The North East’s Hepato-Pancreatico-Biliary (HPB) Centre provides highly individual, specialist services for patients with benign (non-cancerous) and malignant (cancerous) diseases of the liver, biliary system and pancreas.
We provide a service for patients from as far afield as Northumbria, Cumbria, Teesside and North Yorkshire but see many patients from all across the UK and some travel to be seen here from overseas.
Patient centred care
We are one of the busiest units in the UK led by a team of experts from many specialties including experienced surgeons, gastroenterologists, radiologists, pathologists, anaesthetists, oncologists, intensive care physicians, nurse specialists and dieticians. This is what is known as a multidisciplinary approach and every member of the team is dedicated to providing the highest quality care.
All our patients are discussed in our weekly team meeting giving the opportunity for review of your care and treatment by every member of our team. This ensures that the treatment that we deliver to you is the best we can offer and can also help speed up the organisation of any further investigations you might need.
We also have a team of HPB Clinical Nurse Specialists who provide advice and support on all aspects of your care, from the point of diagnosis throughout your treatment and follow-up care.
Advancing clinical care to benefit our patients
We combine medical expertise with an innovative approach to new technologies.
In Newcastle we have developed an innovative database that allows team members and doctors in outlying hospitals to track patients diagnosed with cancer through their “treatment journey”. Despite an increase in the number of referrals, team working has helped to reduce our waiting times and improve our surgical outcomes.
When the doctor who is currently treating you decides to ask for an opinion from the specialist team at the Freeman Hospital, they will contact the ‘Hepato-Pancreato-Biliary Team’. Alternatively you can contact the team yourself.
We will then either, arrange to see you straight away in the clinic or arrange for you to have some further investigations first. Sometimes you may be transferred from another hospital which may not have the necessary expertise (also known as a tertiary referral).
Who do we treat?
At the Freeman Hospital we treat patients with the following conditions:
We have expertise in managing patients with all liver conditions and work closely with our hepatology colleagues who specialise in the medical treatment of conditions of the liver. We also have strong links with liver transplant and some of our team are also liver transplant surgeons. Each year we do over 80 liver resections. The following liver conditions are commonly treated by us:
- Liver tumours – primary and secondary (metastases)
- Liver cysts including polycystic disease
- Benign liver lumps such as haemangiomas
- Parasitic infections such as hydatid
- Liver abscess
- Portal hypertension
- Injuries to the liver
Although gallstones tend to be a straightforward condition to treat, this is not always the case and they may be complex. In addition, the biliary system may be the site of more serious disease. We have specific expertise in treating complex biliary disease as well as the more straightforward problems including:
- Gallstones and complications
- Benign biliary strictures
- Tumours of the gall bladder and bile ducts
- Biliary infection
- Injuries to the bile duct
Pancreas and Duodenum
We are a designated UK centre for the treatment of pancreatic disease and last year we did over 100 surgical resections of the pancreas. Our mortality rate for the Whipple’s operation (pancreaticoduodenectomy) over the last 3 years has been 3%. We have specific expertise in both the more common and rarer diseases of the pancreas:
- Pancreatic cancer
- Ampullary and duodenal cancers and adenomas
- Cystic tumours of the pancreas
- Endocrine tumours of the pancreas
- Acute pancreatitis
- Chronic pancreatitis
- Injuries to the pancreas
If you would like to find out more information about our service please do not hesitate to get in touch:
Sister Nickola Kilbride
HPB Clinical Nurse Specialist (Lead)
Telephone: (0191) 213 7333