Liver & Biliary Diseases
The most advanced care for all types of liver and bile duct diseases and disorders
Comprehensive Care from Renowned Liver Disease Experts
Diseases of the liver can have dramatic consequences. Your liver filters toxins from your blood and performs several other vital functions. So when it is not working well, it affects the rest of your body. The liver teams in NewYork-Presbyterian's Center for Liver Disease and Transplantation are among the best in the world and attract patients from across the globe.
Our experienced liver specialists provide a full range of treatments, including medications, interventional approaches, and minimally invasive surgeries that are not widely available elsewhere. We are also national leaders in liver transplantation — with one of the country’s largest living donor liver programs — and offer this approach for people whose liver disease cannot be effectively treated using other methods.
What causes liver disease?
There are many different causes of liver disease, some of which are not known. Among the most common known causes are:
- Excessive alcohol use or drug abuse
- Hepatitis A, B, and C viruses
- Autoimmune disorders
- Congenital problems, meaning you are born with a liver disorder
- Genetic factors, with some families inheriting a predisposition to liver problems, such as hemochromatosis and Wilson disease
- Non-alcoholic fatty liver disease in the setting of type 2 diabetes, obesity, and high cholesterol/triglycerides
What we treat
Our teams provide care for every type and stage of liver and bile duct disorder, including:
- Acute liver failure
- Autoimmune hepatitis
- Bile duct cancer (cholangiocarcinoma)
- Primary (PSC) and secondary sclerosing cholangitis
- Cirrhosis of the liver
- Fatty liver disease, including non-alcoholic steatohepatitis (NASH)
- Gallstones and other gallbladder diseases
- Hepatitis B
- Hepatitis C
- Hepatitis D
- Liver and bile duct cancer (hepatocellular carcinoma and cholangiocarcinoma)
- Portal hypertension
- Primary biliary cholangitis (PBC)
Signs & symptoms of liver problems
Many liver diseases have no symptoms until the liver condition becomes more advanced. That is why your primary care doctor should screen for liver diseases and hepatitis using blood tests. If you have liver or biliary disease, your symptoms may vary depending on which type of disorder you have and how advanced it is. Some of the most common symptoms include:
- Pain in the right upper abdomen
- Jaundice (yellowing of the skin and the whites of the eyes)
- Itchy skin
- Swelling of the abdomen
- Change in the color of the urine and/or stool
- Fatigue (feeling tired)
- Loss of appetite
- Feeling confused/disoriented
Advanced diagnostic techniques
Liver diseases can cause symptoms that mimic other illnesses, so an accurate diagnosis is necessary. It is also essential to evaluate the condition of your liver and determine much scarring (if any) has developed. We have all of the tools to diagnose the cause of your symptoms, including liver biopsy, interventional endoscopic procedures, and imaging tests. We also use non-invasive technologies such as Fibroscan® and magnetic resonance elastography, which enables us to assess the condition of your liver without having to do a liver biopsy. From routine blood tests to sophisticated radiologic and endoscopic techniques, you can receive all the testing you need at NewYork-Presbyterian.
Our approach to care
Our liver care teams include hepatologists (liver doctors), gastroenterologists, interventional endoscopists, liver surgeons, oncologists, infectious disease specialists, nurses and nurse practitioners, physician assistants, registered dietitians, psychiatrists, social workers, and others with experience caring for people with liver disorders. Your team includes internationally renowned leaders in research, too, ensuring you are receiving the most up-to-date therapies available today.
Many liver diseases are associated with other disorders or have complications. If this is the case for you, we can connect you with other doctors at NewYork-Presbyterian to address those medical needs as well — all in one medical center — so you can receive seamless, coordinated care.
Customized care for liver and biliary diseases
Your team assesses your disease and overall health to choose the most effective treatment for you. In addition to medical treatment and surgery, we offer advanced procedures such as:
Interventional endoscopy. Many liver and gallbladder diseases once treated with invasive surgery can now be managed with interventional endoscopy: procedures performed through a flexible tube inserted into your mouth (following sedation) to gain access to the bile duct. NewYork-Presbyterian has the largest and most pre-eminent interventional endoscopy programs in the New York region. Examples of the procedures offered for liver and bile duct diseases include:
- Endoscopic ultrasound
- Spyglass visualization and probe-based confocal endomicroscopy, using a small scope to view the small branches of the bile duct
- Narrow band imaging to view the liver and bile ducts
- Magnetic resonance cholangiopancreatography (MRCP)
- Endoscopic retrograde cholangiopancreatography (ERCP) to image the biliary system and treat bile duct blockages
Interventional radiology. Our internationally recognized interventional radiologists use the most up-to-date techniques to diagnose and treat multiple liver conditions, including biliary obstruction, portal hypertension, and liver cancer.
Liver transplantation. Our surgeons in the Center for Liver Disease and Transplantation have performed more than 2,500 liver transplants. They use a variety of approaches including living donor liver transplantation to extend the limits of organ transplantation and provide the greatest number of transplants possible.
Investigational therapies. Patients whose disease cannot be effectively treated with other means may be eligible to participate in a clinical trial of a promising new therapy.
Why choose us
People who come to NewYork-Presbyterian for the care of liver and biliary diseases benefit from the expertise of renowned physicians and surgeons, access to every type of treatment available, and opportunities to receive innovative therapies. We take the least invasive approach possible to achieve the best outcomes while supporting your quality of life.
Patients are more likely to receive a liver transplant here than at other hospitals in the region, with liver transplant outcomes meeting or surpassing national and regional averages. Our transplant rate (the likelihood of getting a transplant while on the waiting list) and waiting list survival far exceed all other programs in the region. Contact us today for an appointment to learn how we can help you.
Liver care in the news
NewYork-Presbyterian Celebrates 2,000 Liver Transplants
The Center for Liver Disease and Transplantation at NewYork-Presbyterian recently celebrated its 2,000th transplant with a ceremony at Pier 59 at Chelsea Piers. Leadership from NewYork-Presbyterian, Columbia University Medical Center and Weill Cornell Medicine were on hand to pay tribute to the many physicians, donors and recipients touched by the program.
Liver care in the news
Learn how we help our patients stay amazing
I had my transplant on my first birthday. My dad gave me a piece of his liver. It’s never going to be easy; you just have to be strong because it will all work out.
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NewYork-Presbyterian/Columbia University Irving Medical Center
Center for Liver Disease & Transplantation
NewYork-Presbyterian/Weill Cornell Medical Center
Gastroenterology & Hepatology
NewYork-Presbyterian/Weill Cornell Medical Center
Division of Liver Transplantation, Hepatobiliary and Pancreatic Surgery
Division of Gastroenterology
NewYork-Presbyterian Brooklyn Methodist Hospital
Center for Liver Diseases
NewYork-Presbyterian Lawrence Hospital
Digestive Disease Care
NewYork-Presbyterian Hudson Valley Hospital
Gastroenterology and Hepatology, Weill Cornell Medicine
Division of Digestive and Liver Diseases, NewYork-Presbyterian/Columbia
Center for Advanced Digestive Care, NewYork-Presbyterian/Weill Cornell
Division of Liver Transplantation, Hepatobiliary and Pancreatic Surgery, NewYork-Presbyterian/Weill Cornell
NewYork-Presbyterian Weill Cornell Center for Liver Disease and Transplantation
NewYork-Presbyterian Columbia Center for Liver Disease and Transplantation
Division of Gastroenterology, NYP Queens
Digestive Health, NYP Hudson Valley
Center for Liver Diseases, NYP Brooklyn Methodist