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## What Is a Hepatologist?
**Definition:**
A hepatologist is a medical doctor specialized in the diagnosis, treatment, and management of diseases related to the liver, gallbladder, bile ducts, and pancreas. They possess expertise in gastroenterology and liver transplantation.
## What Does a Hepatologist Do?
Hepatologists perform a wide range of duties, including:
- **Diagnosis and Treatment:** Identifying and treating liver diseases such as cirrhosis, hepatitis, fatty liver disease, and liver cancer.
– **Non-Invasive Procedures:** Performing ultrasound, CT scans, MRI, and liver biopsies to evaluate liver health.
– **Invasive Procedures:** Conducts endoscopic interventions, liver biopsies, and transjugular intrahepatic portosystemic shunt (TIPS) procedures.
– **Consultation:** Provides expert advice to other healthcare professionals on liver-related issues.
– **Liver Transplantation:** Assessing patients for liver transplant, coordinating surgery, and managing post-transplant care.
## Qualifications and Training
To become a hepatologist, a doctor must complete the following steps:
– **Medical School:** Obtain an MD or DO degree.
– **Residency:** Complete a 3-year residency in Internal Medicine or Pediatrics.
– **Gastroenterology Fellowship:** Undergo a 3-year fellowship in Gastroenterology.
– **Hepatology Subspecialty Fellowship:** Complete a 1-2 year subspecialty fellowship in Hepatology.
– **Board Certification:** Pass the American Board of Internal Medicine subspecialty examination in Hepatology.
## Subspecialties of Hepatology
Within hepatology, there are further subspecialties that focus on specific areas:
– **Interventional Hepatology:** Emphasizes minimally invasive procedures to diagnose and treat liver diseases.
– **Transplant Hepatology:** Specializes in liver transplantation and post-transplant management.
– **Pediatric Hepatology:** Cares for children with liver diseases.
## When to Consult a Hepatologist
Individuals who experience symptoms of liver disease, such as:
– Jaundice (yellowing of the skin or eyes)
– Abdominal pain and swelling
– Fatigue
– Nausea and vomiting
– Dark urine
– Clay-colored stools
should consult a hepatologist for evaluation and management. Regular check-ups are also recommended for those with risk factors for liver disease, including:
– Alcoholism
– Hepatitis B or C infection
– Obesity
– Autoimmune diseases (e.g., autoimmune hepatitis)
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