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CPMC Liver Evaluation and Diagnostic Services

If you have the tell-tale signs of liver disease—yellow skin, pale stool, dark urine, tendency to bruise—the first step to recovery is a thorough and comprehensive evaluation and diagnosis.

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Connect with a Liver Specialist

Featured Services

  • Colonoscopy
  • Endoscopy

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Evaluation and Diagnostic Services within the Sutter Health network

The Sutter Health network has doctors and services in more than 100 California cities.

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    Evaluation and Diagnosis

    Across the Sutter Health network, dedicated hepatologists and gastroenterologists provide comprehensive evaluation and diagnoses of liver diseases of all types, including hepatitis, autoimmune liver disease, fatty liver disease, acute liver failure and liver cancer.

    Liver experts use the latest techniques and technologies to evaluate your condition and provide a swift and accurate diagnosis to put you on a path to treatment.

    Blood Tests

    Liver function tests measure the level of various proteins and enzymes in the blood and urine, and are often the first indication of liver disease. Elevated liver enzymes can be a sign of cell damage or inflammation in the liver. A different series of blood tests, the hepatitis virus panel, is used to detect recent or chronic infection by hepatitis A, B or C viruses and determine whether the patient is infectious.

    Colonoscopy and Endoscopy

    Both procedures probe different ends of the digestive system using a lighted tube with a video camera on the end called an endoscope — the colon in the case of the colonoscopy and the esophagus in the case of endoscopy. If liver disease is present, both procedures can be used to uncover and treat damage resulting from poor liver function, such as bleeding due to portal vein hypertension.

    Endoscopic Retrograde Cholangiopancreatography

    This procedure enables your doctor to visualize the bile and pancreatic ducts and clear suspected blockages. An endoscope is advanced into the duodenum and a tiny tube called a catheter is inserted into the pancreatic duct. A dye is injected, and your doctor takes an x-ray to view and treat any blockages.

    Imaging

    A variety of imaging tests may be used to evaluate the liver and other organs and structures in the digestive system, including ultrasound, CT, MRI, and, if cancer is suspected, PET-CT.

    • Fibroscan — Offered at SGMF and CPMC, fibroscan assesses the health of your liver. Using a specialized ultrasound technology, this devices peers into your liver to determine the degree of fibrosis (scarring) from liver diseases and other conditions.

    Liver Biopsy

    A liver biopsy can help assess the extent of fibrosis in patients with cirrhosis due to viral infection, alcoholism or other diseases of the liver.

    Liver Transplant Evaluation

    If your doctor recommends liver transplant, you will need to undergo a two- to three-day transplant evaluation in San Francisco. In most cases, our team can complete the complex process of liver transplant evaluation within one month of your consultation.

    In Your Corner

    African-American man having blood drawn

    A Cure for Hepatitis C

    The Centers for Disease Control and Prevention estimate that 3.5 million people in the United States are infected by hepatitis C . The good news: new, effective treatments provide solutions without the onerous side effects of past treatments.

    Primary Sclerosing Cholangitis (PSC) Research

    Sutter Health Primary Sclerosing Cholangitis (PSC) Research
    Primary biliary cholangitis (PBC) is a chronic autoimmune disease with injury and inflammation to the small bile ducts in the liver. This injury can eventually cause the bile ducts to collapse. Without bile ducts, bile (a digestive enzyme) builds up and causes liver damage.

    Sutter Health Primary Sclerosing Cholangitis (PSC) Research Sutter Health Primary Sclerosing Cholangitis (PSC) Research

    Services Near You

    CPMC Mission Bernal Campus & Orthopedic Institute

    CPMC Mission Bernal Campus & Orthopedic Institute

    3555 Cesar Chavez Street

    San Francisco, CA 94110

    (415) 600-6000

    CPMC Pacific Heights Outpatient Center | 2333 Buchanan Street

    CPMC Pacific Heights Outpatient Center | 2333 Buchanan Street

    2333 Buchanan Street

    San Francisco, CA 94115

    (415) 600-6000

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