Hepatology at Luton and Dunstable Hospital

Services

The Hepatology service is dedicated to the care and management of patients with a wide variety of liver-related disorders, in both the in-patient and out-patient settings.

The service offers:

  • Consultant-led Liver clinics on Tuesday & Wednesday mornings
  • A viral hepatitis service
  • A nurse-led hepatitis C treatment clinic on Tuesday mornings & afternoons, and Thursday mornings
  • There is close integration with the tertiary /transplant services at Addenbrooke's Hospital, including liver cancer & liver transplant MDTs, radiological meetings and histopathological services
  • Joint clinics every 3 months with Addenbrooke's for assessment and management of patients prior to liver transplantation and long-term follow-up post transplantation
  • Joint clinic every 4-6 months with GUM team for patients with co-infection with HIV and chronic viral hepatitis
  • Links with local alcohol services to provide a comprehensive approach to the management of patients with alcohol dependency

Contact details

Hepatology Department: 01582497508  Viral Hepatitis Nurse : 07775030970 
Fax: 01582565439   

Who to Refer

The service is dedicated to the care and management of patients diagnosed with acute and chronic liver disease such as;

  • Alcohol liver disease
  • Hepatitis B patients: HBsAg detected
  • Hepatitis C patients: HCV antibody detected and HCV RNA detected (PCR positive) if unsure refer if patient is HCV antibody positive
  • Non alcoholic steatohepatitis (NAFLD and NASH)
  • Autoimmune hepatitis
  • Metabolic disorders (haemochromatosis, Wilson's disease, alpha1- antitrypsin deficiency)
  • Unexplained abnormal liver function tests or unexplained jaundice
  • Primary Biliary Cirrhosis
  • Primary Sclerosing Cholangitis

If patients are being referred please ensure Chronic Liver Disease (CLD) screen (see hep C management flowchart below for full list) and liver ultrasound scan are performed.

See hepatitis C patient referral pathway.

In addition, for a patient being referred for either hepatitis B or C please ensure the following tests are done:

HCV- HCV RNA viral load, genotype.

HBV- HBV viral load.

Who not to Refer

  • People who test Hepatitis C antibody positive but PCR negative (if no record of previous PCR test, please retest)
  • People who test hepatitis B surface antigen negative but core antibody positive (HBsAg -ve, HBcAb +ve)- past exposure, naturally cleared
  • People who do not wish to be referred


Last updated: 17/08/2012

Update due: 17/08/2013