Hepatobiliary (HPB) Services

Hepatobiliary (HPB) surgery is non-transplant surgery of the liver and bile ducts. While this type of surgery is used to treat cancerous tumors of the liver and bile ducts, it also is used for noncancerous conditions.

We closely integrate the practice of hepatobiliary surgery with liver transplantation because the same team members--medical physicians with expertise in the care of liver diseases, surgeons with expertise operating on the liver and bile ducts, and nurse coordinators who guide you through the process--take care of both of these patient populations. In addition, for some patients, liver transplantation can be an option when there are no other traditional surgical options left. Our team also serves as the Liver Multidisciplinary Oncology Group (MOG) for the University of Iowa Holden Comprehensive Cancer Center.

Medical and Surgical Hepato-Biliary Disease Diagnoses and Procedures

  • Surgical Liver Problems
    • Liver Cysts
      • Infectious
        • Bacterial Abscesses
        • Amebic Cysts
        • Parasitic Cysts (Hydatid/Echinococcus)
         
      • Congenital
        • Simple cysts
        • Polycystic Disease
         
      • Malignant
        • Cystadenoma
        • Cystadenocarcinoma
         
       
    • Solid Liver Masses
      • Unknown liver mass
      • Benign liver mass
        • Hemangioma
        • Adenoma/adenomatosis
        • Focal Nodular Hyperplasia
        • Focal fatty change
        • Hamartoma
        • Other benign masses
         
      • Liver cancers
        • Primary Liver cancers
          • Hepatocellular Cancer (liver cancer)
          • Cholangiocarcinoma (intra-hepatic)
          • Angiosarcoma
          • Other primary liver cancers
           
        • Metastatic Cancers to the liver
          • Metastatic colon/rectal cancer
          • Metastatic breast cancer
          • Neuro-endocrine tumors
          • Renal Cell Cancer
          • Melanoma
          • Other metastatic Cancers
           
         
       
     
  • Surgical Gall Bladder and Bile Duct Problems
    • Benign Gall Bladder and Bile Duct Problems
      • Cholecystitis (acute or chronic)
      • Obstructing Gall stones or Common bile duct stones
      • Gall bladder polyps
      • Bile duct strictures
      • Bile duct surgical or endoscopic injuries (acute or chronic)
      • Choledochal Cysts (cysts of the bile duct)
      • Biliary Cystadenomas
       
    • Tumors of the Gall Bladder and Bile Duct
      • Gall Bladder Cancer
      • Cholangiocarcinoma (extra-hepatic, Klatskin’s tumor)
       
     
  • Medical Hepato-Biliary Diseases
    • Diagnostic Services
      • Abnormal Liver Tests
      • Unknown Liver Mass
      • Liver Biopsy or Pathological Interpretation by Hepato-pathology
       
    • Viral Hepatitis
      • Hepatitis A
      • Hepatitis B (acute or chronic)
      • Hepatitis C (acute or chronic)
      • Hepatitis D
      • Hepatitis E
       
    • Alcohol Related Liver Disease
      • Alcoholic Fatty Liver disease
      • Alcoholic Hepatitis
      • Alcoholic Cirrhosis
       
    • Other Causes of Liver Injury
      • Non-alcoholic Fatty Liver disease (NAFLD)
      • NASH (non-alcoholic steatohepatitis)
      • Autoimmune Hepatitis
      • Ischemic Hepatitis (low blood pressure induced)
       
    • Cholestatic Liver Diseases
      • Gilbert’s Syndrome
      • Crigler-Najjar Syndrome
      • Dubin-Johnson Syndrome
      • Biliary Atresia
      • Primary Biliary Cirrhosis
      • Primary Sclerosing Cholangitis
       
    • Drug Induced Liver Disorders
      • Drug Induced Liver Injury
      • DRESS (drug related eosinophilia and systemic symptoms)
      • Cholestatic Injury
       
    • Inherited (Genetic) Liver Diseases
      • Alpha-1 Antitrypsin Deficiency
      • Alagille’ s Syndrome
      • Amyloidosis
      • Galactosemia
      • Glycogen Storage Diseases
      • Hemochromatosis
      • Primary Oxalosis
      • Wilson’s Disease
      • Ammonia Cycle Disorders
       
    • Cirrhosis, Its Complications, and Its Treatments
      • Hepatic Encephalopathy (hyperammonemia)
      • Hepatopulmonary Syndrome
      • Porto-pulmonary Hypertension
      • Esophageal Varices and other Porto-systemic shunts
      • Hepatic Ascites
      • Portal Hypertension
      • Transjugular Intrahepatic Portal Systemic Shunts (TIPSS)
       
     
  • Common Diagnostic and Treatment Procedures Offered
    • ERCP
    • EUS - Endoscopic Ultrasound
    • PTC/Stenting
    • Angiography
    • TACE, Bland embolization for tumors
    • RFA
    • Y-90 beads
    • Stereotactic Body Radiation Therapy (SBRT)
    • Brachytherapy
    • Chemotherapy
    • Surgical procedures from cholecystectomy to liver transplantation
     

To Refer a Patient

Please call the UI Organ Transplant and Hepatobiliary Center: 877-386-9109. Whether you have benign problems like liver cysts, solid masses (adenomas, focal nodular hyperplasias) or biliary problems (stones, cysts, or bile duct injuries) or malignant lesions like liver cancers (primary or metastatic) or bile duct cancers, specialists at our center have the experience and options to offer comprehensive care.

The HPB Team at UI Hospitals and Clinics

We successfully care for our patients with liver problems using a large integrated team of highly specialized and skilled providers.

Your care will benefit from the expertise of liver and transplant surgeons and hepatologists, who specialize in care of liver patients and radiation oncologists, who treat cancer with x-rays.

Other members of our team include interventionalists, who perform non-surgical diagnostic and therapeutic procedures on the liver and bile ducts; medical oncologists, who treat cancer with chemotherapy; and tumor board coordinators, who link us closely to the cancer research, teaching, and treatment provided by Holden Comprehensive Cancer Center.