Hepatology

The Department of Hepatology of Selayang Hospital is the national tertiary referral centre for liver diseases. It is staffed by trained hepatologists, gastroenterologists, hepatology or gastroenterology trainees, medical officers, nurses and medical assistant who specialized in the care of liver patients. Our core business is in the diagnoses and management of simple or complicated diseases of the liver and biliary system. We also provide education for the public and training for future hepatologists and gastroenterologists in the country.

Mission

	To provide preventive, diagnostic and curative services on diseases of the liver as the national tertiary referral centre.
	To ensure the delivery of liver services that is of high quality, cost-effective, efficient and equitable.
	To lead the development of liver services in Malaysia through the setting of clinical standards guided by our objectives and the current best scientific evidence.
	To encourage research and participation in clinical trials on liver and biliary diseases.
	To be a tertiary referral center for advanced therapeutic and diagnostic endoscopic procedures.
	To provide training in liver diseases for Hepatology and Gastroenterology trainees, other clinicians and supporting staffs.

 Vision

To be a leading hepatology and luminal/gastrointestinal centre in the country.

 Objective

To achieve Malaysia’s aspiration to become a healthy nation by improving the health of the community through equity of access and quality of care

1.Inpatient care:

General Hepatology Ward, Liver High Dependency Ward and Intensive Care.

2.Outpatient care

(i) Liver Clinics, (ii) Portal Hypertension Clinics, (iii) Networking and Outreach Clinics, (iv) Hepatitis Education Clinics and (v) Liver Elastography  Assessment (Fibroscan)

3.Day Care

(i) Endoscopy service -upper and lower gastrointestinal endoscopy, endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS), double balloon enteroscopy and capsule endoscopy.

(ii) Portal haemodynamics service -Hepatic Venous Pressure Gradient Measurement and Transjugular Liver Biopsy

(iii) Daycare Ascites Service

4.Research/Clinical Trial

We have the facility and experience to carry out phase II/III clinical trials and we have been actively involved in Hepatitis B and C trials. If you are interested to know more please, ask the doctor who looks after you.

The Malaysian Liver Disease Registry is based in our department and we collect data on chronic viral hepatitis in collaboration with other hospitals in the country.

5.Subspecialty Training

Our department is a recognized training centre for the Malaysian Ministry of Health Subspecialties Training Programme in Hepatology and also in Gastroenterology. The Hepatology training programme is 3 years programme and we also have 6 months Hepatology attachment for Gastroenterology trainees. Trainees will receive exposure in managing simple and complex cases of acute, acute-on-chronic and chronic liver diseases. This includes chronic viral hepatitis, autoimmune liver diseases, metabolic liver diseases, acute liver failure and end-stage liver failure with its associated complications like variceal bleeding, ascites, hepatic encephalopathy and hepatocellular carcinoma. Training also includes the assessment, evaluation and management of patients requiring liver transplantation.

The procedures that you will be trained in are diagnostic and therapeutic upper and lower endoscopies and therapeutic paracenteses. Further training may include ERCP/EUS, portal hemodynamics and transjugular liver biopsy.

Expansion of service:

Hepatitis Education Clinic in 2009

Liver Elastography Assessment (Fibroscan) in 2010

Portal Haemodynamics, Transjugular liver biopsy, Day Care Ascites Service in 2011

Establishment of Liver Clinic in Malacca General Hospital in 2011

Education

Postgraduate courses in liver diseases in Kuching (2010) and Kuantan (2011)

World Hepatitis Day 2010 and 2011

Liver Courses for Nurses 2009 and 2010

Annual International Advanced Endoscopy Courses.