The ultimate goal of the Fatty Liver Clinic is to design the best individualised plan for the follow-up and management of your liver disease through a multi-disciplinary approach.
What we do
Our multi-disciplinary clinic provides a one-stop-shop for patients with NAFLD to have a comprehensive assessment of their underlying liver disease.
- staging with Fibroscan
- lifestyle and dietary advice from trained dietitians
- the opportunity to access new and evolving treatments for this condition to reduce the risk of liver disease progression
The hepatology team at the Alfred has extensive experience in the diagnosis, follow-up and management of patients with fatty liver disease.
What to expect
During your visit, you will meet one of the liver specialists (hepatologists) in the clinic. We will discuss your family history and past medical history. We will also go through your medications. A physical examination will be performed during the visit. Your height and weight will also be recorded.
We will review the results of your previous blood tests and ultrasound or CT scans of your liver. During the same visit, we will also perform a “Fibroscan”, a special form of liver ultrasound. It is a painless test and used to assess the degree of scaring in the liver. Your doctor might order additional blood tests, liver scans or suggest a liver biopsy.
We will also discuss the management of fatty liver disease with you. You might also meet our dietitian who can offer lifestyle and dietary advice. In some cases, you might be offered to participate in a clinical trial, which is a way for you to access medications for the management of fatty liver disease that are still 5-10 years away from coming to the Australian market.
Commonly asked questions
Fatty liver disease (also known as NAFLD or NASH) is a condition caused by accumulation of fat in the liver. It is one of the most common causes of liver disease in Australia and affects up to one-third of the adult population.
The presence of fat in the liver could sometimes lead to inflammation and the development of scaring in the liver. In severe cases, long standing inflammation and the development of scarring might lead to liver cirrhosis and an increased risk of developing liver cancer.
Initially, fatty liver disease causes no symptoms and is not associated with pain, nausea or food intolerance. It is commonly associated with abnormal results of blood tests (elevated liver function tests).
However, if it progresses to cirrhosis, symptoms of advanced liver disease may develop such as tiredness, weight loss, jaundice (yellow discoloration of the skin) and accumulation of fluid in the body
Fatty liver disease might be suspected because routine blood tests show elevated liver function tests. An ultrasound is sometimes requested to confirm the diagnosis. A liver biopsy might also be suggested to confirm the diagnosis, examine the degree of scaring in the liver, and to exclude other causes of abnormal liver function tests.
Fatty liver disease is not caused simply by eating “fatty or fast food”. High sugar and calorie diet increases the risk of fatty liver disease. Other factors such obesity, low level of physical activity, genetic factors, diabetes, high blood pressure and high cholesterol levels also increase the risk of developing fatty liver disease.
Excess fat in the liver might lead to inflammation and scarring in the liver. In rare cases, this might lead to cirrhosis and an increased risk of liver cancer. Fatty liver disease is also associated with an increased risk of developing diabetes, high blood pressure and heart problems.
How to access this clinic
Referral from your GP
You need a referral letter from your GP or medical practitioner to access this service.
Your doctor will need to fax your referral letter to us. We will be in contact with you in clinically recommended times, depending on waiting list length. If there is no waiting list, you will receive an appointment booking letter or we will contact you to arrange a suitable time.
What to bring
Every time you come
- Medicare card
- Health Care Card and/or concession card (if you have one)
- Private health insurance card (if applicable/if you want to use it)
- Adverse drug alert card (if you have one)
- Previous x-ray films, scans, ultrasounds or any other test results or reports
- Medicines you need to take while you are here
- List of medicines you are currently taking (or the boxes), including medicines you have bought without a prescription, such as herbal supplements and vitamins
- Glasses, hearing aid, walking frame
For a clinic appointment
- Your appointment letter
- Any special items listed on your letter
- TAC or Workcover claim number (if relevant)
|Friday||The Alfred||1.30pm - 4.30pm, fortnightly|
- Prof Stuart Roberts: Endoscopy, Gastroenterology
- Dr William Kemp: Endoscopy, Gastroenterology
- Dr Ilana Gory: Endoscopy, Gastroenterology
- Dr Ammar Majeed: Gastroenterology