Current Issue : October - December Volume : 2020 Issue Number : 4 Articles : 5 Articles
To our knowledge this is the first report to provide a detailed description of\nsurgical procedure for adhesiolysis and hepatectomy in patients who have\nundergone esophagectomy and reconstruction. We performed a hepatic resection\nof the left medial segment in a patient with a reconstructed stomach\ntube after esophagectomy for the esophageal carcinoma. The reconstructed\nstomach tube overlapped with the left medial segment of the liver and the\nhepatoduodenal ligament and was extensively and strongly adhered to them.\nIt is important for clinicians to know how to perform the detachment procedure\nsuccessfully in order to secure a surgical field for liver resection without\ndamaging the fragile reconstructed gastric tube. In order to avoid vascular injury\nof the stomach tube, it was decided that detachment around the hepatoduodenal\nligament preceded detachment of the stomach tube from the liver.\nAfter complete separation of the hepatoduodenal ligament from the stomach\ntube, the hepatoduodenal ligament was encircled with tape. Subsequently, adhesiolysis\nwas performed between the stomach tube and the liver. Finally, parenchymal\ntransection was performed using the intermittent hepatic inflow\nocclusion and crush clamping techniques to dissect the parenchyma. The patient\nwas discharged two weeks after surgery without complication....
Introduction: Hepatitis B Virus (HBV) and Human Immunodeficiency Virus\n(HIV) infection is a public health problem worldwide, particularly in sub-Saharan\nAfrica. Objective: to compare the epidemiological, clinical and biological characteristics\nof chronic HBV and HIV infection in blood donors at the National\nCenter for Blood Transfusion (NCBT) in Bangui. Patients and Methods:\nThis was an 8-month analytical cross-sectional study from August 10, 2011 to\nApril 9, 2012. During this study, we consecutively enrolled consenting blood\ndonors of both sexes in which the search for HBsAg and HIV infection was\ncarried out. Results: During the study period, 850 blood donors were collected.\nHBsAg was found in 142 donors (16.7%), of whom 55 blood donors (6.5%)\nwere coinfected with HIV. On the other hand, HIV serology was positive in\n77 blood donors (9.1%) including 55 co-infected (6.5%) with HBV. In order\nto better compare the risk factors, we have not included HIV-HBV coinfected\npatients. Only 795 blood donors were selected for the risk factor study. There\nwere 87 cases of HBsAg positive (10.9%) and 22 cases of HIV positive (2.8%).\nThe average age of HIV and HBV infected patients was 25.7 and 26.2 years,\nrespectively. Twelve blood donors (1.5%) over the age of 20 were HBsAg versus\n3 HIV positive blood donors (0.4%). Among blood donors over the age of 20,\n75 (9.9%) were HBsAg positive, while 19 (2.4%) were HIV positive. Men were\ninfected with HIV in 20 cases (2.5%), while those infected with HBV were 84\n(10.6%). The risk factor found during HIV infection and HBV was unprotected\nsex with a p of 0.0038 and 0.0017 respectively. Conclusion: The prevalence\nof HBV infection is higher than that of HIV among blood donors in\nBangui. The setting up of a national viral hepatitis control program, which will\ndevelop screening, treatment and vaccination actions could make the curve\nbend....
Background: Hepatocellular carcinoma is the third leading cause of tumor\nrelated mortality and develops mostly in patients with chronic liver disease and\nliver cirrhosis. Human hepatocyte growth factor (HGF) is produced in various\norgans of the body and is characterized as a multifunctional factor with various\nbiologic activities. Aim: Our aim was to investigate the predictive factors of\nrecurrence specially the role of HGF in patients with HCC treated with TACE.\nPatients and Methods: one hundred HCC patients treated by TACE who\nachieved complete response were included and divided into two groups according\nto disease free survival (DFS) status at 1 year: the non-early recurrence\n(NER) group (1) and the early recurrence (ER) group (2). Univariate binary\nlogistic regression analysis for the possible risk factors of recurrence showed\nthat AFP, multinodularity and HGF level were significant. Conclusion: high\nAFP, multinodularity and high HGF were inter-related possible risk factors for\n1-year recurrence of HCC in patients with initial remission following TACE....
Background: Non-alcoholic fatty liver disease (NAFLD) has emerged a major\nchallenge and become the leading indication for liver transplantation. We\naimed to assess the applicability and performance of real-time elastography\n(RTE) in diagnosis of liver fibrosis in patients with NAFLD compared with\nNAFLD fibrosis score (NFS) and FIB-4 index. Patients and Methods: A\nprospective case-control study was conducted on 260 subjects attended Hepatology,\nGastroenterology and Infectious diseases and Internal Medicine\ndepartments in Benha University Hospital from Marsh 20, 2018, to September\n1, 2019 and divided into group I included 200 cases with NAFLD and\ngroup II included 60 healthy control subjects. Results: There was statistically\nsignificant increase in FIB-4 scores between two groups.................
Introduction: The aim of our study was to determine the socio-demographic,\ndiagnostic and therapeutic aspects of ulcerative colitis (UC) in one of the largest\ngastroenterology departments in Senegal. Patients and Method: This was a\nretrospective and descriptive study based on the analysis of the records of patients\nhospitalized in the Hepato-Gastroenterology Department of the Grand\nYoff General Hospital (Dakar, Senegal) between January 2013 and December\n2019. All cases of UC were collected. Clinical, biological, endoscopic and histological\ndata were collected, as well as treatment options. Results: We observed\n24 cases, representing a prevalence of 0.87% of inpatients. The mean\nage of patients was 36 (ranged 18 to 73) and sex ratio 0.9 (13 females). The\nmean diagnostic delay was 1.6 years (ranged 4 months to 5 years). The clinical\nsymptomatology was dominated by diarrhea with blood and mucus (18 cases).\nThe Litchiger score on admission averaged 8 and 5 patients (20.8%) had severe\nacute colitis. Colonoscopy showed pancolonic involvement (Montreal E3)\nin 11 cases (45.8%) and severe endoscopic lesions (stage 3 of the Mayo endoscopic\nsubscore) in 10 cases (41.6%). Therapeutically, 17 patients (70.8%) were\ninitially treated with corticosteroids. Background therapy was 5-ASA in 17\npatients (70.8%) and azathioprine in 7 patients (29.2%). Two cases of death\n(8.3%) were observed following colectasia with colonic perforations before emergency\nsurgery could be performed. Conclusion: UC in our study was primarily\namong young adults with a slight female predominance. Diagnosis is often\nlate. The lack of biotherapy requires close collaboration with surgeons for the\nmanagement of severe forms....
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