Cirrhosis is a significant contributor to non-communicable disease related deaths in Sri Lanka and the only cure for cirrhosis constitutes liver transplant. Nonalcoholic fatty (NAFLD) which hepatic component of metabolic syndrome main aetiology patients presenting transplant at CNCLD. Enhanced recovery after surgery (ERAS) concept originally adopted colorectal surgery, multimodal- multidiscipli...

INTRODUCTION Absent today is a simple numerical system of outcomes assessment that recognizes that bariatric surgery is metabolic surgery and incorporates weight loss, hypertension control, and type 2 diabetes control. AIM To introduce a simple, new Numerical Scale to Assess the Outcomes of Metabolic Surgery (NOMS). MATERIAL AND METHODS For the stratification of weight outcomes, we used the...

Few studies have demonstrated the risk of metabolic bone disease and a reduction in bone mineral density (BMD) after bariatric surgery. A systematic review was conducted of case-control and cohort studies with the aim of evaluating the relationship between bariatric surgery and bone metabolism. The search was undertaken in MedLine, covering the period from January 1997 to August 2009, using the...

Bariatric surgery is the main method of treating obesity and associated pathological conditions despite a large number complications, relapses obesity, side effects, lifelong monitoring taking various medications that correct emerging metabolic disorders. The article analyzes results modern bariatric operations, considers an alternative view causes possibLe soLutions to this chronic progressive...