Hepato-Pancreato-Biliary (HPB)

Paediatrics

What is Hepato-Pancreato-Biliary (HPB)?

In a Hepato-Pancreatico-Biliary (HPB) department, various procedures are performed to diagnose and treat conditions related to the liver, pancreas, gallbladder, and bile ducts.

Here are some common procedures

Imaging Studies
- Ultrasound - Non-invasive imaging to evaluate liver, gallbladder, and pancreatic conditions.
- CT Scan - Detailed imaging for assessing tumours, cysts, and other abnormalities in the HPB system.
- MRI - Advanced imaging to evaluate liver lesions and biliary obstructions.
Endoscopic Procedures
- Endoscopic Retrograde Cholangiopancreatography (ERCP) - A procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions of the bile and pancreatic ducts, including stone removal and stent placement.
- Endoscopic Ultrasound (EUS) - An endoscopic procedure that uses ultrasound to obtain images of the pancreas and surrounding tissues, often used for guiding biopsies.
Liver Biopsy - Obtaining a tissue sample from the liver to diagnose liver diseases, including cirrhosis, hepatitis, and tumours.

Hepatectomy - Surgical removal of a portion of the liver, often performed for liver tumours or metastasis.
Pancreatectomy - Surgical removal of part or all of the pancreas, typically for pancreatic cancer or severe pancreatitis.
- Whipple Procedure (Pancreaticoduodenectomy) - Removal of the head of the pancreas, duodenum, gallbladder, and part of the bile duct.
Cholecystectomy - Removal of the gallbladder, usually performed for gallstones or inflammation.
- Laparoscopic Cholecystectomy - A minimally invasive technique for gallbladder removal.
Biliary Reconstruction - Surgical procedures to repair or reconstruct the bile ducts, often following injury or disease.

Percutaneous Transhepatic Cholangiography (PTC) - An imaging procedure to visualise the bile ducts, often used to relieve obstructions.
Biliary Stenting - Placing a stent in the bile ducts to relieve obstructions and improve bile flow.

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