The HepatoPancreaticoBiliary (HPB) Center - Department of Surgery

• Ultrasound-guided fine-needle aspiration
of lesions
• Advanced imaging
Surgery – Our general surgeons have completed
fellowship training in advanced techniques
involving pancreatic, liver, and biliary
surgery. Our specialists focus on the operative
removal of tumors of the liver, pancreas,
bile ducts, and other parts of the gastrointestinal
(GI) tract. Surgical interventions include:
• Liver resection, open and laparoscopic
• Intraoperative ultrasound, open and laparoscopic
• Radiofrequency microwave ablation, open
and laparoscopic
• Insertion of hepatic artery pump
• Liver or multivisceral transplants for some
patients with HPB cancers (Our transplant
surgeons are highly specialized in this area.)
• Islet cell auto-transplants for patients with
chronic pancreatitis
• Pancreas transplants for patients who have
previously undergone a native total
pancreatectomy for chronic pancreatitis
Interventional Radiology – Our interventional
radiologists use minimally invasive imageguided
techniques to treat tumors or
obstructions, including:
• Arterial embolization with radioactive
microspheres to reduce tumor size
• Radiofrequency ablation
• Complex biliary drainage
• Transjugular intrahepatic portosystemic
shunt (TIPS) placement to create alternate
pathways to bypass blood flow through a
diseased liver
Radiation Oncology – Our radiation
oncologists use the latest technologies to treat
cancer, leading to less damage of healthy tissue
and fewer side effects for patients. Techniques
include:
• Intensity modulated radiation therapy (IMRT)
to better spare normal tissues
• Image-guided radiation therapy (IGRT) for
greater accuracy
• Stereotactic body radiation therapy (SBRT)
to precisely target and destroy small tumors
within the liver with 5 fractions of pinpointed
radiation
• Gating techniques to treat moving organs
with more precision
Medical Oncology – Our medical oncologists
specialize in:
• Chemotherapy, including patient enrollment
in clinical trials of new cytotoxic and biologic
agents
• Palliative, symptomatic care
• Diagnosis, cancer staging, and planning of
multimodality treatment in collaboration with
our surgeons, interventional radiologists, and
radiation oncologists
CONTACT US
During regular office hours:
Administration: (520) 626-4409
Fax: (520) 626-9118
Email: HPB@email.arizona.edu
Emergency consultations are available
24 hours a day, seven days a week.
Call the Physicians Resource Service,
(520) 694-5868 or (520) 694-6000,
pager number 8911 or 9154.
Clinic Location:
University Medical Center
1501 N. Campbell Avenue
Fifth Floor Clinic, Tucson, Arizona
Mailing Address:
HepatoPancreaticoBiliary Center
University Medical Center
P.O. Box 245066
Tucson, AZ 85724-5066
A Collaboration of The University of Arizona; Arizona Cancer Center;
University Medical Center; and University Physicians Healthcare
The HepatoPancreaticoBiliary
(HPB) Center

THE UNIVERSITY OF ARIZONA
HepatoPancreaticoBiliary (HPB) Center
A comprehensive, interdisciplinary
approach to the treatment of diseases
of the liver, pancreas, and gallbladder.
Diseases of the liver, pancreas, and biliary system
(including the gall bladder) represent some of the
most complex and challenging problems faced
by patients and health care professionals today.
The University of Arizona HepatoPancreaticoBiliary
(HPB) Center provides a comprehensive, interdisciplinary
approach to the diagnosis and treatment
of these diseases.
Expert Evaluation, Diagnosis & Advanced Treatment
Specialists at the HPB Center are available
24 hours a day, 7 days a week. Known for their
knowledge, skill, and compassion, our nationally
recognized surgeons and physicians represent a
broad range of clinical expertise in both cancerous
and noncancerous diseases. They work as
a team, meeting each week to carefully explore
every option before agreeing on what’s best for
the patient. Together, they tailor an individualized
treatment plan to each patient.
Highly specialized diagnostic and therapeutic
services are coordinated in these departments
and sections:
• Surgery
• Transplant
• Oncology
• Gastroenterology
• Hepatology
• Radiation Therapy
• Pathology
• Radiology
• Anesthesia and Pain Clinic
• Pediatrics
Highest Quality Health Care
If cancer is diagnosed, the HPB Center collaborates
closely with the Arizona Cancer Center,
1 of 39 comprehensive cancer centers designated
by the National Cancer Institute. The University
Medical Center is the only comprehensive solid
organ transplant program for adults and children
in the Southwest. The HPB Center is among only a
few centers in the country performing native pancreatectomy
with simultaneous islet cell transplantation
for patients with chronic pancreatitis.
OUR TEAM IS HERE TO HELP PATIENTS
WITH THESE DISEASES:
IN ADULTS:
Liver: Non-Malignant
Liver abscess
Liver cysts and polycystic disease
Cirrhosis
Liver echinococcosis
Benign liver tumors (hemangioma)
Focal nodular hyperplasia
Adenoma
Budd-Chiari syndrome
Portal vein thrombosis
Hepatitis B and C
Liver: Malignant
Metastatic tumors
(e.g., colorectal, breast, melanoma)
Hepatocellular carcinoma
Pancreas: Nonmalignant
Acute pancreatitis
Pancreatic abscess
Pancreatic cyst or pseudocyst
Serous cystic neoplasm
Chronic pancreatitis
Pancreas: Malignant
Pancreatic cancer
Intraductal papillary mucinous neoplasm
(IPMN)
Mucinous cystic neoplasm (MCN)
Metastatic tumors
Endocrine tumors (insulinoma, glucagonoma,
VIPoma, somatostatinoma)
Gallbladder and Biliary System: Nonmalignant
“Silent” gallstones (incidental finding)
Acute cholecystitis
Acute cholangitis
Common bile duct stones
Benign biliary strictures
Bile duct cysts
Gallstone ileus
Primary sclerosing cholangitis (PSC)
Primary biliary cirrhosis
Gallbladder and Biliary System: Malignant
Gallbladder cancer
Cholangiocarcinoma (Klatskin tumor)
IN CHILDREN:
Metabolic diseases of the liver
(e.g., alpha1-antitrypsin deficiency,
Wilson’s disease, tyrosinemia)
Biliary atresia
Juvenile familial pancreatitis
Gastroschisis
Necrotizing enterocolitis (NEC)
SERVICES
Our facilities at University Medical Center
feature state-of-the-art equipment with the
latest technology available to diagnose and
treat the complexities of liver, pancreas and
gallbladder diseases.
Gastroenterology and Hepatology – Boardcertified
gastroenterologists offer advanced
endoscopic techniques, including:
• Endoscopic retrograde cholangiopancreatography
(ERCP) – endoscopic views of biliary
and pancreatic system
• Endoscopic Ultrasound (EUS)

CONTACT US
During regular office hours:
Administration: (520) 626-4409
Fax: (520) 626-9118
Email: HPB@email.arizona.edu
Emergency consultations are available
24 hours a day, seven days a week. Call the
Physicians Resource Service, (520) 694-5868
or (520) 694-6000, pager number 8911 or 9154.
Clinic Location:
University Medical Center, Fifth Floor Clinic
1501 N. Campbell Avenue, Tucson, Arizona
Mailing Address:
HepatoPancreaticoBiliary Center
University Medical Center, 1501 N. Campbell Ave.
P.O. Box 245066, Tucson, AZ 85724-5066
A Collaboration of The University of Arizona, Arizona Cancer Center,
University Medical Center and University Physicians Healthcare.
HPB CENTER PHYSICIANS
Working together to bring out the best in patient care
The University of Arizona physicians and surgeons are
dedicated to improving patients’ quality of life. Our team
members are among the most experienced and respected
medical professionals in the world, having developed and
refined many advanced medical and surgical procedures.
Together, they provide a unique resource for referring
physicians and patients who require comprehensive, stateof-the-art
care.
Surgery
Rainer W.G. Gruessner, MD
Professor and Chairman, Department of Surgery
Surgical Oncology and Abdominal
Transplantation
Specialty: Pancreas and liver cancer; surgical and
transplant options for patients with end-stage liver,
pancreas, kidney, and intestinal failure from benign
and malignant diseases
Hugo Villar, MD
Professor, Department of Surgery
Chief, Surgical Oncology
Specialty: Intraoperative radiation therapy;
esophageal, pancreatic, rectal, and breast cancers
John F. Renz, MD, PhD
Professor, Department of Surgery
Vice Chief, Abdominal Transplantation
Specialty: Liver transplantation and diseases
of the liver
Horacio L. Rilo, MD
Professor of Surgery
Director of Cellular Transplantation
Co-Director, Arizona Diabetes Center
Specialty: Chronic pancreatitis and islet cell
transplantation
Evan S. Ong, MD
Assistant Professor, Department of Surgery
Specialty: Gastrointestinal, pancreatic, and hepatic
cancers with treatment options for regional and
metastatic disease

Vassiliki L. Tsikitis, MD
Assistant Professor, Department of Surgery
Specialty: Colon cancer and inflammatory bowel
disease
Khalid Khan, MBChB, MRCP
Associate Professor, Department of Surgery
Director, Pediatric Liver and Intestinal
Transplantation Program
Specialty: Pediatric end-stage liver and intestinal
disease; advanced endoscopic therapy for childhood
gastrointestinal disorders
Oncology
Thomas Brown, MD, MBA
Professor, Department of Medicine
Chief Operating Officer, Arizona Cancer Center
Specialty: Upper gastrointestinal (GI) cancers
Tomislav Dragovich, MD, PhD
Associate Professor, Department of Medicine
Director, Clinical Gastrointestinal Cancer Program,
Arizona Cancer Center
Specialty: Medical oncology and hematology
GI & Hepatology
Thomas D. Boyer, MD
Interim Chairman, Department of Medicine
John Lee Professor of Medicine and Director,
Arizona Liver Institute
Medical Director, Liver Transplant Program
Specialty: Hepatitis, complications of cirrhosis,
diagnosis and management of all forms of liver
disease, liver transplants
Bhaskar Banerjee, MD
Professor of Medicine and Optical Sciences
Chief, Section of Gastroenterology
Specialty: Early detection of gastrointestinal (GI)
cancer, acid peptic disorders, Barrett’s esophagus,
biliary and pancreatic disorders
John T. Cunningham, MD
Professor, Department of Medicine
Gastroenterology
Specialty: Pancreatic cancer, mucin-producing
tumors of the pancreas; therapeutic endoscopic
retrograde cholangiopancreatography (ERCP),
endoscopic ultrasound (EUS)
Steven Goldschmid, MD
Interim Dean, College of Medicine
Robert S. and Irene P. Flinn Professor,
Department of Medicine
Specialty: Inflammatory bowel disease,
gastrointestinal malignancy, advanced or high-risk
endoscopic procedures
Raphael Perini, MD
Assistant Professor, Department of Medicine
Gastroenterology
Specialty: Therapeutic endoscopic retrograde
cholangiopancreatography (ERCP)
Radiation Oncology
Baldassarre Stea, MD, PhD
Professor and Head,
Department of Radiation Oncology
Specialty: Radiation therapy
Pathology
Achyut K. Bhattacharyya, MD
Professor and Head, Department of Pathology
Specialty: Pancreatic, hepatic, and
gastrointestinal pathology
Anesthesiology and Pain Management
Steven J. Barker, MD, PhD
Professor and Head,
Department of Anesthesiology
Specialty: Anesthesiology
Emil H. Annabi, MD
Assistant Professor, Clinical Anesthesiology
Director, Chronic Pain Management
Specialty: Anesthesiology and pain management
Pediatrics
Fayez K. Ghishan, MD
Professor and Head, Department of Pediatrics
Director, Steele Children’s Research Center
Specialty: Pediatric gastroenterology and nutrition
Khalid Khan, MBChB, MRCP
Associate Professor, Department of Surgery
Director, Pediatric Liver and Intestinal
Transplantation Program
Specialty: Pediatric end-stage liver and intestinal
disease; advanced endoscopic therapy for
childhood gastrointestinal intestinal disorders