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    Laparoscopic gallbladder surgery full OT team — Dr. Arefin Dhaka

    Disease Management

    Fatty Liver Disease Management in Dhaka

    Fatty liver disease (NAFLD and NASH) is now one of the most common liver conditions in Bangladesh. Most cases are not surgical — they need lifestyle change, treatment of associated conditions, and structured monitoring. Dr. Arefin emphasises a non-surgical first approach and reserves surgery for the small subset of patients who develop complications.

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    What is fatty liver disease

    Fat accumulation in liver cells, usually associated with obesity, type-2 diabetes, high cholesterol, or alcohol. Most patients have no symptoms; the diagnosis is often incidental on ultrasound. A subset progresses to NASH (inflammation), fibrosis, and eventually cirrhosis.

    Non-surgical management — the first line

    • Weight loss of 5–10% of body weight reverses most early disease
    • Tight control of diabetes and lipids
    • Regular physical activity — 150 minutes per week
    • Avoidance of alcohol and unnecessary hepatotoxic medication
    • Ultrasound and FibroScan monitoring at intervals decided by liver-fibrosis stage

    When surgery becomes necessary

    Surgery is needed only when fatty liver progresses to advanced complications — large hepatocellular carcinoma needing resection, decompensated cirrhosis needing transplant, or coexisting symptomatic gallstones. Dr. Arefin coordinates surgical care with hepatologist follow-up.

    Frequently asked

    Common Questions

    Need expert advice?

    Dr. Murshidul Arefin consults at Popular Medical College Hospital, Dhanmondi. Book online or call to discuss your case.

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