Liver, Pancreas and Biliary Tract Care

at Crozer-Keystone
ABOUT THE HEPATOBILIARY PROGRAM
The Hepatobiliary Program at Crozer-Chester Medical Center
provides referring physicians and medical practitioners with direct
access to specialists who are experienced in treating patients using
the most advanced technologies and therapies for aggressive
management of primary biliary and hepatic tumors as well as
metastatic cancers.

Services:
Surgery
Pathology

Diagnostic imaging
Chemotherapy

Interventional radiology

Based upon a careful evaluation of clinical, radiologic, pathologic

and molecular characteristics, the Crozer Hepatobiliary team works
with patients, families and referring physicians to individualize a
comprehensive plan of care that maximizes quality of life.

Our team is committed to caring for each patient based on the

extent of the disease, the underlying cause and the level of residual
liver and pancreatic function, concomitant diseases and therapies
and the patients unique history and preferences. Throughout the
workup, treatment and follow-through, patients are supported by
our multi-disciplinary team of specialized nurses, diagnostic
imaging and surgical/procedural providers, researchers, educators
and other care support specialists.
As early diagnosis becomes more common and increasingly
important to improve outcomes using multimodality techniques,
our physicians provide patients with therapies that are minimally
invasive and far less toxic than the standard therapeutic options used
in the past. In many instances, combination therapies now provide
the safest and more effective treatments.

INDICATIONS FOR REFERRAL

TREATMENT OPTIONS

Liver:

Open liver resection.

Open pancreatic resection.
Minimally invasive laparoscopic liver procedures (such as laparoscopic pancreatic
procedures, liver wedge resection, liver lobectomy, liver cyst removal).
Radiofrequency ablation (percutaneous, open and laparoscopic).
Surgical repair of bile duct injuries.
Full spectrum of interventional radiology procedures (liver biopsy, biliary
drainage, portal vein embolization, arterial chemo embolization, TIPS).
Interventional endoscopic ultrasound for the diagnosis and staging of hepatopancreatico-biliary tumors.
Use of SIR-Spheres(r), an innovative treatment directed to liver tumors that uses
radioactive embedded micro-particles injected directly into the tumor via its
arterial supply.
Therapeutic endoscopies (stent placement in the pancreatic and bile duct,
endoscopic drainage of pseudo-cysts).

Benign tumors (such as hemangioma, adenoma,

focal nodular hyperplasia)
Cystic lesions, abscesses
Primary tumors (such as hepatocellular
carcinoma, intrahepatic cholangiocarcinoma,
fibrolamellar carcinoma)
Metastatic tumors of other origins

Bile ducts:
Biliary cysts
Tumors and iatrogenic injuries

Pancreas:
Pancreatic adenocarcinoma
Evaluation of cystic lesions
Chronic pancreatitis

OUR TEAM

The Hepatobiliary Program is comprised of a robust group of physicians encompassing the following disciplines:

Surgery:
Cosme Manzarbeitia, M.D., FACS,
Director of the Hepatobiliary Program

Interventional Gastroenterology:
Immanuel Ho, M.D.
Brian Copeland, D.O.
Michael Farber, M.D.
610-619-7475

Interventional Radiology:
Kurt Muetterties, M.D.
Lance Becker, M.D.
Chad Brecher, M.D.
610-579-3516

Cosme Manzarbeitia,
M.D., FACS

For expedited patient appointments, call Joell Alter at 610-787-9609.

Were 5 hospitals, 2,600 doctors and nurses, and 6,800 caring people with 1 vision. Crozer-Keystone. Something to feel good about.