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2 Dinesh Mani Tripathi 2 GURESH KUMAR 2 Saggere Muralikrishna Shasthry 2 Shiv Kumar Sarin 2 Savneet kaur 2 , 1 institute of liver and biliary sciences, new delhi, 2 institute of liver and biliary sciences Background: Hyperammonemia is associated with the development of hepatic encephalopathy (HE)