The Loma Linda University Medical Center (LLUMC) Transplantation Institute has earned a reputation for providing compassionate, whole-person care. Our Complex Liver & Digestive Tract Surgery Program (Hepatobiliary Services) offers cutting-edge diagnostic and treatment options for patients suffering from liver, hepatobiliary, gall bladder, bile duct and pancreatic disease through each stage of the clinical process. Here’s our full range of surgical and non-surgical treatments:
- Complex Surgical Repair of Biliary Duct System
Our staff includes a groupof professionals ready to serve patients' needs – from arranging appointments with specialists and helping sort out insurance issues to performing the complex liver transplant surgeries and monitoring follow-up care. Working together on behalf of the patients under their care are:
- Medical oncologists
- Radiation oncologists
- Interventional radiologists
- Social workers
Conditions We Evaluate (Hepatobiliary Services)
Biliary DiseaseDiseases of the bile duct can affect any part of biliary function or anatomy. At LLUMC&CH, we offer the best in surgical treatment for perihilar, distal and intrahepatic disease.
- Carcinoma of the gallbladder
- Malignant tumors of the bile duct
- Bile duct injuries – A potentially life-threatening condition due to complication of laparoscopic cholecystectomy (surgical removal of gallbladder).
- Bile duct strictures – A condition caused by the abnormal narrowing of the bile duct.
- Choledochal cysts – Congenital bile duct anomalies.
- Cholestatic disease
- Biliary cirrhosis
Pancreatic cancer is the fourth leading cause of cancer deaths in the US. Early and expert intervention is critical to prognosis. LLUMC’s excellence in surgical treatment offers hope patients with:
Hepatic (Liver) Disease
Recent advances in diagnosing, staging and treating hepatic (liver) disease offer more potentially curative therapies. The LLUMC&CH Transplantation Institute maintains state-of-the-art facilities and equipment, coupled with an expert staff skilled in the latest generation of procedures.
- Hepatocellular carcinoma
- Benign tumors and cysts of the liver – Noncancerous tumors or growths on or in the liver.
- Portal hypertension
- Hepatic trauma – Life-threatening injury to the liver resulting from open or closed injury. Open injury refers to knife and gunshot wounds and closed injuries tend to occur from severe impact such as road traffic collisions and falling from great heights.
Surgical and non-surgical interventions for biliary, pancreatic and hepatic disease are complicated and require the skill and resources of an experienced team. LLUMC&CH offers cutting-edge surgical techniques and non-surgical procedures, giving patients a chance at improved outcomes and long-term survival.
- Biliary resection
- Bile duct removal – A new duct is created by joining duct openings at the liver to the intestine.
- Whipple procedure – Involves removing the gallbladder, head of the pancreas, part of the small intestine, part of the stomach and bile duct. Once removed, the pancreatic duct, bile duct and stomach are connected to another part of the small intestine so that pancreatic juices, bile and food may be drained into the small bowel.
- Biliary drainage
- Biliary bypass – The gallbladder or bile duct is severed and attached to the small intestine. This creates a pathway around the blocked area.
- Stent placement – A stent is placed within the bile duct to drain its buildup.
- Pancreatic resection
- Pancreaticoduodenectomy (Whipple procedure) - Involves removing the gallbladder, head of the pancreas, part of the small intestine, part of the stomach and bile duct. Once removed, the pancreatic duct, bile duct and stomach are connected to another part of the small intestine so that pancreatic juices, bile and food may be drained into the small bowel.
- Distal pancreatectomy – Extracting the body and tail of the pancreas. In some cases, the spleen is also removed.
- Palliative surgery
- Surgical biliary bypass –Bile accumulates in the gallbladder if the small intestine is blocked. In turn, the gallbladder or bile duct is severed and reattached to the small intestine, creating a pathway around the blocked area.
- Endoscopic stent placement – When a tumor blocks the bile duct, a stent is placed to allow for drainage outside of the body or into the small intestine.
- Gastric bypass – When a tumor blocks the flow of food from the stomach, it may be attached directly to the small intestine to bypass blockage.
- Surgical Resection (open or laparoscopic) – Invasive or minimally invasive surgical removal of a portion of the liver including various types of liver tumors.
- Liver Transplantation - A surgical procedure that replaces a patient’s diseased liver with a complete or a portion of a healthy donor liver. Through LLUMC’s comprehensive, multidisciplinary approach, patients now enjoy a one-year success rate which is higher than the national average.
- Ablation (radiofrequency or cryosurgery) – Ablative therapies may increase a patient’s survival time. Radiofrequency ablation (RFA) delivers localized high-energy radio waves with the aid of ultrasound. Cryoablation uses freezing cold temperatures passed through a probe to destroy tissue.
- Percutaneous ethanol injection therapy (PEIT) – Also referred to as ethanol ablation, it involves injecting pure alcohol directly into the tumor using a thin needle. Alcohol results in the localized death of cancerous tissue through dehydration.
- Proton Beam Therapy – A high dosage of radiation delivered through a proton beam directly to the tumor, destroying cancer cells while sparing healthy tissue.
With the accessibility of our facilities and ease of scheduling an appointment, LLUMC&CHs compassionate staff is dedicated to providing you with whole-person care. Our commitment to the well-being of your mind, body and spirit begins with your request for an appointment. Make an appointment by calling us toll-free at 1-800-548-3790 or locally at 909-558-3636, by filling out our online request form or by visiting our facilities today.
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