796708 or [email protected]
Marie Therese Moore is the viral hepatitis nurse specialist here at the Luton and Dunstable Univeristy Hospital. Her working days are Tuesday and Thursday. She can be contacted on her mobile number 07775030970 or email [email protected]
Therese runs outpatient clinics offering trreatment and monitoring for patients who have HCV and HBV. Therese also works closely with the ODN at Addenbrookes. Luton and Dunstable is a sub-hub of the operational delivery network which ensures the availability of the new direct acting antivirals to all those infected by HCV.
Training is provided for both internal and external staff and Therese runs case finding events for hepatitis C, targeting high risk populations across Luton.
Fibroscan – The Luton and Dunstable Hospital run a fibroscan service on a Tuesday and Thursday each week. Please refer to Martin McGrath, Fibroscan Technician, Hepatology Department, Luton and Dunstable Universiyt Hospital.
The Hepatology team also has strong well-established links with Addenbrookes Hospital in Cambridge, where complex liver patients, including those with acute liver failure, liver cancers & potential candidates for a liver transplant are referred.
Joint clinics with the hepatology team from Addenbrookes are conducted quarterly, where potential transplant candidates can be assessed at an early stage, and patients who have already been transplanted are followed up. Joint clinics are also conducted with Genito-urinary medicine for patients with viral hepatitis & HIV.
The following research trials are being conducted by Dr S Sen and Dr P Khanna
- UK-PBC, UK-PSC
- AURORA (drug trial fatty liver disease)
Endoscopic treatments available at the L&D for managing varices include:
- band ligation (applying a rubber band on the varix in the gullet to eradicate it),
- sclerotherapy (injecting a blood clotting agent directly into the varix), and
- superglue injection (again, directly into varices in the stomach).