LIVER SERVICESOur Paediatric hepatology services are strengthened by the multidisciplinary specialists including hepatobiliary and transplant surgeons, Radiologists, Histo-pathologists, Nutrition specialists, Psychotherapists and endoscopic staff who work with us to provide a holistic care. Furthermore, according to a MOU signed between University GI & hepatology unit, faculty of Medicine, University of Kelaniya and a reputed liver transplant centre in India, we provide combined specialised liver clinics every 2-3 months at transplantation unit in faculty premises. We provide our services for;
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Following are our main services;
01Pre-transplantation care for children needing liver transplantation
- Optimization of nutrition
- Optimization of liver specific medications prior to transplantation
- Accelerated vaccination schedule
- Counselling & support group encounters
- Biliary diversion
- Linking patients with donations for transplantation with available resources
- Follow up of children with chronic liver disease who will need transplantation in future to optimize medical management and to plan the timing of transplantation
02Donor workup for paediatric liver transplantation
- Donor screening for suitability and compatibility
- Management of modifiable factors of donors to be eligible for liver donation
03Post liver transplantation care
- Management of immunosuppressive medications
- Surveillance of transplantation related infections, diseases and complications
- Management of overall care and subsequent medical problems in a transplanted child
04Comprehensive diagnostic and therapeutic services for liver diseases in children (medical & surgical)
- We are keen in providing assessment of liver problems ranging from neonates to adolescents
- We liaise with overseas laboratories whenever the diagnostic aids are necessary especially with the genetic analysis
- We are strengthened with GI and hepatobiliary surgeons in collaboration with department of Surgery, Faculty of Medicine, Ragama in managing surgical aspects of our patients
05Endoscopic services for children with cirrhotic or non-cirrhotic portal hypertension
- Carrying out periodic surveillance endoscopies
- Provide sclerotherapy / banding for upper GI varices
06Management of children with acute liver failure
- We provide specialised care in managing children with acute liver failure
07Liver biopsy services and specialised histopathology opinion
- We provide liver biopsy services as part of the diagnostic workup of liver diseases
- We are honoured to have specialised histopathology services in collaboration with department of pathology, faculty of Medicine
- We do get regular referrals for specialised histopathology opinion or for second opinion for biopsies already performed, in certain occasions
With our dedicated staff; we look forward to offering our care for all children in need!
Contact details:
TP : +94 11 2959261 (Extension 223)
E mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
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Creating Safe Communities for children
Child abuse and neglect are being reported from all parts of the country at an alarmingly increasing rate. Hence there was a need within the country for all stakeholders to unite to formulate an effective response when an incident is reported. The Child Protection Committee of the Sri Lanka College of Paediatricians designed a project titled ‘Creating Safe Communities for children’ in 2011. Plan Sri Lanka joined hands with the Sri Lanka College of Pediatricians and the project commenced in 2012 with one of its objectives being better management of victims of child abuse and neglect. As an initial step, the ‘National Guideline for the management of Child Abuse and Neglect: A Muti-sectoral Approach’ was launched by the then Minister of Health, Hon. Maithripala Sirisena on 4 December, 2013 at the BMICH. A pilot project to manage victims of child abuse according to these guidelines was commenced in Gampaha district on 25 September 2014
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One of the main problems faced in dealing with victims of child abuse and neglect in health institutions is the issue of confidentiality and difficulties in providing sensitive management of victims and their families. At present the victims are admitted to different wards in health institutions.The establishment of a homely place of safety where child victims of abuse can be provided comprehensive multidisciplinary care was a strong felt need.
The intended care plan at 'Lama Piyasa' includes management of medical/legal issues, assessment and management of psycho-social needs of the victims of abuse in liaison with relevant agencies and long term follow up of victims.
The Ministry of Health accepted the concept of 'Safe Houses' in Health Institutions throughout the country. As part of the project of Creating Safe Communities for children, the Sri Lanka College of Paediatricians and Plan Sri Lanka together with the Director of the North Colombo Teaching Hospital designed a Safe House – 'Lama Piyasa.'
Approval for the building was obtained from the Ministry of Health and the foundation laying ceremony was held on 27 November 2013, at the Ragama Rehabilitation Hospital.
The building was completed by Plan Sri Lanka at a cost of 13.9 million rupees. A fully equipped state of the art video recording unit was donated by the Rotary Club of Colombo Metropolitan at a cost of approximately 3 million rupees.
The ceremonial opening of the of Lama Piyasa was held on 9 March 2015 with the attendance of Hon. Minister of Health Dr. Rajitha Senaratne and the Hon. State Minister of Children Ms. Rosy Senanayake as Chief Guest and the Guest of Honour respectively. This facility will provide for in house management, video recording of evidence and long term follow up by all sectors involved. The sectors involved in addition to the health sector would be the department of Probation and Child Care, the National Child Protection Authority and the Women's and Children's Bureau of the Sri lanka Police. The video recording unit will ensure that the evidence of the child victims admitted to the Lama Piyasa would be recorded for the purpose of submitting to courts. This would reduce the re-traumatisation of the child victim during the court procedure.
Academics of the Departments of Paediatrics, Psychiatry and Forensic Medicine of the Faculty of Medicine, University of Kelaniya together with their counterparts in the Ministry of Health at the Colombo North Teaching Hospital Ragama were closely involved in the designing of the Lama Piyasa. The Hon. Minister of Health and the State Minister stated at the opening ceremony that it is anticipated that at least one Safe House – Lama Piyasa- will be made functional in each province in the future, where all the sectors of medical, legal and psychosocial can be engaged together in helping victims. Hence, the Academics of the Faculty of Medicine are proud to have been involved in the planning of the first ever Lama Piyasa in the country. They will be closely involved in the management of victims of child abuse and neglect at this facility. They are grateful the Dean of the Faculty of Medicine Prof. Nilathi de Silva, who has appointed a pre-intern demonstrator for the coordination of activities at the Lama Piyasa.
The web site of the Creating Safe Communities for Children project is www.protectingthechild.org.
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 Front view of Lama Piyasa
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GASTROENTEROLOGY SERVICESWe provide dedicated care for paediatric GI disorders including following commonly encountered diseases
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Our services are strengthened by the multidisciplinary team who commonly provide their services for children with paediatric GI problems.
Specialists including Radiologists, Histo-pathologists, GI Physiologists, Nutrition specialists, Psychotherapists and endoscopic staff work with us to provide best care.
Following are main services provided by our unit;
01Paediatric endoscopic services
Our weekly paediatric endoscopic services cover common diagnostic and therapeutic needs of children with GI problems.
The endoscopies are done by experienced endoscopists who deliver paediatric services together with the dedicated anaesthetic and nursing staff.
Commonly encountered indications for endoscopic services are
| Paediatric upper gastrointestinal endoscopy |
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| Paediatric lower GI endoscopic services |
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02GI physiological studies
We provide GI physiological studies in collaboration with department of physiology, Faculty of Medicine, Ragama including
- Gastric emptying studies
- Autonomic functions
03Follow up care for children with inflammatory bowel disease
We provide specialised inpatient and out -patient services for children with inflammatory bowel disease
- exclusive enteral nutrition
- Immunosuppressants
- Biological agents
04Nutritional rehabilitation of children with GI disorders
We have expertise in assessment and management of complex nutritional problems associated with paediatric GI disorders and we provide a dedicated care in terms of nutritional rehabilitation.
05Management of gastrointestinal problems of neurologically handicapped children
We consider gastrostomy or jejunostomy insertion in terms of nutritional rehabilitation of children with neurological disability. In addition, we treat their other gastrointestinal diseases such as constipation and gastroesophageal reflux and feeding difficulties.
06Management of functional GI disorders
Paediatric functional GI disorders do present in various ways including recurrent abdominal pain, constipation, multiple somatic complaints, cyclical vomiting, etc.
We provide detailed diagnostic assessments and individualised therapies in accordance with evidence based medical practice including psychotherapy and medications.
With our dedicated staff; we look forward to offering our care for all children in need!
Contact details:
TP : +94 11 2959261 (Ext 223)
"Lama Piyasa-A place where abuse ends and healing begins"
- A Safe House for victims of child abuseinitiated under the Colombo North Teaching Hospital, Ragama by a multidisciplinary team including Prof. Asvini Fernando (Department of Paediatrics), Dr. Lalin Fernando (Consultant Psychiatrist), Dr. Anuruddhi Edirisinghe (Senior Lecturer in Forensic Pathology), Dr. Handun Wijewardane (Judicial Medical Officer)
"A place where abuse ends and healing begins"
The concept of the Lama Piyasa isto have a separate purpose built / prepared ward for victims of child abuse and neglect in health institutions, to provide comprehensive care in a secure, homely environment with regard to the management of,
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- Medical/ legal issues
- Psychological sequelae of abuse and
- Assessment and provision of psycho-social needs of the victims of abuse in liaison with the relevant agencies.
- Other than the in-patient management and long term follow up, the facilities for recording of video evidence from child victims are also available at the Lama Piyasa.
Front View
Inside the ward
Inside the video control unit
