Dr. Professor Patrick Kennedy

A gastroenterologist treats diseases of the digestive system, including the oesophagus, stomach, intestines, liver, pancreas, bile ducts, and gallbladder.

You should see a hepatologist if you have liver-related issues such as hepatitis, cirrhosis, fatty liver disease, liver cancer, abnormal liver tests, or complications related to liver function.

A gastroenterologist manages all digestive system conditions, whereas a hepatologist is a gastroenterologist with additional expertise in liver, pancreas, bile ducts, and gallbladder disorders.

ERCP (Endoscopic Retrograde Cholangiopancreatography) is a specialised endoscopic procedure used to diagnose and treat problems in the bile ducts and pancreatic ducts, such as blockages, stones, or strictures.

Yes, hepatologists trained in endoscopy can perform diagnostic and therapeutic endoscopic procedures, including ERCP, to manage bile duct and pancreatic conditions.

Some liver conditions, such as hepatitis B and C, fatty liver, and autoimmune liver disease, can be treated effectively if diagnosed early. Advanced liver disease may require transplantation.

They evaluate patients for transplant, manage them before and after surgery, and coordinate care with transplant surgeons to ensure the best outcomes.

In most cases, yes. Patients are usually referred by their GP or another specialist when specific liver or digestive issues are identified.

Common tests include liver function tests, ultrasound, MRI/CT scans, FibroScan (to check liver stiffness), liver biopsy, and endoscopic procedures like ERCP.