Centers of Excellent CARE
Liver, Biliary & Pancreatic Diseases
The Physicians at the Digestive CARE Centers of Excellent CARE in Liver, Biliary and Pancreatic Diseases successfully treat patients with diseases, such as viral hepatitis, cirrhosis, liver tumors and bile duct disorders.
As Hepatitis B and C continue to sweep the globe, aggressive management is the key to successful treatment. Early identification and expert medical management can slow the progress or cure the patient of the disease. We can assess and treat these diseases with standard medical therapy, investigational protocols and surgical therapy.
Viral Hepatitis B& C
Fatty Liver- NAFLD/NASH
Ascites, variceal bleeding prophylais, PSE
Frequently Asked Questions
Hepatitis and Liver Disease
What are some symptoms of liver disease?
Each patient’s liver disease can develop differently. Some symptoms of deteriorating
liver function are fatigue, forgetfulness or mental confusion, loss of consciousness (coma), sleep reversal (inability to sleep at night, but wanting to sleep all day), ascites (fluid in the abdomen), spontaneous bacterial peritonitis (infection of the ascetic fluid), edema (swelling of the legs), bleeding gums, vomiting of blood, bleeding from rectum or passing black stools (from internal bleeding), itching of the skin, enlarged breasts in males, jaundice or “liver spots (spider angiomata and petechiae).
What is hepatitis?
Hepatitis literally means inflammation of the liver, and refers to a group of conditions that may be caused by viruses, autoimmune disorders, alcohol or fat. The most common causes of Hepatits in the U.S. are from Hepatitis C, alcohol and fatty liver.
What is Fatty Liver?
Fatty liver is usually part of a metabolic syndrome involving obesity, diabetes and high cholesterol to varying degrees. A proportion of people with fatty liver can develop significant inflammation from the fat (NASH) and even cirrhosis. It is without question that fatty liver disease will be the next massive health care issue in the near future and research is actively being done to treat it.
What is hepatitis C?
Hepatitis C is caused by the hepatitis C virus (HCV) and can be transmitted through blood contact. Because of the lack of symptoms during early stages, hepatitis C is usually not diagnosed until its damage is well advanced.
How is hepatitis diagnosed?
Although the treatment for hepatitis B and hepatitis C is different, they are both diagnosed through blood tests.
What is cirrhosis?
Cirrhosis is the scarring of the liver over a period of time, which in turn impedes blood flow in the liver. Cirrhosis is usually caused bychronic hepatitis or excessive alcohol consumption.
Yomtov L. Salazar, M.D. Ronen Arai, M.D. Theodore Doukides, M.D.