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| 1 | Trends and outcomes of pancreaticoduodenectomy for periampullary tumors: A 25-year single-center study of 1000 consecutive cases显示文摘AIM To evaluate the evolution, trends in surgical approaches a n d r e c o n s t r u c t i o n t e c h n i q u e s, a n d i m p o r t a n t lessons learned from performing 1000 consecutive pancreaticoduodenectomies(PDs) for periampullary tumors.METHODS This is a retrospective review of the data of all patients who underwent PD for periampullary tumor during the period from January 1993 to April 2017. The data were categorized into three periods, including early period(1993-2002), middle period(2003-2012), and late period(2013-2017).RESULTS The frequency showed PD was increasingly performed after the year 2000. With time, elderly, cirrhotic and obese patients, as well as patients with uncinate process carcinoma and borderline tumor were increasingly selected for PD. The median operative time and postoperative hospital stay decreased significantly over the periods. Hospital mortality declined significantly, from 6.6% to 3.1%. Postoperative complications significantly decreased, from 40% to 27.9%. There was significant decrease in postoperative pancreatic fistula in the second 10 years, from 15% to 12.7%. There was a significant improvement in median survival and overall survival among the periods.CONCLUSION Surgical results of PD significantly improved, with mortality rate nearly reaching 3%. Pancreatic reconstruction following PD is still debatable. The survival rate was also improved but the rate of recurrence is still high, at 36.9%. | ayman el nakeeb waleed askar ehab atef ehab el hanafy ahmad m sultan tarek salah ahmed shehta mohamed el sorogy emad hamdy mohamed el hemly ahmed a el-geidi tharwat kandil mohamed el shobari talaat abd allah amgad fouad mostafa abu zeid ahmed abu el eneen nabil gad el-hak gamal el ebidy omar fathy ahmed sultan mohamed abdel wahab | 2017 | World Journal of Gastroenterology2017,23,38: | 15 |
| 2 | Reversibility of minimal hepatic encephalopathy following liver transplantation in Egyptian cirrhotic patients显示文摘AIM To evaluate the reversibility of minimal hepatic encephalopathy(MHE) following liver transplantation(LT) in Egyptian cirrhotic patients. METHODS This prospective study included twenty patients with biopsy-proven liver cirrhosis listed for LT and twenty ageand sex-matched healthy control subjects. All underwent neuro-psychiatric examination, laboratory investigations, radiological studies and psychometric tests including trail making test A(TMT A), TMT B, digit symbol test and serial dotting test. The psychometric hepatic encephalopathy score(PHES) was calculated for patients to diagnose MHE. Psychometric tests were repeated six months following LT in the cirrhotic patient group. RESULTS Before LT, psychometric tests showed highly significant deficits in cirrhotic patients in comparison to controls(P < 0.001). There was a statistically significant improvement in test values in the patient group after LT; however, their values were still significantly worse than those of the controls(P < 0.001). The PHES detected MHE in 16 patients(80%) before LT with a median value of -7 ± 3.5. The median PHES value was significantly improved following LT, reaching-4.5 ± 5(P < 0.001), and the number of patients with MHE decreased to 11(55%). The pre-transplant model for end-stage liver disease(MELD) score ≥ 15 was significantly related to the presence of post-transplant MHE(P = 0.005). More patients in whom reversal of MHE was observed had a pre-transplant MELD score < 15.CONCLUSION Reversal of MHE in cirrhotic patients could be achieved by LT, especially in those with a MELD score < 15. | Mahmoud A Osman Moataz M Sayed Khaled A Mansour Shereen A Saleh Wesam A Ibrahim Sara M Abdelhakam Mohamed Bahaa Wael A Yousry Hosam S Elbaz Reginia N Mikhail Azza M Hassan Ehab H Elsayed Dalia A Mahmoud | 2016 | World Journal of Hepatology2016,8,30: | 11 |
| 3 | Post-endoscopic retrograde cholangiopancreatography pancreatitis: Risk factors and predictors of severity显示文摘AIM To detect risk factors for post-endoscopic retrograde cholangiopancreatography(ERCP) pancreatitis(PEP) and investigate the predictors of its severity.METHODS This is a prospective cohort study of all patients who underwent ERCP.Pre-ERCP data,intraoperative data,and post-ERCP data were collected.RESULTS The study population consisted of 996 patients.Their mean age at presentation was 58.42(± 14.72) years,and there were 454 male and 442 female patients.Overall,PEP occurred in 102(10.2%) patients of the study population; eighty(78.4%) cases were of mild to moderate degree,while severe pancreatitis occurred in 22(21.6%) patients.No hospital mortality was reported for any of PEP patients during the study duration.Age less than 35 years(P = 0.001,OR = 0.035),narrower common bile duct(CBD) diameter(P = 0.0001) and increased number of pancreatic cannulations(P = 0.0001) were independent risk factors for the occurrence of PEP.CONCLUSION PEP is the most frequent and devastating complication after ERCP.Age less than 35 years,narrower median CBD diameter and increased number of pancreaticcannulations are independent risk factors for the occurrence of PEP.Patients with these risk factors are candidates for prophylactic and preventive measures against PEP. | Ayman El Nakeeb Ehab El Hanafy Tarek Salah Ehab Atef Hosam Hamed Ahmad M Sultan Emad Hamdy Mohamed Said Ahmed A El Geidie Tharwat Kandil Mohamed El Shobari Gamal El Ebidy | 2016 | World Journal of Gastrointestinal Endoscopy2016,8,19: | 10 |
| 4 | Intraoperative endoscopic retrograde cholangiopancreatography: A useful tool in the hands of the hepatobiliary surgeon显示文摘AIM: To evaluate the efficacy of intraoperative endoscopic retrograde cholangio-pancreatography(ERCP) combined with laparoscopic cholecystectomy(LC) forpatients with gall bladder stones(GS) and common bile duct stones(CBDS).METHODS: Patients treated for GS with CBDS were included. LC and intraoperative transcystic cholangiogram(TCC) were performed in most of the cases. Intraoperative ERCP was done for cases with proven CBDS.RESULTS: Eighty patients who had GS with CBDS were included. LC was successful in all cases. Intraoperative TCC revealed passed CBD stones in 4 cases so intraoperative ERCP was performed only in 76 patients. Intraoperative ERCP showed dilated CBD with stones in 64 cases(84.2%) where removal of stones were successful; passed stones in 6 cases(7.9%); short lower end stricture with small stones present in two cases(2.6%) which were treated by removal of stones with stent insertion; long stricture lower 1/3 CBD in one case(1.3%) which was treated by open hepaticojejunostomy; and one case(1.3%) was proved to be ampullary carcinoma and whipple's operation was scheduled. CONCLUSION: The hepatobiliary surgeon should be trained on ERCP as the third hand to expand his field of therapeutic options. | Ayman El Nakeeb Ahmad M Sultan Emad Hamdy Ehab El Hanafy Ehab Atef Tarek Salah Ahmed A El Geidie Tharwat Kandil Mohamed El Shobari Gamal El Ebidy | 2015 | World Journal of Gastroenterology2015,21,2: | 6 |
| 5 | Effect of Solution Heat Treatment on the Hot Workability of A1-Mg-Si Alloy 显示文摘 | EHAB A MAHMOUD S | 2009 | Materials and Manufacturing Processes2009,6,24: | 1 |
| 6 | Friction stir processing:Aneffective technique to refine grain structure and enhanceductility显示文摘 | Ehab A El-Danaf Magdy M | 2010 | Materials and Design2010,31,3: | 1 |
| 7 | Enzyme immobilization in novel alginate chitosan core - shell microeapsules 显示文摘 | Ehab T Mansoor A | 2004 | Biomaterials2004,25,: | 1 |
| 8 | The influence of multi-passfriction stir processing on the microstructural and mechanicalproperties of aluminum alloy 6082 显示文摘 | Magdy M El-Rayes Ehab A | 2012 | Journal of MaterialsProcessing Technology2012,212,5: | 1 |
| 9 | Adaptive decentralized droop controller to preserve power sharing stability of parallel inverters in distributed generation microgrid显示文摘 | YASSER A I M EHAB F E | 2008 | IEEE Trans on Power Electronics2008,23,6: | 1 |
| 10 | Field Investigation on the First Bridge Deck Slab Reinforced with Glass FRP Bars Constructed in Canada显示文摘 | El-Salakawy Ehab Benmokrane B E1-Ragaby A | 2005 | Journal of Composites for Construction ASCE2005,9,6: | 1 |
| 11 | Hemoperitoneum secondary to rupture of cystic artery pseudoaneurysm显示文摘BACKGROUND:Spontaneous hemoperitoneum of hepato- biliary origin is commonly due to hemorrhage from a liver tumor.It is rarely caused by spontaneous rupture of aneurysm in visceral arteries. METHODS:We report an unusual case of hemoperitoneum caused by rupture of cystic artery pseudoaneurysm,and also outline the approach to its management through surgical and radiological methods. RESULTS:In our patient,the pseudoanurysm was initially treated with percutaneous thrombin injection.However this method of treatment failed after initial success.The pseudoanurysm was finally obliterated successfully using microcoil embolization. CONCLUSIONS:The mainstay of treatment of cystic artery pseudoaneurysm is cholecystectomy and ligation of the aneurysm.Recent publications showed success in using microcoil embolisation.In this case we also outline the use of percutaneous thrombin injection as a definitive treatment method and discuss its success or failure as a new method of treatment. | Ali Ghoz Ehab Kheir Anil Kotru Karim Halazun David Kessel Jai Patel J J Peter A Lodge | 2007 | Hepatobiliary & Pancreatic Diseases International2007,6,3: | 1 |
| 12 | A novel control algorithm for the DG interface to mitigate power quality problems显示文摘 | Marei Mostafa I EI-Saadany Ehab F Salama Magdy M A | 2004 | IEEE Trans on Power Delivery2004,19,3: | 1 |
| 13 | A current control scheme with an adaptive internal model for torque ripple minimization and robust cur- rent regulation in PMSM drive systems 显示文摘 | YASSER A EHAB F | 2008 | IEEE Transactions on Energy Conversion2008,23,1: | 1 |
| 14 | Enzyme immobilization in novel alginate- chi- tosan core - shell mierocapsules 显示文摘 | Ehab T Mansoor A | 2004 | Biomaterials2004,25,10: | 1 |
| 15 | Radiation-induced grafting of glycidyl methacrylate onto cotton fabric waste and its mod- ification for anchoring hazardous wastes from their solutions显示文摘 | HESHAM H S SAYED M B EHAB M Z et a/ | 2009 | Jour- nal of Hazardous Materials2009,168,1: | 1 |
| 16 | Gastric Antral Vascular Ectasia in a Patient with GIST after Treatment with Imatinib: Case Re- port and Literature Review显示文摘 | Ehab S A Fadi M Arafat T | 2012 | Jpn J Clin Oncol2012,42,5: | 1 |
| 17 | Openflow Random Host Mutation: Transparent Moving Target Defetrse Using Soft- ware Defined Networking显示文摘 | JAFAR H J EHAB A DUAN Q | 2012 | HotSDN2012,,12: | 1 |
| 18 | Enzyme immobilization in novel alginate-chitosan core-shell microcapsules显示文摘 | Ehab Taqieddin E Amiji A | 2004 | Biomaterials2004,25,: | 1 |
| 19 | Biodegradation of monocyclic aromatic hydrocarbons by a newly isolated Pseudomonas strain显示文摘 | RANYA A A MAHMOUD M N EHAB R E | 2008 | Biotechnology2008,7,4: | 1 |
| 20 | Enzyme immobilization in novel alginate-chitosan core-shell microcapsules 显示文摘 | EHAB T MANSOOR A | 2004 | Biomaterials2004,25,10: | 1 |