Browsing by Author "Gurubacharya, RL"
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Publication A case report of Gilbert Syndrome(Kathmandu University, 2003) Manandhar, SR; Gurubacharya, RL; Baral, MR; Manandhar, DSGilbert syndrome is benign, often familial condition characterized by recurrent but asymptomatic mild unconjugated hyperbilirubinemia in the absence of haemolysis or underlying liver disease. If, it becomes apparent, it is not until adolescence and then usually in association with stress such as intercurrent illness, fasting or strenuous exercise. Virtually all patients have decreased level of UDP- Glucuronosyltransferase, but there also is evidence for a defect in hepatic uptake of bilirubin as well. This case is reported due to its rarity. The prevalence of Gilbert syndrome in U.S is 3-7% of the population. Keywords: Gilbert Syndrome, familial non-haemolytic jaundice, hereditary non-haemolytic bilirubinaemia, low- grade chronic hyperbilirubinemiaPublication Bleeding Meckel's Diverticulum in an Infant - A Case Report(Nepal Paediatric Society (JNPS), 2014) Shrestha, MK; Gurubacharya, RL; Devkota, K; Agarwal, NAbstract: Meckel’s diverticulum is a congenital diverticulum. Mostly it is asymptomatic. In children the commonest complication is lower GI bleeding. High index of suspicion is required for its diagnosis. Technetium-99m pertechnetate scan is useful to detect ectopic gastric mucosa. Surgical treatment of symptomatic Meckel’s diverticulum is diverticulectomy or ileal resection.