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Liver Care

Also known as Hepatology

Personalized liver disease care

Comprehensive Care for Liver Disease

Liver disease can happen to anyone. Lahey Clinic provides advanced treatments to help you live longer and feel better. In some cases, you may completely recover.

You get personalized care and expertise from our specialists. Our team approach to treat liver disease can help you achieve healing, recovery and the chance to live a full life.

Conditions We Treat

At Lahey, we manage the full range of liver disease. We are experts in hepatology, a specialty focused on the liver, bile ducts, gallbladder, and pancreas. This specialty is also called hepatobiliary-pancreatic care.

For some liver conditions, you may not feel liver disease symptoms until your illness is serious. Other conditions can lead to complete liver failure, which is life-threatening.

We treat dozens of liver conditions, including:

  • Acute severe hepatitis
  • Alcohol induced liver disease
  • Alpha-1 antitrypsin deficiency
  • Autoimmune hepatitis
  • Benign liver or bile duct growth
  • Drug induced liver injury
  • Hemochromatosis
  • Liver and bile duct cancer
  • Primary biliary cholangitis
  • Primary sclerosing cholangitis
  • Severe hepatitis B
  • Wilson’s disease

Diagnosing Liver Disease

Your care team will use one or more tests to make a diagnosis. Options include:

  • Blood tests: A blood sample shows your levels of certain enzymes and proteins. This indicates how well your liver is functioning. These tests can diagnose a problem if you have symptoms or be part of a regular checkup.
  • Endoscopic retrograde cholangiopancreatography (ERCP): You get this test at Lahey’s Advanced Endoscopy Center. ERCP diagnoses bile duct problems. The bile ducts carry bile from the liver to the gallbladder.
  • Imaging: Imaging tests help your doctor pinpoint your liver condition. Imaging tests we use include computed tomography (CT), magnetic resonance imaging (MRI) and ultrasound.
  • Advanced imaging: We offer an advanced test called magnetic resonance cholangiopancreatography (MRCP). This is a special type of MRI. MRCP creates detailed images of the bile ducts inside and outside the liver.
  • Liver biopsy: A small sample of liver tissue is studied under a microscope. Your doctor may do a biopsy if your liver is not functioning well. A blood test or your symptoms can show the need for a biopsy.

Liver Cancer Screenings

If you are at high risk for liver cancer, Lahey provides specialized screenings. You may be at risk if you:

  • Have hepatitis
  • Received a liver transplant

Treating Liver Disease

Your treatment options depend on your diagnosis. The liver experts at Lahey provide the best care plan for you.

We treat common and complex liver disease. Your care may include:

  • Lifestyle changes, such as:
    • Avoiding alcohol
    • Weight management
  • Medications
  • Liver transplant
  • Surgery

We also offer supportive care, such as:

More About Liver Care

Liver Transplant

When your liver is failing, your doctor may recommend a liver transplant.

Your transplant team provides top quality care from experts who specialize in liver transplantation. The team includes:

  • Liver specialists
  • Nurses
  • Nutritionists
  • Social workers
  • Surgeons

You can trust Lahey with your transplant procedure. We perform more liver transplants than any other healthcare center in New England.

At Lahey, you get care from a team with a deep understanding of how to treat transplant patients. We were the first medical center in New England to perform a:

  • Successful liver transplant
  • Live adult-donor liver transplant

Today, our live adult donor liver transplant program is the largest in the United States.

Liver Decompensation

If your liver condition is severe, the Lahey Liver Decompensation Clinic can help. Your doctor can refer you to the clinic, which is located in the Division of Transplantation and Hepatobiliary Diseases, by calling 781-744-2500 or faxing 833-461-0694. Providers can also visit the Specialty Referral Page for additional referral information.

When referred to the clinic, you receive:

  • A quickly scheduled appointment, based on your need
  • Coordinated care from a team of experts
  • Dedicated support from a nurse navigator and a physician assistant

Your care team is available to answer your questions at any time.

You may benefit from clinic care if you are experiencing liver failure and:

  • Confusion
  • Fluid build-up
  • Internal bleeding
  • Jaundice

Your doctor may refer you to the Decompensation Clinic if you have:

  • Decompensated cirrhosis, regardless of alcohol use
  • Severely abnormal liver enzymes
  • A decompensated liver disease such as:
    • Acute severe hepatitis
    • Alcohol induced liver disease
  • Drug-induced liver injury
  • Severe autoimmune hepatitis
  • Severe hepatitis B

Your clinic treatment options include:

  • Advanced care of your medical complications from a team of specialists
  • Endoscopic management of your liver condition
  • Interventional radiology
  • A liver transplant
Ongoing Care & Support

As a Lahey patient, your care doesn’t end when you leave the hospital. We walk at your side during your recovery. Your care team helps you plan for a safe return home. You can expect:

  • Access to community resources
  • Follow-up care
  • Monitoring of your recovery
  • Support for you and your family
  • Recommendations to continue healing

If you received a liver transplant, we help you:

  • Connect with support groups
  • Manage your medicines

Division of Transplant & Hepatobiliary Diseases

Experts in our Division of Transplant and Hepatobiliary Diseases specialize in the care of people with kidney, liver, bile duct and gallbladder disorders, and they also offer extensive research, education and training opportunities.