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Swiss Medical

Hepatology and transient elastography

Specialist evaluation of liver diseases, fatty liver, abnormal liver enzyme levels, and chronic liver damage using modern, non-invasive liver stiffness and fat quantification.

Hepatology consultation

A clearer assessment of liver health with modern, painless diagnostic testing

A significant number of liver conditions cause few or non-specific symptoms for a long time. In many cases, elevated liver enzymes found during routine blood tests, fatty liver detected on an abdominal ultrasound, or other findings provide the first indication that further medical evaluation is needed.

During a hepatology consultation at Swiss Clinic, we determine the necessary next steps by evaluating laboratory results, imaging findings, lifestyle factors, and other clinical risks together. Transient elastography allows for a non-invasive assessment of liver fibrosis, while controlled attenuation parameter (CAP) measurement quantifies liver fat content.

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Hepatology consultation and liver health assessment

Important information before your visit

Having your previous laboratory and imaging results available helps ensure a thorough hepatology evaluation. For transient elastography, fasting for at least 3 hours prior to the test is required for accurate measurements.

What to keep in mind before your visit

  • Previous medical records: Please bring your previous liver function test results, abdominal ultrasound, CT, or MRI reports, as well as any prior hepatology or gastroenterology documentation.
  • Fasting for transient elastography: Do not eat for at least 3 hours prior to the examination. Drinking plain water is generally permitted.
  • Medications and dietary supplements: Prepare a comprehensive list of your current medications, vitamins, and supplements, as some may affect liver function.
  • Past medical history: Please inform your doctor of any diagnosed diabetes, metabolic conditions, previous hepatitis infections, biliary tract diseases, and relevant details regarding alcohol consumption.

When should you see a hepatologist?

Scheduling a hepatology consultation is particularly recommended in the following cases:

  • Abnormal liver enzymes and laboratory values: Persistently or repeatedly elevated ALT, AST, GGT, alkaline phosphatase, bilirubin, or other liver-related lab markers.
  • Suspected fatty liver or metabolic liver disease: Fatty liver detected on abdominal ultrasound, accompanied by excess weight, obesity, diabetes, insulin resistance, or high blood lipid levels.
  • Monitoring chronic liver disease: Ongoing assessment of liver health, fibrosis progression, and treatment efficacy in patients with established liver conditions.
  • Viral hepatitis: Suspected hepatitis B, C, or other viral hepatitis infections, positive laboratory tests, or previously confirmed cases.
  • Liver or biliary tract abnormalities: Pain or discomfort under the right rib cage, persistently abnormal liver function tests, liver lesions or cysts identified on ultrasound, or any findings requiring specialist evaluation.

Available examinations

Our clinic offers comprehensive specialist hepatology consultations alongside modern, non-invasive liver diagnostics:

Initial and follow-up hepatology consultation

Comprehensive medical history review, evaluation of laboratory and imaging findings, physical examination, and development of a personalized diagnostic and treatment plan.

Why choose Swiss Clinic?

Specialized hepatology expertise, state-of-the-art laboratory and imaging diagnostics, and non-invasive liver assessments—all in one place. Our goal is to accurately determine the appropriate next steps behind an abnormal liver test or fatty liver diagnosis, without unnecessary procedures or undue concern.

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Painless liver health assessment

Transient elastography provides a non-invasive way to evaluate liver stiffness and estimate the extent of fibrosis.

Multiple findings, one unified picture

Laboratory values, ultrasound findings, and elastography measurements are comprehensively interpreted by our specialists.

Liver fat quantification

CAP measurement provides objective numeric data to support the evaluation and tracking of fatty liver disease.

Coordinated follow-up care

When required, our integrated laboratory, ultrasound, gastroenterology, diabetology, and dietetics specialties provide seamless comprehensive care.

Which clinics offer this medical specialty?

Swiss Premium Health Center Buda
Swiss Premium Health Center Pest

Monitoring liver health involves more than just lab tests

The liver has a remarkable capacity for regeneration, which is why some chronic liver conditions may cause minimal symptoms for an extended period. However, ongoing inflammation and other damaging factors can gradually lead to fibrotic tissue remodeling. Measuring the degree of fibrosis is critical for evaluating disease severity and guiding ongoing care.

Transient elastography is a fast, non-invasive procedure that measures liver stiffness in just a few minutes. Our hepatologists always interpret the results in combination with laboratory tests, imaging reports, and your overall clinical profile, as no single measurement provides a definitive diagnosis on its own.

Did your blood work show abnormal liver enzymes, or did an ultrasound detect a fatty liver? Our expert hepatologists and modern transient elastography help accurately evaluate your liver's health and clearly establish the right next steps.

Main focus and diagnostic areas:

Fatty liver and metabolic disorders

  • Specialist evaluation of hepatic steatosis detected on abdominal ultrasound
  • Investigation of liver disease associated with excess weight, diabetes, and metabolic disorders
  • CAP measurement for quantitative assessment of liver fat
  • Formulation of lifestyle interventions and subsequent treatment pathways

Liver fibrosis and transient elastography

  • Rapid, non-invasive measurement of liver stiffness
  • Estimation of the extent of fibrotic tissue remodeling
  • Monitoring the progression and clinical course of chronic liver disease
  • Expert hepatological interpretation based on the full clinical picture

Evaluation of chronic liver diseases

  • Investigation of persistently elevated liver enzymes
  • Specialist hepatological evaluation and ongoing monitoring of viral hepatitis
  • Diagnostic planning for liver and biliary tract abnormalities
  • Collaborative care involving laboratory testing, ultrasound diagnostics, and related specialties

Don't let your symptoms leave you with unanswered questions

Our experienced medical specialists and advanced diagnostic technology can help identify the underlying causes of your symptoms. Choose an appointment time that works best for you.

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Frequently asked questions

Common questions regarding our hepatology consultation and liver diagnostics.

Transient elastography is a fast, non-invasive diagnostic test that utilizes low-frequency vibrations (shear waves) to measure liver stiffness. The result helps assess the degree of liver fibrosis (scar tissue remodeling). When combined with CAP (controlled attenuation parameter) measurement, it also provides quantitative information regarding liver fat content.

No. The procedure involves no needles, radiation exposure, or surgical incisions. You will lie on your back while a probe is placed against the skin over the right lower rib cage. During the measurement, you may only feel a mild vibration or slight tapping sensation on the skin surface.

Yes. To ensure accurate readings, fasting for at least 3 hours prior to transient elastography is necessary, as food consumption temporarily increases blood flow and can falsely elevate measured liver stiffness. Drinking plain water is generally permitted.

Yes, it is particularly valuable in many clinical scenarios. While an abdominal ultrasound can identify the presence of hepatic steatosis, transient elastography combined with CAP measurement delivers quantitative insights into both liver stiffness and fat accumulation. The necessity and clinical relevance of the test will be evaluated by your hepatologist alongside your overall medical results.

No. While transient elastography is a key diagnostic tool, it is not a standalone assessment. Readings can be influenced by factors such as acute liver inflammation or recent food intake. Therefore, liver health must always be evaluated comprehensively in conjunction with laboratory results, imaging studies, personal medical history, and clinical specialist consultation.