• Years Clinical Training and Experience: House Officer: 12 months: 10/85-9/86: House officer rotation in Medicine, Surgery, Ob & Gyn and Community Medicine,
• Govt. General Hospitals, Madras, India. Internal Medicine: 5 months: 3/88-7/88: Inver Clyde Royal Hospital,
• Greenock, Scotland 6 months: 2/89-7/89: Royal Infirmary, Edinburgh, Scotland 11 months: 2/90-12/90: Sligo General Hospital, Sligo, Rep. of Ireland 24 months:
• 1/91-12/92: Merlin Park Hospital, Galway, Rep. of Ireland 18 months: 1/93-6/94: Portiuncula Hospital, Ballinasloe, Rep. of Ireland 12 months: 4/95-3/96: West Middlesex Hospital, London, UK Gastroenterology: 12 months: 4/96-3/97: Clinical Registrar West Middlesex Hospital, London, UK 28 months:
• 4/97-7/99: Clinical & Research registrar Chelsea & Westminister Hospital, London, UK Hepatology: 12 months:
• 10/99-09/00: Fellowship in Hepatology & Liver Transplantation, Alton Ochsner Medical Foundation, New Orleans, USA Gastroenterology

Training:

• I have GI training for 3 years and 4 months as part of the West London GI training program. My rotation was at two Hospitals in London, the West Middlesex Hospital,
• which is a 350-bed district general Hospital, and at the Chelsea & Westminister Hospital, a teaching hospital (Affiliated to Imperial College of Medicine, London). Part of my work involved clinical research at the Royal Brompton hospital, London.
• Endoscopy Experience: I have 14 years of experience in endoscopic procedures. I am experienced in the following diagnostic and therapeutic upper and lower GI endoscopies. Upper GI endoscopies: Injection Sclerotherapy and banding for esophageal varices Glue and thrombin injection for gastric varices Thermal ablation/schlerotheraphy of bleeding peptic ulcers Dilatation of esophageal and Gastro-duodenal strictures Insertion of PEG, PEJ and Naso-jejunal tubes Insertion of esophageal & duodenal stents Colonoscopy:
• Colonoscopy and polypectomy Insertion of Colonic stents Emergency colonoscopic intervention for lower GI bleeding ERCP: Biliary sphincterotomy and stone extraction Dilatation of biliary strictures Insertion of Biliary stents Pancreatic endo-theraphy for strictures/stones

Hepatology Experience:

• My initial hepatology training was at the Chelsea & westminister Hospital, London. Apart from treating patients with chronic hepatitis and cirrhosis of the liver,
• I was actively involved through my research in the management of patients with cystic fibrosis-related liver disease at the Royal Brompton, London.
• I have completed a one year Fellowship program in Hepatology & Liver Transplantation at the Alton Ochsner Medical Foundation, New Orleans, USA.
• I Worked in clinical Hepatology and viral Hepatitis clinic and was also part of the Liver Transplantation program, which was performing 50 to 60 transplants each year.
• I am experienced in the treatment of patients with Viral hepatitis, in managing patients with end stage liver disease, in the assessment and work up of patients prior to liver transplantation, pre and post-operative care, and long-term management of immune suppression in these patients.
• I have been practicing in India for the past 9 years as a consultant, and working predominantly as a Hepatologist.
• I Have gained good experience in the management of many types of liver disorders in the Indian setting. I am currently working as the Hepatologist and Transplant physician and have recent experience of 15 successful liver transplants.
• Working in Apollo Hospitals since last Assignment

• Viral Hepatitis
• Fatty Liver
• Liver Failure
• Liver ICU management and Liver Transplantation
• Colonoscopy and polypectomy
• Insertion of Colonic stents
• Emergency colonoscopic intervention for lower GI bleeding ERCP

• Prevalance of endoscopic findings in 370 patients presenting for upper GI endoscopy- a statistical analysis. N Murugan, P Korath, K Jagadeesan. Antiseptic, Sept 1995. Vol 92; 9:363-66.
• A prospective single centre study comparing computed tomography pneumocolon against colonoscopy in the detection of colorectal neoplasms Y M Miao, Z Amin, J Healy, P Burn, N Murugan, D westaby, T G Allen-Mersh. Gut 2000; 47: 832-37.
• Hepatobiliary and pancreatic manifestations of cystic fibrosis: MR imaging appearances. LJ King, EJ Scurr, N Murugan, SGJ Williams, D Westaby, JC Healy, Radiographics, 2000; 20: 767-77.
• Emergency colonoscopy for distal intestinal obstruction syndrome in Cystic fibrosis patients. RG Shidrawi, N Murugan, D westaby, K Gyi, ME Hodson. Gut 2002 Aug. 285-6.
• The effect of khat chewing on gallbladder motility in a group of volunteers. N Murugan, G Burkhill, SG Williams, SP Padley, IM Murray-Lyon. J Ethnopharmal 2003 June. 86(2-3): 225-7.
• Early GI complications following renal transplantation. G. Narasimhan, N. Murugan, A Prakash, G Abraham, SS Bhaskar Transplant proceedings. (Submitted and accepted for publication)

• INASC
• ISG
• IMA

• Emergency colonoscopy for distal intestinal obstruction syndrome (DIOS) in cystic fibrosis patients. RG Shidrawi, N Murugan, ME Hodson, D Westaby (Abstract in GUT) suppl. March 1999) Presented at the annual meet of British society of Gastroenterology, March 1999
• Comparsion of Ribavirin and Interferon prophylaxis and theraphy of Hepatitis C Virus infection in Liver transplant recipients. N Murugan, J Eason, G Loss, J Blazek, J Lipscomb, A Mason. (Abstract in Hepatology Suppl. Oct 2000) Presented at the annual AASLD meet, October 2000.
• Induction regime with high dose Interferon in the treatment of patients with chronic hepatitis C who have failed previous therapy. R Perrillo, N Murugan. Presented at the annual AASLD meet, October 2000.
• Persistent bilious vomiting-a case report. G Narasimhan, N Murugan, S Selvakumar, SS Bhaskar. Presented at the association of Surgeons of India, TN & Pondicherry Chapter Meet, Aug 2001, Chennai, India.
• CMV Colitis- a case report. G Narasimhan, A Prakash, S Bhaskar, N Murugan Presented at Inter-Medical GI meeting, Sept 2002, Chennai, India.
• Nutrition in mega-duodenum- a case report and review of literature. G Narasimhan, A Prakash, S Bhaskar, N Murugan Presented at Inter-Medical GI meeting, Sept 2002, Chennai, India.
• Early GI complications following renal Transplantation. G Narasimhan, G Abraham, ranjit V, A Prakash, S Bhaskar, N Murugan. Prtesentaed at the 8th Congress of the Asian Society of Transplantation, Sept 2003, Kuala Lumpur, Malaysia.
• Prevalence and severity of anaemia in renal transplant recipients in Southern India G Abraham, N Narendran, J Abraham, V Ranjith, K Sashi, N Murugan, S Bhaskar. Presented at the 8th Congress of the Asian Society of Transplantation, Sept 2003, Kuala Lumpur, Malaysia.
• HCV infection in patients before and after renal transplantation. N Murugan, G narasimhan, A Prakash, SS Bhaskar, G Abraham. Presented at the annual meeting of the International Medical Sciences Academy, Sept 2003, Kochi, India.
• Intra-operative ultrasound and Doppler: applications in hepato-biliary surgery. S Selvakumar, G Narasimhan, A Prakash, S Radhakrishnan, N Renuka, N Murugan, S Shanmuga Bhaskar. Presented at the 7th annual Asian society of Hepato-Biliary and pancreatic surgery 2003 conference,sept 2003, Chennai, India.