Locations
Crozer Chester Transplant and Hepatobiliary center
Upland, PA
My office hours
Friday: 9:00am - 5:00pm
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Insurances accepted
Aetna Life Insurance Company
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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
SpecialtiesDoctors 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.
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 44-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsAnswered >2 years ago
A 70-year-old male asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.6k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsAnswered >2 years ago
A 27-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsAnswered >2 years ago
A 22-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.5k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsAnswered >2 years ago
1 comment
A 44-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.5k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
No: But it can lead to existing ones rupturing.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
No: It's contraindicated for cancer of the pancreas.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 39-year-old female asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
See a doctor: This forum is not meant to take the place of one. Your symptoms can be due to many causes, but a thorough physical an test review by a professional i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.5k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.5k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Removal : Of the diseased liver and implantation of the healthy new liver.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.6k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.6k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Yes: I just operated on a 20 year old 6 mo ago. Did a whipple for adenocarcinoma. Luckily she is disease free now...Still early though.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Not very: Likely. You may try to modify your diet or take ursodeoxycolic acid. But success is limited.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Get tested: Familial transmission is not common unless you are asian. But the social circumstances may have affected you both alike.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
At 1 month and six: Months. Then titers if you don't convert the antibody.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Yes: It usually is chronic pancreatitis or pseudo cyst that presents that way.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 26-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
About: Two hours for most cases.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.4k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
High: If you don't reach a hospital before exsanguination.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Taking a piece: Of your liver usually with a needle inserted thrubthe skin after numbing it.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Could be: Kidney stones or a hernia. See your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.4k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Sciatica: Is much more likely. Get an x-ray or a bone scan.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Too vague: Usually a combination of pain, jaundice and fever, depending on the cause.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Buzzzzzz!!: You are in time out for a period of time, usually between 3-6 months...But you may get a red card and be out altogether. It is decided in a multidisc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Immunosuppressive : Medications used to prevent your body from rejecting the transplanted organ. Usually in the class of calcineurin inhibitors, anti metabolizes and ster... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Yes: And depending on the type of net, and extent of extra pancreatic disease, it may even be amenable to liver transplant. Let me know if i can be of he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.8k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
Surgery 41 years experience
Inflammation: Of the liver, also known as hepatitis.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Cosme Manzarbeitiaanswered
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.
5.7k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
326
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
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