Hepatobiliary Surgeons in Bangladesh

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A Hepatobiliary Surgeon (HPB surgeon) is a super-specialist who operates on the liver, gallbladder, bile ducts and pancreas. In Bangladesh, patients are most often referred for gallstones and their complications, obstructive jaundice, bile-duct stones and strictures, pancreatitis, and tumours of the liver, gallbladder, bile duct or pancreas. Because Hepatitis B and C are common here, many patients are seen for liver cirrhosis-related problems and liver cancer (hepatocellular carcinoma). At a consultation, the surgeon reviews your symptoms, jaundice history and previous reports, examines your abdomen, and usually advises ultrasound, blood tests (LFTs, tumour markers), and often a CT or MRCP scan to plan treatment. Management may be medical, an ERCP, a laparoscopic (keyhole) gallbladder removal, or major liver/pancreas surgery at a tertiary centre such as BSMMU, Dhaka Medical College or large private hospitals. You should see a Hepatobiliary Surgeon if you have yellowing of the eyes or skin, persistent right upper-abdominal or upper-back pain, gallstones found on ultrasound, dark urine with pale stools, or a liver, gallbladder or pancreas mass on a scan.