Dr. Cosme Manzarbeitia

Surgery
Upland, PA
41 years experience male

Locations

Crozer Chester Transplant and Hepatobiliary center

Upland, PA

Address

1 medical center boulevard, POB II, Suite 220, Upland, PA
Directions

My office hours

Thursday: 9:00am - 5:00pm
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Insurances accepted

Aetna Life Insurance Company

American Financial

AmeriChoice Health Services, Inc

Amerigroup

Blue Cross of Northeastern Pennsylvania

Capital Blue Cross

Cigna

CIGNA Health Care

Commercial Travelers Mutual Insurance Company

Connecticut General Life Insurance Company

Continental Assurance Company

Continental Casualty Company

Empire Blue Cross Blue Shield

Geisinger Health Plans

General American Life Insurance Company

Guardian Life

Guardian Life Insurance Company of America (The)

Hartford Life and Accident Insurance Company

Health Net

Health Partners Of Philadelphia Inc

Health Plan Adminstrators, Inc. (HPA)

HealthPartners

Highmark Blue Cross Blue Shield

Horizon Blue Cross Blue Shield of New Jersey

Independence Blue Cross Group

John Hancock Life Insurance Company

Jefferson National Life Insurance Company

Keystone Mercy Health Plan, Inc

Mutual of Omaha Insurance Company

Nationwide Life Insurance Company

Northwestern Mutual

State Farm Insurance Companies

State Farm Mutual Automobile Insurance Company

United HealthCare Insurance Company

UnitedHealth Group

UnumProvident

Office

Upland, PA

About

Bio

Transplant and Hepatobiliary Surgeon. Areas of interest are multiorgan transplant, including liver and kidney, liver resections, pancreas surgery and biliary tract surgery

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Surgery

General Surgery

Transplant Surgery

Doctor Q&A

211 Answers
41 Agrees
The number of answers this doctor has agreed with.
A 38-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Various: Inflammation (hepatitis, other infections), infiltration (fatty liver, storage diseases) or lesions in liver (tumors).
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
High: If you don't reach a hospital before exsanguination.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Variable: Most operations last about 6 hours, but depends of cause for liver transplant and immediate function of the transplanted liver. I have performed them... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
85%: Survival at one yer can be up to 85% or even more depending on the cause necessitating transplant and the quality of the organ receiver. Cause of dea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Yes: Three modalities: ultrasound, ct scan (imaging) and alpha-fetoprotein levels (blood). Most clinicians will alternate AFP and us every six months, res... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Depends: On what period. Early on (0-6 months) nmost complications are technical (related to the procedure), immunological (rejections) or medication related... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Every six months: Guidelines and recommendations are to screen every six months with either us and/or afp. However, this interval may be shortened if patients have addi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Yes: Quite common are simple cysts, and are benign without risk of cancer. Rarely they are all over the liver and cause liver enlargement (polycystic dise... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Depends: Phtn due to liver disease is curable with liver transplant. This is not very common. Most phtn is primary and related to established damage to the pul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Either: To have active progressive disease ( which can lead to cirrhosis or cancer), or carrier status, with little liver damage but still at risk for cancer.
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
About: Two hours for most cases.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Yes: It may take up to 6 months to improve. Sharp pain at that level after that period should bevevaluatedvfor abnormal nerve regroths (neuromas).
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Delayed gastric func: Usually delayed gastric function. I see this less in my patients in which i preserve the pylorus
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Not very: Likely. I would venture that less than 10% of all HAV infections take a fulminant course.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Pain: In stomach radiating to the back.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Could be: A hernia or the beginning of one. Should see a surgeon.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Varies: If its a large defect, it's mostly an unsightly bulge and a loss of strength. If the defect is smaller, risks include incarceration or strangulation o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Not long: But it's mostly not covered by insurance. So if there's a need to pay outside insurance that may delay the procedure.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Trauma: To the liver is either self limited (not requiring surgery), or quite dramatic and life threatening requiring immediate intervention to stop the bleed... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Many causes: Cirrhosis is the way the liver heals itself after repeated, severe or ongoing insults. These can be multifactorial, such as toxins (alcohol, certain ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
No: But it can lead to existing ones rupturing.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Usually: About 2-3 weeks, but no heavy lifting for about 6.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Mostly: It's a blood work diagnosis. The history can give some clues.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Inflammation: Of the liver, also known as hepatitis.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Not usually: Unless stress causes you to binge eat fatty foods.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Yes, but...: Only to a certain point...Since it appears that cirrhosis, once established is irreversible...Though progression can be halted.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Factors: You may need to either adjust doses, add bone marrow stimulating factors or both. In extreme cases, therapy may need to be interrupted altogether.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Yes: But most organs will not be considered. Liver may be the only organ that may be used.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Synonyms: Cirrhosis of the liver is synonymous with the microscopic image classified as"stage 4". Cirrhosis per sevis largely asymptomatic. However, end-stage ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Nothing: Its not associated with disease states.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Two answers: Hemngiomas are congenital. Anemia is multifactorial. They are not necessarily related.
Created for people with ongoing healthcare needs but benefits everyone.
A 70-year-old male asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Likely benign: But if not cystic, warrants further work up and possible excision or biopsy.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Depends on therapy: Its really therapy dependent. Most hcc are related to cirrhosis, usually extensive and multiple and not amenable to therapy. Only early hcc can be a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Between : 3-5 days prior to discharge. It may take weeks to months until you feel as good as before the surgery.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Complex but beBeth: Complex as there is need for immunosuppressive, but bett since it removes the need for Insulin and prevents progression of the "opathies" such as gast... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Look for: Gastritis or retained stones. Also could be pancreatitis. An uppe endoscopy and/or a ct scan would be indicated.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Pathology: Usually is described as a calcific pancreas in a patient w multiple prior acute episodes, pancreatic insufficiency, and frequently a history of alcoho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Could be: Kidney stones or a hernia. See your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Acceptance: Acceptance of the transplanted foreign organ as your own, avoiding need for immunosuppressive therapy.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Sensitization: Patients can become sensitized to other antigens while on dualisms, especially if they receive blood transfusions.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Two causes: First a retained stone. Or biliary dyskinesia a condition in which the exit muscle at the tip of the bile duct becomes abnormal and causes obstruction... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Same way: As without a liver transplant: avoid stressors, meditate, get massages, etc.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Very poor: Rare tumor with almost no known 5-year survival rates. Can't quotevexactvfigures due to the rarity.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Tell: People about it. Sign your organ donor card or make your drivers license reflect this wish of yours.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Depends: Depends on the type. For colon, the most common, can be up to 40% in selected cases treated with combinations of surgery (resection) and chemotherapy.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Usually not long: It is quite dismal. Most cancers are discovered late and are unresectable. For localized cancers, resection offers the best chance of cure, and even... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Usually: Just pressure under the right ribs from dissension of the liver capsule, by itself. Can mimic pain from gallbladder disease. Other symptoms depend on... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Nothing specific: But you may want to avoid greasy foods if your gallbladder still in place.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Not often: Most of them are malignant, especially if solid. And many cystic lesions are premalignant..
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Cosme Manzarbeitia
Surgery 41 years experience
Depends: Stage 4 is a histological (microscopic) term that denotes the presence of established cirrhosis in the liver. Cirrhosis itself may be asymptomatic or... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
327
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Manzarbeitia is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Manzarbeitia is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Hi! Bilateral br dc. Right upper quad thickening tendrness with abn US and mri. Symptoms 10 weeks. Biopsy tues. want to understand washout
HealthTap member
Thank you, your answer was very helpful! Stopped therapy,bone marrow won't work after 6 units of blood, what is my problem or next step?
HealthTap member
This was very helpful. Thanks! thx but all tests are negative. i dno what to do.

Education & Training

Medical/Graduate school

Universidad Autonoma de Madrid
Graduated 1982MD

Residency

MOUNT SINAI MEDICAL CENTER

Awards

Top Docs Philadelphia
us news & world report top doc 2012
Top General Surgeon , Second Place, Pennsylvania - Winter
2013

Affiliations

Advanced Surgery Institute, PC
Crozer Transplant Program
Gift of Life
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