In recent times, I often encounter patients with hepatitis B “small tri-positive” or “large tri-positive” coming to the hepatobiliary surgery clinic, when the doctor told the patient should go to the internal medicine clinic, many patients feel very incomprehensible, they are clearly hepatitis belongs to the liver. The hepatobiliary surgery department is for liver problems, right? I had a hard time getting in line, and then I was told to go to the internal medicine clinic. In fact, this is because many patients do not understand the hospital’s subspecialty. Sometimes even the hospital triage staff is not very clear about which department should be registered? Hepatobiliary surgery actually includes lesions, infections, deformities, tumors and dysfunctions of the liver, gallbladder and bile ducts, pancreas, spleen and other organs. The hepatobiliary surgery clinic mainly focuses on the following diseases: liver abscess, liver tumors (including malignant tumors such as hepatocellular carcinoma, intrahepatic cholangiocarcinoma, hepatic sarcoma, etc. and benign liver tumors such as hepatic hemangioma, hepatic adenoma, hepatic nodular hyperplasia, etc.), liver cysts (including liver encapsulated cysts, etc.), liver rupture, etc.; gallbladder stones, cholecystitis, gallbladder polyps, gallbladder cancer, etc.; bile duct stones inside and outside the liver, biliary tract infection, bile duct inflammatory stricture, bile duct hemorrhage, bile duct cancer, etc. Bile duct bleeding, bile duct cancer, etc.; acute and chronic pancreatitis, pancreatic tumors (including pancreatic endocrine tumors, etc.), pancreatic duct stones, pancreatic cysts, etc.; hypersplenism, splenic tumors, portal hypertension, ruptured esophagogastric varices and bleeding, etc. Some patients suffer from several diseases, and some diseases involve several organs, such as severe acute pancreatitis can be complicated by acute renal failure, acute lung injury and liver injury, and hyperthyroidism, etc. At this time, patients go to the hospital, we need to distinguish the priorities of the disease, the first to see the most important disease. In fact, it is sometimes difficult to decide which department to see for some diseases, it mainly depends on what problems you want to solve. For example, if a patient is suffering from hepatitis B, cirrhosis, portal hypertension, esophageal varices, hypersplenism, etc., if the patient is mainly in the active stage of hepatitis B, or has cirrhotic ascites, liver function is very poor, then you should see the internal medicine department first, first for liver preservation, antiviral treatment. If the patient has mainly upper gastrointestinal bleeding, hepatitis B is inactive and liver function is good, then he should see a hepatobiliary surgeon first and undergo surgical treatment first. Therefore, it is not fixed which department a patient should see, it depends on the development of the disease.
Support Us
Discussion
Share your experience, or seek help from fellow patients.
