Hepatology (Liver Care)

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Liver Disease Care (Hepatology)

Coordinated, Compassionate Care


Young boy being examined by Nemours hepatologist.

The liver is the body’s largest solid organ. It lies next to the stomach on the right side of the abdomen. The liver has many jobs, including cleansing the blood of toxins and producing bile (which helps to break down food during digestion). Whether your child was born with a liver condition or developed one from an infection or disease, at Nemours we can help.

Conditions We Treat

Conditions We Treat


All board-certified pediatric gastroenterology physicians (gastroenterologists) have training and expertise in pediatric liver conditions as well as digestive health. Some gastroenterologists also have advanced training in liver transplants and are called, “hepatologists.” At Nemours, we evaluate and treat a wide range of pediatric liver diseases, as well as provide care both before and after liver transplants.

We see a full spectrum of conditions — far too many to list here. The conditions we treat vary depending upon the location and providers selected. Don’t see a condition listed? Call us.

  • acute liver failure (when the liver fails to work and symptoms develop over a short period of time)
  • Alagille syndrome (rare inherited disorder when a child doesn’t have enough bile ducts — tubes that carry bile out of the liver and gallbladder to the intestine)
  • alpha-1 antitrypsin deficiency (inherited disorder that can cause liver or lung disease)
  • autoimmune hepatitis (when the body’s own immune system attacks the liver)
  • biliary atresia (when a child is born with a blockage in the bile ducts)
  • chronic cholestasis (impaired or stopped bile flow)
  • cirrhosis (damaged liver with scar tissue)
  • cystic fibrosis-associated liver disease
  • drug toxicity (liver injury caused by drugs)
  • elevated liver enzymes (when inflammation or liver damage causes a high level of enzymes — the digestive juices that help break down food in the small intestine)
  • enlarged liver or spleen (located in the upper left part of the abdomen under the ribcage)
  • fatty liver disease (excess fat stored in the liver)
  • glycogen storage disease (abnormality in the way the body stores and releases glucose — the main type of sugar in the blood and a the major source of energy for the body’s cells)
  • hepatitis B and C (viruses that can lead to liver scarring, failure or cancer)
  • intestinal failure from liver disease
  • jaundice in healthy newborns (yellowing of the skin and whites of the eyes caused by the liver’s inability to get rid of bilirubin, an orange-yellow substance formed in the liver)
  • liver disease without a known cause
  • liver tumors 
  • metabolic liver disease (caused by a problem with the body’s enzymes)
  • nonalcoholic fatty liver disease (NFLD) (build-up of fat in the liver)
  • progressive familial intrahepatic cholestasis (PFIC) (inherited disorder that causes liver disease that gets worse over time)
  • schlerosing cholangitis (narrowed or blocked bile ducts)
  • Wilson’s disease (inherited disorder that causes a build-up of copper in the body) 
Services We Offer

Services We Offer


For children with various forms of liver disease, we hold specialized clinics where they can receive convenient, coordinated care from other specialists, such as weight management specialists and registered dietitians with expertise in pediatric liver disease.

We offer a variety of diagnostic and treatment services, which may vary depending on the condition or location, including:

  • abdominal ultrasound (using sound waves to create images of organs in the pelvic area)
  • abdominal X-ray
  • blood and urine tests
  • CT or CAT scan (computed tomography scan to view more detailed images inside the body)
  • endoscopy (evaluating digestive tract organs through a tiny scope)
  • liver transplant care (before and after transplant)
  • MRI (magnetic resonance imaging to view the pelvic organs and structures)
  • nutrition services
  • social work support
Why Choose Us

Why Choose Us


Our pediatric liver disease specialists work as a team with nurse practitioners, licensed clinical social workers, registered dietitians, pediatric psychologists, pain management experts, and other specialists and surgeons as needed. We’re all specifically trained in kid-friendly care. And, year after year, many of our physicians are recognized in “Best Doctors in America® ” and local magazines as “Top Doctors” in our regions.

Nemours is also one of the only dedicated pediatric centers in the country to offer a comprehensive approach to liver cancers, with experts in oncology (cancer care), general surgery, liver transplantation and interventional radiology (image-guided therapy).

Regional Pediatric Liver Disease Highlights

Services, programs and care teams differ at each location. Call for details.

Our hepatologists treat pediatric liver diseases.

We offer diagnostic services and treatment for pediatric liver disease at Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.) and select Nemours duPont Pediatrics satellite locations.

  • ranked among the country’s top 15 children’s hospitals for gastroenterology (GI) and GI surgery by U.S. News & World Report®
  • experienced solid organ transplant team for children who need a liver transplant
  • advanced pediatric medical imaging services
  • seamless, coordinated care with on-site physicians in more than 30 pediatric specialties
  • nutrition services (inpatient and outpatient) for children with liver disease
  • social worker available for children with complex cases
  • Ronald McDonald House of Delaware , right across from our campus, for an affordable home away from home during long hospital stays

 

We offer diagnostic services and treatment for pediatric liver disease at Nemours Children’s Hospital (Orlando) and select Nemours Children’s Specialty Care satellite locations.

  • advanced pediatric medical imaging services
  • seamless, coordinated care with on-site physicians in more than 30 pediatric specialties
  • nutrition services (inpatient and outpatient) for children with liver disease
  • social worker available for children with complex cases
  • Ronald McDonald House  on campus, for an affordable home away from home during long hospital stays

We offer diagnostic services and treatment for pediatric liver disease at Nemours Children’s Specialty Care, Jacksonville South and select Nemours Children’s Specialty Care satellite locations.

  • advanced pediatric medical imaging services
  • nutrition services (inpatient and outpatient) for children with liver disease
  • social worker available for children with complex cases
  • close collaboration with liver transplant centers in the region to provide smooth transitional care both before and after liver transplant
  • close collaboration with pediatric surgery teams (for kids with biliary atresia and intestinal failure associated liver disease)
  • Ronald McDonald House  across the street, for an affordable home away from home during long hospital stays
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Scheduled Specialist Online Visits

Nemours now offers scheduled specialist appointments through live video chat. Ask your doctor if this is an option for your family.

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Research & Clinical Trials

At Nemours, we’re actively researching new approaches for childhood disease prevention, diagnosis and treatment.

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KidsHealth Library

Learn more about your child’s medical condition from the experts at Nemours’ KidsHealth.