https://hdl.handle.net/20.500.14356/1337 2026-04-20T19:34:10Z 2026-04-20T19:34:10Z Pant, Vivek Gautam, Keyoor Pradhan, Santosh https://hdl.handle.net/20.500.14356/1400 2024-03-13T05:54:36Z 2019-01-01T00:00:00Z

Title: Fasting Blood Glucose Test in Nepal - Time for a Harmonized Definition Authors: Pant, Vivek; Gautam, Keyoor; Pradhan, Santosh Abstract: Abstract There are various views in defining protocols for fasting blood glucose test currently being used by healthcare providers in Nepal. A number of modifiable factors can influence the result of an estimation of fasting blood glucose in a clinical laboratory. Variations in the results of fasting blood glucose tests are usually controlled by minimizing the discrepancies in the pretesting variables, one of which is the inconsistency in what represents fasting. In order to minimize the complications of erroneous reporting of fasting blood sugar tests, it is crucial to define the protocols for the test and adopt them in unison by all clinical laboratories of Nepal. Keywords: Clinical laboratory; fasting blood glucose; pretesting variables. Description: Viewpoint

2019-01-01T00:00:00Z Pokharel, Pratit Bista, Yogendra Desar, Rabindra Benjankar, Raj Babu Sharma, Pradip https://hdl.handle.net/20.500.14356/1399 2024-03-13T05:55:05Z 2019-01-01T00:00:00Z

Title: Abdominal Cocoon Syndrome Authors: Pokharel, Pratit; Bista, Yogendra; Desar, Rabindra; Benjankar, Raj Babu; Sharma, Pradip Abstract: Abstract Abdominal cocoon syndrome is rare cause of intestinal obstruction characterized by small bowel encapsulation by a fibro-collagenous membrane or “cocoon”.A 30 yearman presented in emergency department with abdominal pain. Preoperatively contrast enhanced computed tomography of abdomen revealed encapsulated cluster of mildly dilated and edematous small bowel loops with multiple air fluid levels with thin membrane and crowding of mesenteric vessels in left upper quadrant.Intra-operatively, the entire small bowel was found to be encapsulated in a dense fibrous sac. The peritoneal sac was excised, followed by lysis of the inter-loop adhesionswith smooth postoperative recovery.High index of suspicion is required in patient presenting with features of recurrent acute or chronic small bowel obstruction for diagnosis of abdominal cocoon syndrome. Contrast enhanced Computed Tomography of abdomen is a useful radiological to aid in preoperative diagnosis of syndrome. Keywords: Abdomen; abdominal cocoon; CECT; encapsulated cluster. Description: Case Report

2019-01-01T00:00:00Z Dhungel, Samriddh Ghimire, Prabina Thapaliya, Rasmila Acharya, Nishant Pokhrel, Anil https://hdl.handle.net/20.500.14356/1398 2024-03-13T05:55:42Z 2019-01-01T00:00:00Z

Title: Refeeding Syndrome Authors: Dhungel, Samriddh; Ghimire, Prabina; Thapaliya, Rasmila; Acharya, Nishant; Pokhrel, Anil Abstract: Abstract Refeeding syndrome is a potentially fatal alteration in serum electrolytes occurring in patients refed after a period of starvation. Its actual incidence is not established due to lack of universally acceptable definitions. 88 years lady presented with negligible food intake for 15 days,mild dehydration and a BMI of 16.8kg/m2. Rigorous refeeding was started and patient developed hypophosphatemia, hypomagnesemia and ventricular premature contractions. Patient was diagnosed with refeeding syndrome and treatment was started. She recovered uneventfully and was discharged with nasogastric tube in situ on day 10 of admission. Refeeding syndrome is commonly encountered but mostly overlooked diagnosis and is a significant cause of nutritional morbidity and mortality in patients with chronic malnourishment. Keywords: Hypophosphatemia; refeeding; refeeding syndrome. Description: Case Report

2019-01-01T00:00:00Z Shrestha, Sundar Basnet, Bal Mukunda Thapa, Anupama https://hdl.handle.net/20.500.14356/1397 2024-03-13T05:56:14Z 2019-01-01T00:00:00Z

Title: Paediatric Postoperative Intussusception Authors: Shrestha, Sundar; Basnet, Bal Mukunda; Thapa, Anupama Abstract: Abstract Intussusception is one of the common causes of acute abdomen in early childhood, particularly in children younger than two years of age. The majority of cases in children are idiopathic. Pathologic lead points can be identified in only 25 percent of cases. Here. we present a case of 15 months female child with Ileoileal postoperative intussusception with an anastomotic margin as a lead point, following resection anastomosis done for patent vitello intestinal duct. Role of high clinical suspicion, investigations and judgement are highlighted in managing the case. Keywords: Anastomosis; ileoileal; postoperative intussusception; patent vitello-intestinal duct. Description: Case Report

2019-01-01T00:00:00Z