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Southlake Research

Texas Digestive Disease Consultants

(817) 424-1525


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(817) 424-1525

  • Board Certified Gastroenterologists
  • Currently Accepting New Patients
  • Most Insurance Plans Accepted
  • Performs Colonoscopies
  • Pharmacy Services Available

505 S Nolen Dr
Southlake, TX 76092
Phone: (817) 424-1525

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505 S Nolen Dr
Southlake, TX 76092

Fax: (817) 424-3491

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Office Hours

8:00 AM - 4:30 PM
8:00 AM - 4:30 PM
8:00 AM - 4:30 PM
8:00 AM - 4:30 PM
8:00 AM - 4:30 PM

Closed daily for lunch 11:30 AM - 12:30 PM.

Clinical Trials Offered at Southlake Research

About Southlake Research


What is Fatty Liver (Steatosis) or Scarring of the Liver (Cirrhosis)?

The function of the liver is to turn nutrients into chemicals your body needs. It filters out poisons. It helps turn food into energy. So, when the liver isn’t working well, it can affect your whole body.

NAFLD or nonalcoholic fatty liver disease is when too much fat builds up inside the cells of the liver, and results in inflamation of the liver tissue. One form of NAFLD is nonalcoholic steatohepatitis (NASH), an aggressive form of fatty liver disease, which is marked by liver inflammation and may progress to advanced scarring (cirrhosis) and liver failure. Between 5%-12% of people with NASH will progress to cirrhosis.

Cirrhosis is the most advanced form of scarring, in which the healthy liver tissues are slowly replaced by scar tissues. When increased scarring replaces the healthy parts of the liver, it makes it difficult for the liver to function property and can result in complete liver failure.

What is FibroScan® Test and why do I need it?

FibroScan® is a proven technology used for non­invasive examinations of the liver. It works by emitting a small pulse of energy, called a shear wave, which then calculates the speed of this energy as it travels through the liver and translates that speed with two scores that a gastroenterologist will use to determine the overall health of your liver.

FibroScan® is superior to ultrasound for the detection of liver scarring and therefore may be used to determine if cirrhosis or advanced fibrosis is present at the initial assessment and whether it has developed during follow up because of disease progression. This information is then used by a gastroenterologist to individualize and optimize your treatment plan.

The Preparation

Most patients with chronic liver disease can be assessed with FibroScan®. However, FibroScan® is not recommended for any patient that is/has:

      • Pregnant
      • Fluid in the abdomen
      • Implantable devices such as a pacemaker, defibrillator, or pump
      • Acute hepatitis
      • Right heart failure
      • Severe obesity
      • Small rib spaces
      • Inability to lie flat
  • Patients are asked not to consume any liquids or solids for a minimum of 3 hours before the test to increase the likelihood of obtaining reliable test results.
  • Patients are asked to wear comfortable, loose-fitting clothing that will allow technician to easily expose the right side of the ribcage.
  • Patients should be able to comfortably lie flat on an exam table for 10 minutes or more while the test is being performed.
  • Patients should plan to be in the office for a minimum of 30 minutes. The scan itself typically takes 10 to 15 minutes.

The Procedure

  • Patients will lie on their back, with their right leg crossed over the left leg and, and with their right arm raised behind their head. This is to allow easy exposure to the intercostal spaces (spaces between your ribs) for the probe to effectively scan the liver
  • The technician will apply a water-based gel to the skin and then place the FibroScan® probe between the ribs on the right side of the lower chest wall.
  • A series of painless pulses are then applied to the liver with the FibroScan probe. These pulses measure the overall stiffness of the liver, which are translated to scores of stiffness and fat content.
  • FibroScan® probes are adapted to fit most body-types and to all ages, from pediatric to adults.
  • Upon completion of the FibroScan® test, patients are typically discharged from the procedure area and able to leave without any restrictions.


  • The results are recorded on the FibroScan® equipment at the time of the procedure and an overall liver stiffness score is generated.
  • This score is then interpreted by a qualified physician who will use the findings from the FibroScan® test, along with other clinical data, laboratory test results and/ or imaging to determine the presence or likelihood of advanced liver disease.

The Benefits of FibroScan 

  • Non-invasive, painless for patient
  • More cost-effective than an MRI
  • Covered under commercial, Medicare and Medicaid
  • May mitigate the need for invasive or expensive testing and biopsies
  • Helps to more efficiently ident and monitor patients who are suitable for clinical trials, drug prescriptions and emerging therapies

Factors that can Increase Risk of Fatty Liver/Cirrhosis

  • High cholesterol
  • High levels of triglycerides in the blood
  • Metabolic syndrome
  • Obesity
  • Type 2 diabetes

Signs/Symptoms of  Fatty Liver/Cirrhosis

Most Fatty Liver has no symptoms, but Advanced Disease may have:

  • Fatigue
  • Pain or discomfort in the upper right abdomen
  • Abdominal swelling (ascites)
  • Red palms
  • Yellowing of the skin and eyes (jaundice)

Learn more about Texas Digestive Disease Consultants