Nicholas J. Procaccini, MD

  • Transplant Hepatology
  • Gastroenterology
Accepting New Patients
5350 Tallman Ave. NW
Suite 520
Seattle, WA 98107
1221 Madison St.
Suite 1220
Seattle, WA 98104
1124 Columbia St.
Suite 600
Seattle, WA 98104
Kidney: 206-386-3660, Liver: 206-215-1437

General Information

  • Gastroenterology
  • Transplant Hepatology
Education Background
Medical School: University of Virginia School of Medicine
Residency: University of Virginia, Charlottesville, VA
  • English
  • Spanish



What you should know about Hepatitis B or C on World Hepatitis Day

July 28, 2013

Break out the champagne and streamers—it’s World Hepatitis Day! Okay, so it might not sound like much of party, but if you are one of the millions of people with viral Hepatitis there is no reason to be a wallflower.

Over 500 million people around the world are infected with either Hepatitis B or C, the two most common forms of chronic viral Hepatitis. Both Hepatitis B and C are viruses that can cause chronic inflammation in the liver. Over the course of years this can lead to scarring in the liver and ultimately cirrhosis—severe scarring and fibrosis of the liver where liver function can be comprised. Additionally, these chronic viruses, particularly Hepatitis B, can increase the risk of developing a primary cancer of the liver called hepatocellular cancer. The liver, unlike, say, the appendix, is a vital organ that—among other functions—stores and helps process nutrients, detoxifies and filters blood, and produces blood coagulants. In short, the liver is vital to...

Clinical Experience

  • Gastroenterology
  • Transplant Hepatology
Clinical Interests
  • abnormal amylase
  • abnormal bowel movement
  • abnormal liver function
  • abnormal stool
  • alcoholic cirrhosis
  • alcoholic hepatitis
  • allergic colitis
  • allergic esophagitis
  • allergic gastroenteritis
  • altered bowel habits
  • anal fissure
  • anal fistula
  • anal pain
  • anal polyp
  • anal spasm
  • anal stenosis
  • anal ulcer
  • anorectal disease
  • anorexia
  • appetite loss
  • ascites
  • autoimmune enteropathy
  • autoimmune hepatitis
  • barretts esophagus
  • biliary atresia
  • biliary cirrhosis
  • biologic therapy for gastrointestinal diseases
  • bleeding hemorrhoids
  • blood in stool
  • bright red blood per rectum
  • budd chiari syndrome
  • cancer of pancreas
  • celiac disease
  • choking sensation
  • cholangitis
  • cholecystitis
  • cholelithiasis
  • cholestasis
  • chronic diarrhea
  • cirrhosis
  • clostridium difficile
  • colic
  • colitis
  • colonic polyps
  • colonoscopy
  • colorectal screening
  • congenital hepatic fibrosis
  • constipation
  • crigler najjar syndrome
  • cyclic vomiting syndrome
  • cystic fibrosis - gi complications
  • diverticular disease
  • diverticulitis
  • diverticulosis
  • duodenal ulcer
  • duodenitis
  • dysphagia
  • elevated amylase
  • end stage liver disease
  • endoscopy
  • eosinophilic esophagitis
  • esophageal disorder
  • esophageal mass
  • esophageal ulcer
  • esophageal varices
  • esophagitis
  • fatty liver
  • feeding problems
  • flatulence
  • gallbladder disease
  • gallbladder polyp
  • gastric anomaly
  • gastric ulcer
  • gastritis
  • gastroesophageal reflux disease
  • gastrointestinal bleeding
  • gastrointestinal cancer
  • gluten sensitivity
  • graft versus host disease
  • helicobacter pylori
  • hematemesis
  • hematochezia
  • hemochromatosis
  • hemorrhoids
  • hemorrhoids with complications
  • hepatic encephalopathy
  • hepatic hydrothorax
  • hepatitis
  • hepatoblastoma
  • hepatorenal syndrome
  • hereditary nonpolyposis colorectal cancer
  • heterotopic liver transplant
  • hiatal hernia
  • hirschsprungs disease
  • hydrops of gallbladder
  • icterus
  • idiopathic megacolon
  • ileitis
  • ileoscopy
  • inflammatory bowel disease
  • intestinal atresia
  • intussusception
  • irritable bowel syndrome
  • jaundice
  • lactose intolerance
  • liver biopsy
  • liver failure
  • liver mass
  • liver surgery
  • liver transplant
  • malabsorption
  • malignant neoplasm of liver
  • meckel's diverticulum
  • megacolon
  • megarectum
  • melena
  • metabolic liver disease
  • nausea
  • odynophagia
  • pancreatic insufficiency
  • peptic ulcer
  • peritonitis
  • polyposis syndrome
  • polyps
  • portal hypertension
  • portal hypertensive gastropathy
  • portal pyemia
  • pretransplant clearance
  • primary biliary cirrhosis
  • proctosigmoidoscopy
  • rectal bleeding
  • rectal fistula
  • rectal hemorrhage
  • rectal pain
  • rectal polyp
  • regional enteritis
  • right lower quadrant pain
  • right upper quadrant pain
  • sclerosing cholangitis
  • severe diarrhea
  • short bowel syndrome
  • small bowel disease
  • stomach cancer
  • stomach cramps
  • stomach pain
  • swallowing problem
  • tenesmus
  • transplant related infection
  • ulcerative colitis
  • whipple disease


Patient Ratings and Comments

The Patient Rating score is based on responses given during the CAHPS Patient Experience Survey. Responses are measured on a 10-point scale, with 10 being the best score. These scores are then translated to a 5-point scale in order to display results in a 5-star rating. Comments are also gathered from the same survey and displayed in their entirety with the exception of any language that may be considered slander, libel or contain private health information, which will be removed prior to publishing the comments.

4.6 out of 5 (34 Ratings, 10 Comments)


Dr. Procaccini is very friendly and always shows a positive attitude. However, it concerns me that he doesn't show concern or belief for the symptoms I am conveying to him. He does not believe I have liver pain and has mentioned that in my disease the liver doesn't hurt. When it does! The literature say so. He also does not consider the reason for my symptoms or increased symptoms may be due to side effects of my medication. I realized this when, based on my symptoms, I was not going to be seen. I decided to do some research myself and found out that most of my increased problems where due to my medication side effects. After I read this then I calmed down and concluded there was nothing else that could be done and just needed to deal with it.

Experience was good [...]

I would strongly recommend Doc.Procaccini. I really felt heard by him and he is giving me hope to figure out what's wrong and has been hurting me and been putting my life on pause for almost a year now.

Very nice gentleman. However, I feel he holds back information. [...] My liver hurts I don't think he believes me.

Dr. was excellent - Full of energy!!!

dr Procaccini is excellent. I'm very pleased w my care.

I was pleasantly surprised by the amount of time the doctor spent with me. I felt heard & he explained anything extremely well & answered all my questions.

I've only seen him once. So far so good.

Good experience.

Dr. Procaccini is the best, I always enjoy my visit with him. I trust him 110%.
5350 Tallman Ave. NW
Suite 520
Seattle, WA 98107
1221 Madison St.
Suite 1220
Seattle, WA 98104
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