Main treatment areas


The Fibroscan is a valuable diagnostic tool for screening patients for liver fibrosis, particularly with alcoholic and with non alcoholic fatty liver disease, associated with type 2 diabetes and obesity.

It is also used before and during the treatment of hepatitis B and C, to assist in assessing the degree of liver damage.
The Fibroscan is carried out at 116 Harley Street using the latest model, which includes measurement of both fat content and fibrosis.

Viral Hepatitis

The Centre was the first in London to introduce the new antiviral agents for hepatitis infection, which give a much higher cure rate. This is based on a highly efficient outpatient service, with a specialist hepatitis nurse and a rapid reporting system of 36 to 48 hours for virological tests. The latest regimes are monitored by a Consultant and the specialist nurse, who also offers side effect management and counselling support. Disease progression and damage severity can be assessed using day case liver biopsy and outpatient fibroscan assessment.

Cirrhosis and end stage liver disorders

The Liver Centre offers a full range of biochemical and microbiological tests, together with the availability of radiological imaging through CT, MRI and PET CT.

For management of portal hypertension and variceal banding we have expert gastrointestinal endoscopists. As well as ALFA pump implantation, we also carry out TIPS procedure (Trans Intrahepatic Porto-Systemic Shunt), which can significantly improve quality of life in patients with ascites and variceal bleeding.

For patients with severe decompensation, including liver and renal failure, the use of the extracorporeal MARS system (Molecular Absorbant Recirculating System) is carried out in the Intensive Care Unit, in conjunction with the Consultant Liver Intensivist.

Liver tumours

Diagnostic imaging and guided liver biopsy are available and are performed at the main London Clinic hospital site.
For primary and secondary metastatic disease Consultant Liver Surgeons perform either restricted or extended liver resections, with or without prior portal vein embolization to enhance regeneration of the remaining liver.

Malignant tumours are also controlled by chemoembolization and radiofrequency ablation, performed by specialist Radiology Consultants, with the addition of Sorafenib drug administration.

Fatty liver disease

Diagnostic measurement of hepatic steatosis (fatty liver) can be made by the latest Fibroscan technology. Patients can be supported by pharmacological agents and lifestyle advice and guidance where necessary. There is also the facility for selected case referral for bariatric surgery.

Autoimmune disorders

The Liver Centre offers a full range of serum antibody and immunological investigations for autoimmune hepatitis, primary biliary cirrhosis and primary sclerosing cholangitis. Diagnostic liver biopsy and surveillance ultrasound follow up examinations also take place, in addition to monitoring of immunosuppressive agent blood levels.

Liver transplantation

We have close links with the Kings College Hospital Transplant Unit and potential donors for living donor liver transplants can be matched and worked up using the latest CT and computer based imaging.
Both on an inpatient and long term outpatient basis we care for patients who have had their liver transplanted elsewhere.