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Belabbes FZ, Mounsif S, Faquir N, Cherkaoui Jaouad MR, Habi J, Rouibaa F. Erratum to 'Pancreas divisum causing recurrent pancreatitis in a young patient: A case report' [Radiology Case Reports 18 (2023) 3535-3538]. Radiol Case Rep 2024; 19:832. [PMID: 38111567 PMCID: PMC10726324 DOI: 10.1016/j.radcr.2023.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2023] Open
Abstract
[This corrects the article DOI: 10.1016/j.radcr.2023.07.028.].
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Affiliation(s)
- Fatima Zahra Belabbes
- Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco
| | - Sara Mounsif
- Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco
| | - Nada Faquir
- Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco
| | | | - Jihane Habi
- Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco
| | - Fedoua Rouibaa
- Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco
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2
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Nadi A, Oulammou Z, Maizi M, Delsa H, Rouibaa F. The Association between Coffee Consumption and Non-Alcoholic Fatty Liver Disease: Is there a Protective Role? Open Access Maced J Med Sci 2023. [DOI: 10.3889/oamjms.2023.10022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Abstract
BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) is the main cause of chronic liver disease. Several studies have suggested a protective role of coffee in chronic liver disease, but their results remain controversial.
AIM: The purpose of the study was to investigate the association between coffee consumption and the prevalence and severity of NAFLD in a non-diabetic and non-alcoholic population.
METHODS: This study involved 157 participants. Cases were defined by the presence of steatosis on liver ultrasound, the severity of which was assessed by the Bright Liver Steatosis Score. Controls were defined by the absence of steatosis on liver ultrasound. All patients with cytolysis and/or cholestasis had an etiological investigation (serologic testing for Hepatitis B virus and hepatitis C virus infection, and autoimmune investigation). All participants underwent liver ultrasound, clinical assessment (blood pressure, waist circumference, and body mass index (BMI)), and biological assessment (Complete Blood Count, lipid profile test, liver function tests, and Fasting Blood Glucose [FBG]). Dietary assessment was conducted using a food frequency questionnaire, coffee consumption was dichotomized into present or absent and then categorized according to the number of cups consumed per day.
RESULTS: The study included 94 NAFLD and 63 controls, the two groups were comparable in demographic characteristics. The means of systolic blood pressure, BMI, waist circumference, Aspartate Transaminase, Alanine Transaminase (ALT), Gamma-Glutamyl transferase (GGT), alkaline phosphatase, and FBG were significantly higher in the NAFLD group. The study of the association between coffee consumption and NAFLD showed a significant decrease in the risk of its occurrence (Odds Ratios [OR] = 0.39) and its severity (OR = 0.32) in coffee consumers, mainly in those consuming 3 or more cups. In multivariate analysis, the following factors were associated with increased prevalence of NAFLD: Metabolic syndrome, high mean levels of alkaline phosphatase, GGT, ALT, FBG, BMI, and waist circumference. However, Green tea consumption was not associated with either prevalence or severity of NAFLD (OR = 1.02, p = 0.82).
CONCLUSION: Coffee consumption is inversely associated with the prevalence and severity of NAFLD. Further prospective studies are needed to establish a cause-effect relationship between coffee and NAFLD.
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Mrabti S, Sair A, Benhamdane A, Addajou T, Berrida R, Sentissi S, Koti I, Rouibaa F, Benkirane A, Seddik H. Sporadic Rectocolic Polyps Prevalence and Management. Journal of Coloproctology 2022. [DOI: 10.1055/s-0042-1757773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Abstract
Objective To evaluate the prevalence of polyps and their treatments.
Materials and Method This is a retrospective study conducted in our department over 20 years and 3 months between January 2000 and March 2021. All patients with colorectal polyps who underwent endoscopic resection were included. We evaluated the resection techniques and the management of complications.
Results The total number of patients was 273, with a mean age of 57.26 ± 14.058 (18–90) and a M/W sex ratio of 2. The prevalence was 3.35% and the mean number of polyps was 1.33 ± 0.69. The most frequent symptoms were rectal bleeding (23.5%) and constipation (12.1%). The median size was 6 mm (4–12 mm). The left colonic location was the most frequent site (43%). All polyps were classified according to the Paris classification, with a predominance of sessile polyps in 45.75%, followed by pedunculated polyps, representing 42.4%. Endoscopic resection was performed either by biopsy forceps, polypectomy, or mucosectomy in 30.2%, 27.4%, and 25.4% of cases, respectively. Our study noted immediate bleeding in 1.5% of cases, and no perforations or late complications. All complications were treated endoscopically, and no patient required blood transfusion or surgical intervention.
Conclusion Endoscopic resection of rectocolic polyps is the ideal treatment for these lesions. In our department, the prevalence was 3.35%, the most used resection techniques were forceps resection and polypectomy, and the complication rate was 1.5%.
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Affiliation(s)
- Samir Mrabti
- Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
| | - Asmae Sair
- Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
| | - Ahlame Benhamdane
- Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
| | - Tarik Addajou
- Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
| | - Réda Berrida
- Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
| | - Sara Sentissi
- Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
| | - Ilham Koti
- Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
| | - Fedoua Rouibaa
- Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
| | - Ahmed Benkirane
- Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
| | - Hassan Seddik
- Department of Hepato-gastroenterology II, Mohammed V Military Instruction Hospital/ Mohammed V University, Rabat, Morrocco
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Delsa H, Benslima N, Rahmouni I, Cherouaqi Y, Benfaida A, Maane LA, Jaouad MRC, Belabbes F, Nadi A, Rouibaa F. [Angiocholitis on hepatic hydatid cyst fistulised in the main bile duct: two case reports]. Pan Afr Med J 2022; 42:62. [PMID: 35949481 PMCID: PMC9338722 DOI: 10.11604/pamj.2022.42.62.30130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Accepted: 05/02/2022] [Indexed: 11/11/2022] Open
Abstract
Hydatid cyst is a zoonosis that frequently affects the liver, which is endemic in several countries such as Morocco. The hepatic hydatidosis can be complicated by angiocholitis, currently, the treatment of choice is endoscopic retrograde cholangio-pancreatography with sphincterotomy. We report two clinical cases of angiocholitis on hepatic hydatid cyst fistulised in the main bile duct which were treated endoscopically with a favourable outcome. Early diagnosis and adequate management can improve the prognosis of these patients.
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Affiliation(s)
- Hanane Delsa
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Najwa Benslima
- Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc.,Service de Radiologie, Hôpital Cheikh Khalifa, Casablanca, Maroc
| | - Imane Rahmouni
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Yasmine Cherouaqi
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Amine Benfaida
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Leila Abdallaoui Maane
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Mohamed Reda Cherkaoui Jaouad
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Fatima Belabbes
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Anass Nadi
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Fedoua Rouibaa
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
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Belabbes FZ, Maizi M, Belghyti N, Hmamouchi I, Khalis M, El Aidaoui K, Kantri A, El Kettani C, Naitlhou A, Rouibaa F. Prevalence and Severity of Gastrointestinal Symptoms in COVID-19 Patients in Casablanca: A Retrospective Cohort Study. Cureus 2022; 14:e27815. [PMID: 36106205 PMCID: PMC9454376 DOI: 10.7759/cureus.27815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/09/2022] [Indexed: 01/08/2023] Open
Abstract
Background The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), responsible for the coronavirus disease 2019 (COVID-19), is behind the current pandemic. At the start of the pandemic, gastrointestinal symptoms initially described as rare were reported, but their spread to other countries increased rapidly. This study aimed to determine the prevalence of digestive symptoms among COVID-19 patients and to assess the correlation between these symptoms and disease severity. Methods This retrospective observational study was conducted in the Cheikh Khalifa University Hospital of Casablanca, Morocco. Patients were divided into two groups based on the presence or absence of gastrointestinal symptoms upon initial assessment and hospital admission. Results A total of 154 patients were included in this study from March 21 to April 26, 2020. The mean age of patients was about 48.5 (± 20.0) years, and 85 (55.2%) of them were men. In our population, 8.17% of patients had toxic habits. Digestive symptoms were present at admission in 30% of our patients. The most frequent digestive symptoms were diarrhea (15%), abdominal pain (5.6%), vomiting (5%), and anorexia (3.1%). We found a significant difference in COVID-19 patients with digestive symptoms and toxic habits contrary to all other comorbidities. Neurologic symptoms were significantly associated (p=0,004) with digestive symptoms in 50%. Conclusion In this study, we found that digestive symptoms were present in 22.64% of patients diagnosed with COVID-9. The clinician must know the different digestive symptoms to evoke the diagnosis and take charge of the patient early.
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Nadi A, Benhayoun Y, Cherkaoui R, Delsa H, Rouibaa F. Case Series of Autoimmune Pancreatitis and IgG4-Related Sclerosing Cholangitis. Cureus 2022; 14:e26657. [PMID: 35949783 PMCID: PMC9357350 DOI: 10.7759/cureus.26657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/08/2022] [Indexed: 11/05/2022] Open
Abstract
IgG4-related disease (IgG4-RD) is an emerging immune-mediated disease that can involve any organ. The involvement of the pancreas and biliary tract is the most common and well-studied in the literature. It is characterized by a non-specific presentation, mimicking a malignant process. The goal was to look at the different clinical and paraclinical aspects of this disease, as well as the challenges that come from its management. It was made up of three observations of patients with IgG4-RD involving the biliary tract and pancreas. The first observation concerned intrahepatic biliary cholangitis that was accompanied by porto-mesenteric thrombosis, which was discovered by cholestatic jaundice on the 15th day after an appendectomy, and the patient improved under corticosteroids and anticoagulants. The second observation concerned an acute revelation of the disease. It was an acute attack of chronic pancreatitis of IgG4-RD. The main symptoms were pancreatic pain and exocrine pancreatic insufficiency, and corticosteroid therapy allowed remission. The third observation was related to autoimmune pancreatitis (AIP) and IgG4-related sclerosing cholangitis, revealed by jaundice with cholestasis. The patient acquired corticosteroid resistance and an adverse progression to decompensated cirrhosis, and liver transplantation was indicated. The clinical presentation of IgG4-RD is heterogeneous, as evidenced by our three clinical observations. There are still significant gaps in our understanding, particularly in terms of pathogenesis and factors that influence therapy response. Further observational and interventional research is needed to better manage this disease.
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Affiliation(s)
- Anass Nadi
- Gastroenterology and Hepatology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Yassamin Benhayoun
- Gastroenterology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Reda Cherkaoui
- Radiology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Hanane Delsa
- Gastroenterology and Hepatology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Fedoua Rouibaa
- Gastroenterology and Hepatology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
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Belabbes F, Abdallaoui Maane L, Al Bouzidi A, El Idrissi Lamghari A, Rouibaa F. Endoscopic Resection of a Large Colonic Lipoma Simulating a Tumor Revealed by Hemorrhage: A Case Report and Literature Review. Cureus 2022; 14:e24987. [PMID: 35719757 PMCID: PMC9190023 DOI: 10.7759/cureus.24987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/13/2022] [Indexed: 11/21/2022] Open
Abstract
Lipomas of the colon are benign tumors of the digestive tract. They are usually asymptomatic, and often discovered incidentally during a colonoscopy. However, lipomas larger than 2 cm may present with abdominal pain, bowel changes, and rectal bleeding. They may mimic cancer, depending on multiple factors including tumor size, location, and complications, which often makes preoperative diagnosis difficult. In this report, we discuss the case of a 34-year-old woman who presented with paroxysmal abdominal pain in the left iliac fossa withmoderate hematochezia that had been evolving for six months. The patient denied melena or hematemesis, and she had no significant medical history. Colonoscopy revealed a large polyp of over 5 cm located 40 cm from the anal margin. She underwent endoscopic resection without complications. The histological examination confirmed the lipomatous nature. An accurate preoperative diagnosis of lipomas is necessary.It can often be difficult to choose between endoscopic and surgical treatment. The choice of treatment depends on the size and location of the tumor and complications. Endoscopic resection may obviate the need for surgery and can potentially reduce surgical morbidity. We aimed to report and discuss the management of this patient who underwent endoscopic resection for a large mass with a definitive pathology of colonic lipoma.
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8
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Delsa H, Mounsif S, Benslima N, Mahi M, Rouibaa F. Cataclysmic Gastrointestinal Hemorrhage: Dreaded Complication of Metastatic Breast Cancer. Cureus 2022; 14:e25149. [PMID: 35733494 PMCID: PMC9205458 DOI: 10.7759/cureus.25149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2022] [Indexed: 11/05/2022] Open
Abstract
Upper gastrointestinal bleeding (UGIB) from variceal rupture is a serious condition that can be life-threatening in some cases. Usually, the main cause is portal hypertension in cirrhosis, but other etiologies like liver metastases can be also involved. We present the case of a 64-year-old woman, with a history of metastatic breast cancer, who was admitted for a massive UGIB due to ruptured esophageal varices related to portal hypertension.
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Affiliation(s)
- Hanane Delsa
- Gastroenterology and Hepatology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Sara Mounsif
- Gastroenterology and Hepatology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Najwa Benslima
- Radiology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Mohamed Mahi
- Radiology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Fedoua Rouibaa
- Gastroenterology and Hepatology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
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Nadi A, Cherouaqi Y, Oulammou Z, Delsa H, Rouibaa F. The Impact of Argon Plasma Coagulation in the Treatment of a Solitary Rectal Ulcer Syndrome Revealed by Massive Hemorrhage. Cureus 2022; 14:e23112. [PMID: 35464502 PMCID: PMC9001833 DOI: 10.7759/cureus.23112] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/12/2022] [Indexed: 12/02/2022] Open
Abstract
Solitary rectal ulcer syndrome (SRUS) is a rare and chronic rectal condition that can result in a pelvic static disorder. Massive rectal bleeding is a rare manifestation of SRUS. The diagnosis is based on a combination of clinical, endoscopic, and histological findings. The management of bleeding ulcers is usually insufficient with the conventional treatment. Argon plasma coagulation (APC) has been reported to control bleeding. However, its role in healing and improving defecation symptoms is not unanimous in studies. Our case report features a 35-year-old male with terminal constipation and chronic rectal pain, taking laxatives and analgesics, who presented abundant rectal bleeding with hemodynamic instability. The colonoscopy showed two large bleeding rectal ulcers. The histological study of the biopsies was in favor of a solitary rectal ulcer. We have performed multiple sessions of APC. The bleeding was stopped after the first session and there was progressive healing and improvement of the rectal symptoms after other sessions. At 18 months follow-up, the patient is asymptomatic, and no longer uses analgesics and laxatives. Argon plasma coagulation is an effective treatment to control rectal ulcer bleedings. It also improves the healing process and clinical symptoms. However, further controlled studies are needed to support this hypothesis.
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Belabbes FZ, Benfaida A, Nawal B, El Idrissi Lamghari A, Rouibaa F. Low Phospholipid-Associated Cholelithiasis: Contribution of Imaging in Two Cases. Cureus 2022; 14:e22383. [PMID: 35371833 PMCID: PMC8935970 DOI: 10.7759/cureus.22383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/19/2022] [Indexed: 11/14/2022] Open
Abstract
Low phospholipid-associated cholelithiasis (LPAC) is a genetic disease responsible for the development of intrahepatic lithiasis. It is retained in the presence of two of the following three criteria: age of onset of biliary symptoms less than 40 years; echogenic intrahepatic images or microlithiasis; and the recurrence of biliary clinical signs after cholecystectomy. The majority of clinical situations are simple and not serious, but some complicated forms may require more invasive endoscopic or surgical treatments. By presenting two case studies, we illustrated and summarized the different aspects of this entity.
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Belabbes F, Faquir N, Mounsif S, Rouibaa F. Recurrent epigastric pain revealing an aberrant pancreas on endoscopic ultrasonography: a case report. PAMJ-CM 2022. [DOI: 10.11604/pamj-cm.2022.10.30.37729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
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12
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Belabbes F, Afandi O, Benslima N, Habi J, Monsif S, Faquir N, El Ochi MR, Allaoui M, Al Bouzidi A, Rouibaa F. Mediastinal bronchogenic cyst revealed by acute epigastralgia: a case report. PAMJ-CM 2022. [DOI: 10.11604/pamj-cm.2022.9.31.29102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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13
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Rhmari Tlemçani FZ, Delsa H, Elamari S, Rouibaa F, Chadli A. Diabetic Ketoacidosis With Acute Metabolic Pancreatitis: Two Serious Cases. Cureus 2022; 14:e20987. [PMID: 35154963 PMCID: PMC8817727 DOI: 10.7759/cureus.20987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/06/2022] [Indexed: 12/03/2022] Open
Abstract
Hypertriglyceridemia is a rare cause of acute pancreatitis (AP), occupying approximately 7% of cases. The triad of acute pancreatitis, hypertriglyceridemia, and diabetes is a rare event, with a higher death rate. We describe two cases of severe acute metabolic pancreatitis discovered in diabetic ketoacidosis. For both patients, all other causes of AP were excluded (including gallstones, hypercalcemia, drugs, and alcohol). A laboratory workup revealed elevated lipasemia (more than three times the normal) and hypertriglyceridemia. Abdominal computed tomography confirmed the diagnosis of severe acute pancreatitis. Fasting, fluid resuscitation, and insulin therapy were initiated in the intensive care unit with good clinical results and progressive improvement in metabolic disorders.
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Affiliation(s)
- Fatima Zahra Rhmari Tlemçani
- Endocrinology, Diabetes, and Metabolism, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS) / Cheikh Khalifa International University Hospital, Casablanca, MAR
| | - Hanane Delsa
- Gastroenterology and Hepatology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Saloua Elamari
- Endocrinology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Fedoua Rouibaa
- Gastroenterology and Proctology, Mohammed VI University of Health Sciences (UM6SS) / Cheikh Khalifa International University Hospital, Casablanca, MAR
| | - Asma Chadli
- Endocrinology, Diabetology, Metabolic Disease, and Nutrition, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
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14
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Cherouaqi Y, Nadi A, Idrissi A, El Idrissi Lamghari A, Rouibaa F. Hydatid Cyst of the Pancreas: An Unusual Cause of Abdominal Pain. Cureus 2021; 13:e20614. [PMID: 35103190 PMCID: PMC8782637 DOI: 10.7759/cureus.20614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/22/2021] [Indexed: 11/05/2022] Open
Abstract
Pancreas is an uncommon site of hydatid cysts (HCs) even in endemic countries. Primary pancreatic hydatid cysts (PHCs) mainly occur through hematogenous dissemination. Their rarity and the absence of clinical manifestations in most cases explain their challenging preoperative diagnosis. In symptomatic cases, clinical findings may be similar to those of other diseases. We report a case of a 54-year-old female presented with a six-month history of abdominal pain, although her abdominal examination was normal. Radiological imaging revealed a serous cyst in the body and tail of the pancreas. Biliopancreatic endoscopic ultrasound (EUS) suggested a peritoneal hydatid cyst. Intraoperatively, it was diagnosed as a PHC. The patient underwent resection of the PHC and was then placed on albendazole. She did not have any symptoms for the last seven months. Through this case report, we can conclude that peritoneal hydatid cyst of the pancreas should be considered in the differential diagnosis of the cystic lesions of the pancreas. Moreover, surgery achieves a definitive treatment of the disease.
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Cherouaqi Y, Belabbes F, Allaoui M, Al Bouzidi A, Rouibaa F. Gastric Duplication Cyst Revealed After an Endoscopic Ultrasound-Guided Fine-Needle Aspiration of a Suspected Mucinous Cystadenoma of the Pancreas. Cureus 2021; 13:e19560. [PMID: 34917440 PMCID: PMC8669972 DOI: 10.7759/cureus.19560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/14/2021] [Indexed: 11/20/2022] Open
Abstract
Gastrointestinal duplication is a rare congenital anomaly of the gastrointestinal tract. Gastric duplication cysts (GDCs) are uncommon in adults, and most cases are discovered incidentally. Here, we report a fortuitous discovery of a rare case of an asymptomatic noncommunicating GDC in an adult revealed after an endoscopic ultrasound-guided fine-needle aspiration of a suspected mucinous cystadenoma of the pancreas. A 34-year-old female presented with renal colic. Her abdominal examination was normal. She presented a cystic image at the left lumbar discovered fortuitously during ultrasonography. On uro-computed tomography, there was a suspicion of a pancreatic cystadenoma. Magnetic resonance imaging of the pancreas suggested a mucinous cystadenoma of the pancreatic tail. The endoscopic ultrasound showed a cystic thick-walled formation in the tail of the pancreas. After guided fine-needle aspiration, a split aspect of the gastric wall appeared evoking a GDC. The cytology showed epithelial cells without mucin. Three years later, the patient does not have any gastrointestinal symptoms. GDCs are a rare anomaly, and accurate diagnosis of these cysts is difficult. Surgical resection can offer a definitive diagnosis. The mainstay of treatment is surgery to avoid the risk of malignancy.
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Abstract
Gayet-Wernicke encephalopathy (WE) is a serious and acute disease of the central nervous system caused by thiamine (vitamin B1) deficiency. Multiple etiologies are indicated, although alcohol abuse is the most reported cause. If not treated promptly, WE can lead to serious complications such as Korsakoff's syndrome, coma, or death. This diagnosis should be considered even without a history of alcohol dependence. We describe two cases of non-alcohol related WE complicating vomiting caused by different etiologies. The diagnosis was suspected on clinical presentation and confirmed by brain MRI and effective response to parenteral administration of thiamine.
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Affiliation(s)
- Hanane Delsa
- Gastroenterology and Hepatology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Amine Benfaida
- Neurology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Zakaria Salimi
- Neurology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Fedoua Rouibaa
- Gastroenterology and Hepatology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Jehanne Aasfara
- Neurology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
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Cherouaqi Y, Belabbes FZ, Delsa H, Nadi A, Rouibaa F. Massive Digestive Hemorrhagia Revealing a Gastro-Intestinal Stromal Tumor of the Jejunum. Cureus 2021; 13:e17316. [PMID: 34567868 PMCID: PMC8451536 DOI: 10.7759/cureus.17316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/19/2021] [Indexed: 11/05/2022] Open
Abstract
Gastrointestinal stromal tumors (GISTs) are mesenchymal tumors that originate from Cajal cells located in different sites of the digestive system. They may occur in the entire gastrointestinal tract. They are diagnosed on the basis of the identification of c-kit-positive cells. We report a case of a stromal tumor of the jejunum revealed by a massive digestive hemorrhagia. Surgical resection is the basis of the treatment of GISTs. Imatinib, a tyrosine kinase inhibitor, is a beneficial treatment after surgical resection of high-risk GISTs.
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Affiliation(s)
- Yasmine Cherouaqi
- Gastroenterology and Proctology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS) Cheikh Khalifa International University Hospital, Casablanca, MAR
| | - Fatima Zahra Belabbes
- Gastroenterology and Proctology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS) Cheikh Khalifa International University Hospital, Casablanca, MAR
| | - Hanane Delsa
- Gastroenterology and Proctology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS) Cheikh Khalifa International University Hospital, Casablanca, MAR
| | - Anass Nadi
- Gastroenterology and Proctology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS) Cheikh Khalifa International University Hospital, Casablanca, MAR
| | - Fedoua Rouibaa
- Gastroenterology and Proctology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS) Cheikh Khalifa International University Hospital, Casablanca, MAR
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Jamal S, El Alami I, Tanz R, Rouibaa F, Aourarh A, Ichou M. Place of perioperative chemotherapy at the base of FOLFOX in the treatment of localized gastric cancers: a retrospective study of 31 cases. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz155.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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19
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Tamzaourte M, Adioui T, Nejjari F, Rouibaa F, Aourarh A. Place of the Quantiferon test in the etiological diagnosis of exsudative ascites. Presse Med 2018; 47:591-593. [DOI: 10.1016/j.lpm.2018.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2017] [Revised: 02/15/2018] [Accepted: 03/06/2018] [Indexed: 11/16/2022] Open
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Adioui T, Tamzaourte M, Touibi Y, Rouibaa F, Aourarh A. Intrapancreatic guidewire outer coat stripping during endoscopic treatment of chronic pancreatitis: A rare complication. Presse Med 2017; 46:240-241. [PMID: 28038837 DOI: 10.1016/j.lpm.2016.11.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Revised: 10/29/2016] [Accepted: 11/21/2016] [Indexed: 12/01/2022] Open
Affiliation(s)
- Tarik Adioui
- Gastroenterology I unit, Mohamed V military teaching hospital, Mohamed V-Souissi University, Hay Riyad, 10100 Rabat, Morocco.
| | - Mouna Tamzaourte
- Gastroenterology I unit, Mohamed V military teaching hospital, Mohamed V-Souissi University, Hay Riyad, 10100 Rabat, Morocco
| | - Youssef Touibi
- Gastroenterology I unit, Mohamed V military teaching hospital, Mohamed V-Souissi University, Hay Riyad, 10100 Rabat, Morocco
| | - Fedoua Rouibaa
- Gastroenterology I unit, Mohamed V military teaching hospital, Mohamed V-Souissi University, Hay Riyad, 10100 Rabat, Morocco
| | - Aziz Aourarh
- Gastroenterology I unit, Mohamed V military teaching hospital, Mohamed V-Souissi University, Hay Riyad, 10100 Rabat, Morocco
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21
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Chakkor A, Rouibaa F, Elaboudi S, Aourarh A. An evaluation of entecavir treatment among nucleos(t)ide-naïve Moroccan patients with chronic hepatitis B. BMJ Open Gastroenterol 2016; 3:e000081. [PMID: 27195127 PMCID: PMC4860722 DOI: 10.1136/bmjgast-2016-000081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2016] [Revised: 03/16/2016] [Accepted: 03/21/2016] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE To analyse the efficacy and safety of entecavir (ETV) treatment in nucleos(t)ide (NUC)-naïve Moroccan patients with chronic hepatitis B. METHODS We retrospectively analysed 41 NUT-naïve Moroccan patients with chronic hepatitis B who received ETV 0,5 mg/day monotherapy for at least 3 months, of whom 3 were HBV envelope antigen (HbeAg) positive and 38 were HBeAg negative. The primary end point was the proportion of patients achieving virological response. Secondary end points included biochemical response (alanine transaminase (ALT) normalisation), serological response (HbeAg and HBV surface antigen (HBsAg) loss or seroconversion) and safety. RESULTS The median follow-up duration was 74 weeks (48-144 weeks) and mean age was 43.8 years. Of 41 patients, 6 were primary non-responders and 2 achieved partial virological response at week 48, whereas 35 achieved undetectable hepatitis B virus (HBV) DNA at month 12. Viral suppression was maintained in 97.6% of patients after 3 years of ETV treatment. One patient experienced a virological breakthrough at month 12 of treatment. ALT normalisation occurred in 100% of the patients after 1 year of treatment. Only three patients in our study were HbeAg positive, of whom one has experienced seroconversion at month 12 of treatment. However, HBsAg loss or seroconversion was not achieved during the period of the study. No serious adverse event was reported. CONCLUSIONS These preliminary results showed that ETV is a safe and potent inhibitor of HBV in NUC-naïve Moroccan patients, but we need to observe more patients for a longer period of time, in order to assess the long-term effectiveness, safety, resistance profile and predictive factors for virological and serological response of ETV.
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Affiliation(s)
- Amal Chakkor
- Gastroenterology Unit “I”, Mohamed V Military Hospital, Mohamed V University, Rabat, Morocco
| | - Fedoua Rouibaa
- Gastroenterology Unit “I”, Mohamed V Military Hospital, Mohamed V University, Rabat, Morocco
| | - Safiaa Elaboudi
- Medecine “C” Unit, Ibn Sina University Hospital, Mohamed V University, Rabat, Morocco
| | - Aziz Aourarh
- Gastroenterology Unit “I”, Mohamed V Military Hospital, Mohamed V University, Rabat, Morocco
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Rouibaa F, Bakkar M, Seddik H, Addioui T, Filali FZ, Akka R, Desla H, Aourarh A. [Importance of expanded metal prostheses in the management of colonic tumor occlusion: experience of a Moroccan hospital service]. Pan Afr Med J 2013; 14:68. [PMID: 23565315 PMCID: PMC3617612 DOI: 10.11604/pamj.2013.14.68.1982] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2012] [Accepted: 01/21/2013] [Indexed: 12/21/2022] Open
Abstract
Le traitement de l’obstruction colique d’origine tumorale s’est modifié ces dernières années grâce à l’apport des endoprothèses coliques. Elles constituent une alternative thérapeutique reconnue au traitement chirurgical dans 2 indications: la levée en urgence de l’occlusion colique aigue avant une chirurgie curatrice ou pour le traitement palliatif de l’obstruction colique chez les patients inopérables ou ayant une maladie localement avancée ou métastatique. Il s’agit de 12 observations de syndrome occlusif colique d’origine tumorale traitées par endoprothèses coliques au sein du service de Gastro-entérologie 1 de l’hôpital militaire d’instruction Mohammed V. L’âge moyen était de 53 ans. Il existait une prédominance masculine (9 hommes - 3 femmes). Tous les patients présentaient un syndrome occlusif avec arrêt des matières et des gaz. L’abdomen sans préparation montrait des niveaux hydro-aériques chez tous les patients. La tomodensitométrie objectivait un processus colique sténosant avec dilatation des anses en amont. Tous les patients ont bénéficié de la mise en place d’une endoprothèse par colonoscopie sous anesthésie générale. Le succès technique immédiat et clinique était noté dans 95% des cas. La migration de la prothèse a été notée dans un cas. Les endoprothèses coliques constituent une alternative de choix au traitement chirurgical des sténoses tumorales coliques symptomatiques, soit pour permettre de préparer au traitement curatif chirurgical “à froid”, soit dans un but palliatif avant de débuter une éventuelle chimiothérapie.
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Affiliation(s)
- Fedoua Rouibaa
- Service de gastroenterologie 1, Hôpital Militaire d'Instruction Mohamed V, Rabat, Morocco
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Seddik H, Ouahou S, Rouibaa F, Tajdine MT, Benkirane A. [Aorto-mesenteric compression syndrome]. Rev Med Brux 2012; 33:565-566. [PMID: 23373131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- H Seddik
- Services d'Hépato-gastroentérologie II, Hôpital Militaire d'Instruction Med V, Rabat, Maroc.
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Seddik H, Rouibaa F, Massit H, El Hamdi FZ, Benkirane A. [Esophageal squamous cell carcinoma with extraluminal growth pattern]. Presse Med 2011; 40:889-90. [PMID: 21367574 DOI: 10.1016/j.lpm.2011.01.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2010] [Accepted: 01/10/2011] [Indexed: 11/17/2022] Open
Affiliation(s)
- Hassan Seddik
- Hôpital militaire d'instruction Med V Rabat, service de gastroenterologie II, Rabat, Maroc.
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Abstract
Juvenile polyposis is a rare disorder. We report an unusual case of juvenile polyposis in a 22-yr-old woman with ulcerative colitis, apparently one of the first cases reported in the literature.
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Affiliation(s)
- A Elhjouji
- Service de chirurgie viscérale, hôpital militaire d'Instruction-Mohamed-V, Rabat, Morocco.
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Sall I, Ait Ali A, Kaoui HE, Bouchentouf SM, Rouibaa F, Hjouji AE, Bounaim A, Zentar A, Sair K. Intestinal obstruction: an unusual complication of gastric motility disorder. Gastroenterol Clin Biol 2010; 34:136-138. [PMID: 20096518 DOI: 10.1016/j.gcb.2009.10.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2009] [Revised: 07/07/2009] [Accepted: 10/21/2009] [Indexed: 05/28/2023]
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Vignon RK, Seddik H, Rouibaa F, En-Nouali H, Kabbaj N, Benkirane A. Acute pancreatitis during pegylated interferon therapy in a patient with chronic hepatitis B. J Gastrointestin Liver Dis 2009; 18:512. [PMID: 20076835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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28
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Tahri S, Sassenou I, Seddik H, Rouibaa F, El hamdi F, Benkirane A, Aourarh A, Hachim M, Touloune F. (095). Chronic renal failure: A rare extraintestinal complication of ulcerative colitis. Arab J Gastroenterol 2009. [DOI: 10.1016/j.ajg.2009.07.170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Tamzaourte M, Atikou A, Rouibaa F, Seddik H, Hnach Y, Massit H, Elhamdi F, Sassenou I, Aouragh A, Benkirane A, Hachim. (155) The profile of inactive chronic hepatitis B about 150 cases. Arab J Gastroenterol 2009. [DOI: 10.1016/j.ajg.2009.07.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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30
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Vignon R, Atitar I, Seddik H, Rouibaa F, El Hamdi F, Sassenou I, Aourarh A, Benkirane A, Touloune F. (114). Acute pancreatitis attributed to pegylated interferon after a therapy of 6 months in a patient with chronic hepatitis B: An exceptional period of drug-induction. Arab J Gastroenterol 2009. [DOI: 10.1016/j.ajg.2009.07.138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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