About liver medicine
The liver is the largest solid organ in the body and plays a vital role in keeping you healthy. When the liver doesn’t work properly, it can affect your ability to filter out toxins, break down fat and make vital proteins.
Hepatology is a branch of medicine concerning the study and management of conditions that affect the liver, gallbladder, biliary tree, and pancreas.
At Cromwell Hospital, we have a team of highly experienced hepatologists and hepatobiliary surgeons that provide world-leading care and advanced treatments for conditions including liver cancer, liver disease and other complex illnesses.
Our expert liver team
The liver medicine unit within our Liver and Renal Centre is staffed by our team of consultant hepatologists, hepatobiliary surgeons and other supporting healthcare professionals.
At Cromwell Hospital, we pride ourselves on our multidisciplinary approach to patient care. Our multidisciplinary team (MDT) meets regularly and involves a diverse network of medical specialists, including hepatologists, oncologists, surgeons and more.
Together, our specialists devise unique, tailored treatment plans for each patient, allowing them to receive the best, most informed care possible.
Liver conditions we treat
'Liver disease’ is an umbrella term for a wide variety of conditions that affect the function of the liver. This includes conditions such as alcohol-related liver disease, hepatitis, lesions and cirrhosis.
Alongside our Integrated Cancer Campus, we also treat various cancers, including those of the liver, gallbladder, bile ducts and pancreas.
Diagnostic services for liver conditions
Assessing a suspected liver condition begins with having a consultation and undergoing diagnostic tests at our private hospital in west London. For our patients’ convenience, all the required tests are performed on the same day, under one roof.
Tests that you may receive include liver function tests (LFTs), liver elastography, and scans including MRI, CT and ultrasound.
Treatment for liver conditions
At the Liver and Renal Centre, we pride ourselves on offering the very latest and most advanced treatments for patients with liver conditions, including private liver transplants.
We are one of the only hospitals in London to offer treatment using the MR Linac – a powerful MRI scanner and linear accelerator that locates and destroys difficult-to-treat tumours. We also offer selective internal radiation therapy (SIRT), a type of internal radiotherapy used to treat tumours that cannot be treated through other means.
Clinical interests: Hepatobiliary disease, interventional endoscopy
Languages spoken: English
Clinical interests: Endoscopy, dyspepsia, inflammatory bowel disease, liver disease, bowel cancer screening
Languages spoken: English/Hindi/Punjabi/Urdu
Clinical interests: Endoscopy, bowel disturbance, liver disease, pancreas and biliary disease.
Languages spoken: Arabic/English
Mr Adam Frampton
/ Consultant General & Hepato-Pancreatico-Biliary Surgeon
General surgery, General, Hepatobiliary, Upper GI surgery
Clinical interests: Removal of skin ‘lumps and bumps’ (e.g. lipoma, sebaceous cysts, skin tags, abscess drainage); Gallstone disease (Open/laparoscopic cholecystectomy (gallbladder removal) with on-table cholangiography, Open/laparoscopic common bile duct (CBD) exploration and clearance, Completion cholecystectomy (previously abandoned elsewhere), Repair of bile duct injuries/biliary reconstruction); Groin and abdominal wall hernia repair (e.g. inguinal, femoral, umbilical, incisional, recurrent); Management of acute and chronic pancreatitis (multidisciplinary and multimodal approach); Pancreatic pathology (benign/malignant) e.g. Pancreatic cancer, Pancreatic cystic lesions (Open/laparoscopic distal pancreatectomy and splenectomy, Pancreaticoduodenectomy (Whipple's procedure/PPPD), Total pancreatectomy and splenectomy, Central pancreatectomy); Biliary and liver pathology (benign/malignant) (e.g. gallbladder polyps, hepatocellular carcinoma, colorectal liver metastases, biliary-tract cancers (gallbladder, ampullary, cholangiocarcinoma), liver cysts, liver adenoma, focal nodular hyperplasia), Open/laparoscopic liver resection (hepatectomy); Splenectomy for haematological malignancies; Excisional biopsy, including groin and axillary lymph nodes; Diagnostic laparoscopy to investigate abdominal symptoms; Duodenal pathology (e.g. gastrointestinal stromal tumours (GIST), duodenal adenoma/cancer); Management of neuroendocrine tumors (NET) such as small bowel/carcinoid and pancreatic, as well as metastatic disease to the liver; Robotic surgery; Multimodal treatment to increase the resectability of patients with advanced pancreatic cancer and colorectal liver metastases; Assessment of acute abdominal problems and emergency surgery (e.g. laparoscopic appendicectomy for appendicitis, abscess drainage, treatment of bowel obstruction/bowel perforation); Surgical oncology
Languages spoken: English
Clinical interests: General hepatology, liver transplantation
Languages spoken: English/French
Clinical interests: Complex hepatobiliary surgery.
Languages spoken: Arabic/English/Italian
Clinical interests: Leading the minimum invasive liver and pancreatic surgery in the UK and internationally, and open surgery for advanced pancreatic and liver cancers, having performed the largest number of laparoscopic and Robotic pancreatic and liver operation in the UK, including the 1st Robotic Whipple’s operation in the UK and Malaysia, and 1st synchronous liver resection. Described a number of new techniques for pancreatic and liver operations such as non-touch technique for pancreatic cancer surgery (JAMA Surg 14), pancreatic anastomosis following resection -LVPJ (Arch Surg 11) and LPG (HBNS 16), and rapid induction of liver regeneration prior to major liver resection -RALPPS (Ann Surg 15; Cancers 19).
Languages spoken: Chinese/English
Dr David Sherman
/ Consultant Physician, Gastroenterologist & Hepatologist
Gastroenterology, Endoscopy, Hepatobiliary, Inflammatory bowel disease
Clinical interests: All aspects of liver and biliary/pancreatic disease. Endoscopy, inflammatory bowel disease, dyspepsia, Helicobacter, irritable bowel syndrome.
Languages spoken: English
Clinical interests: Upper and lower gastrointestinal cancer, gastro-oesophageal reflux, Barrett's Oesophagus, bowel screening, IBS, Crohn’s and colitis, pancreas and hepatobiliary disorders. Procedures including endoscopy, colonoscopy, ERCP, EUS, EMR/ESD, capsule endoscopy, oesophageal manometry and pH studies.
Languages spoken: English/Punjabi/Urdu
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