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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 | Clinical outcomes of transepithelial photorefractive keratectomy versus femtosecond laser assisted keratomileusis for correction of high myopia in South Egyptian population显示文摘AIM: To evaluate the safety and efficacy of transepithelial photorefractive keratectomy(t-PRK) with adjuvant mitomycin C(MMC) versus femtosecond laser assisted keratomileusis(Femto-LASIK) in correction of high myopia.METHODS: Prospective randomized comparative study including 156 eyes of 156 patients with high myopia and a spherical equivalent refraction(SER) <-6.00 D. They were divided randomly into two groups: Group A included 72 eyes treated with t-PRK with adjuvant MMC and Group B included 84 eyes treated with Femto-LASIK. Visual acuity, SER, corneal topography, pachymetry and keratometry were assessed for 12 mo postoperatively.RESULTS: The preoperative mean SER was-8.86±1.81 and-9.25±1.70 D in t-PRK MMC group and Femto-LASIK respectively(P=0.99) which improved to-0.65±0.43 D and-0.69±0.50 D at 12 mo follow up. Mean SER remained stable during the 12 mo of follow-up, with no statistically significant difference between the two groups(P=0.64). In t-PRK MMC group, only six eyes needed retreatment after six months of follow up. And two eyes showed haze(one reversible haze grade 2, while the other had dense irreversible haze grade 4).CONCLUSION: t-PRK MMC provides safe and satisfactory visual outcomes and acceptable risk as Femto-LASIK in patients with high myopia. | Amr Mounir Engy Mohamed Mostafa Hatem Ammar Osama Ali Mohammed Alahmady Hamad Alsmman Mahmoud Mohamed Farouk Mohamed Gamal Elghobaier | 2020 | International Journal of Ophthalmology(English edition)2020,13,1: | 4 |
| 3 | Prevalence of Visual Impairment and Refractive Errors in Children of South Sinai, Egypt显示文摘 | Gamal Abdel Naser Yamamah Ahmed Ahmed Talaat Abdel Alim Yehia Salah El Din Mostafa Rania Ahmed Abdel Salam Ahmed Asmaa Mohammed Mahmoud | 2015 | Ophthalmic Epidemiology2015,,4: | 1 |
| 4 | Chemical Composition and Hepato-protective activity of Imperata cylindrical Beauv显示文摘 | Gamal A.Mohamed Ahmed Abdel-Lateff Mostafa A.Fouad | | 0,,17: | 1 |
| 5 | Evaluation of adhesion formation and host tissue response to intra-abdominal polytetrafluoroethylene mesh and composite prosthetic mesh 1显示文摘 | Brent D. Matthews Gamal Mostafa Alfredo M. Carbonell Charles S. Joels Kent W. Kercher Catherine Austin H. James Norton B. Todd Heniford | 2004 | Journal of Surgical Research2004,,2: | 1 |
| 6 | Traumatic carotid cavernous fistula显示文摘 | Gamal Mostafa Ronald F. Sing Brent D. Matthews B.Todd Heniford | 2002 | Journal of the American College of Surgeons2002,,6: | 1 |
| 7 | Schiff bases as corrosion inhibitors for aluminium in hydrochloric acid solution 显示文摘 | Gomma Gamal K Wahdan Mostafa H | 1995 | Materials Chemistry and Physics1995,39,3: | 1 |
| 8 | PVC Matrix Membrane Sensor for Potentiometric Determination of Triphenyltetrazolium Chloride and Ascorbic Acid显示文摘 | Gamal Abdel-Hafiz MOSTAFA | 2007 | AnnChim2007,97,: | 1 |
| 9 | Effect of different starter cultures on the biogenic amines production as a critical control point in fresh fermented sausages显示文摘 | Sayed Mokhtar Gamal Mostafa Refat Taha | 2012 | European Food Research Technology2012,235,: | 1 |
| 10 | Minilaparoscopic Appendectomy显示文摘 | Brent D. Matthews Gamal Mostafa Kristi L. Harold Kent W. Kercher Patrick R. Reardon B. Todd Heniford | 2001 | Surgical Laparoscopy Endoscopy & Percutaneous Techniques2001,,6: | 1 |
| 11 | Intensive care unit readmission in adult Egyptian patients undergoing living donor liver transplant:A single-centre retrospective cohort study显示文摘BACKGROUND Patients who undergo living donor liver transplantation(LDLT)may suffer complications that require intensive care unit(ICU)readmission.AIM To identify the incidence,causes,and outcomes of ICU readmission after LDLT.METHODS A retrospective cohort study was conducted on patients who underwent LDLT.The collected data included patient demographics,preoperative characteristics,intraoperative details;postoperative stay,complications,causes of ICU readmission,and outcomes.Patients were divided into two groups according to ICU readmission after hospital discharge.Risk factors for ICU readmission were identified in univariate and multivariate analyses.RESULTS The present study included 299 patients.Thirty-one(10.4%)patients were readmitted to the ICU after discharge.Patients who were readmitted to the ICU were older in age(53.0±5.1 vs 49.4±8.8,P=0.001)and had a significantly higher percentage of women(29%vs 13.4%,P=0.032),diabetics(41.9%vs 24.6%,P=0.039),hypertensives(22.6%vs 6.3%,P=0.006),and renal(6.5%vs 0%,P=0.010)patients as well as a significantly longer initial ICU stay(6 vs 4 d,respectively,P<0.001).Logistic regression analysis revealed that significant independent risk factors for ICU readmission included recipient age(OR=1.048,95%CI=1.005-1.094,P=0.030)and length of initial hospital stay(OR=0.836,95%CI=0.789-0.885,P<0.001).CONCLUSION The identification of high-risk patients(older age and shorter initial hospital stay)before ICU discharge may help provide optimal care and tailor follow-up to reduce the rate of ICU readmission. | Manar Salah Iman Fawzy Montasser Hanaa A El Gendy Alaa A Korraa Gamal M Elewa Hany Dabbous Hossam R Mahfouz Mostafa Abdelrahman Mohammed Hisham Goda Mohamed Mohamed Bahaa El-Din Mahmoud El-Meteini Heba A Labib | 2022 | World Journal of Hepatology2022,14,6: | 0 |
| 12 | T-Helper I Cell/T-Helper 2 Cell Balance with Anti Inflammatory Therapy in Partly Controlled Asthmatic Children显示文摘 | Gamal Abdel Naser Yamamah Hala Hamdy Shaaban Emad Ezzat Salama Nevine El Helaly Solaf Kamel Elham Mostafa | 2012 | Journal of Life Sciences2012,6,11: | 0 |
| 13 | Safety and effi cacy of hepatitis A vaccine in children with chronic liver disease显示文摘AIM: To study the safety and efficacy of hepatitis A vaccine (HAV) in children with chronic liver disease of various etiologies. METHODS: Eleven children with chronic liver disease and thirteen age- and sex-matched controls negative for HAV antibodies were vaccinated against hepatitis A after they gave their informed consent. Children with uncontrolled coagulopathy or signs of hepatic decompensation were excluded. The vaccine (Havrix: 720 ELISA units in 0.5 mL, from GlaxoSmithKline Biologicals) was given intramuscularly in the deltoid in 2 doses 6 mo apart. Children were tested for HAV antibodies one and six months after the 1st dose and one month after the 2nd dose. Total serum bilirubin, alanine aminotransferase (ALT), and aspartate aminotransferase (AST) were determined immediately before and after one month of the 1st dose of the vaccine. RESULTS: Only 7 out of the 11 patients were positive for HAV antibodies after the 1st dose of the vaccine, as compared to 100% of the controls. One month after the 2nd dose, all patients tested were positive for HAV antibodies. No deterioration in liver functions of patients was noted after vaccination. No adverse events, immediate or late, were reported by the mothers after each dose of the vaccine. CONCLUSION: Hepatitis A vaccine is both safe and effective in this small studied group of children with chronic liver disease. Given the high seroconversion rate, post-vaccination testing for HAV antibodies is not needed. | Hanaa Mostafa El-Karaksy Manal Ismail El-Hawary Nehal Mohammad El-Koofy Rokaya El-Sayed Mona Al-Saeed El-Raziky Samah Asaad Mansour Gamal Mohammad Taha Fatma El-Mougy | 2006 | World Journal of Gastroenterology2006,12,45: | 0 |