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Maher YA, Fathi A, Sembawa BA, Elkhyat SH, Hafiz HF, Marghalani AA. Effectiveness of Mouthwash-Containing Silver Nanoparticles on Cariogenic Microorganisms, Plaque Index, and Salivary pH in A Group of Saudi Children. Open Dent J 2022. [DOI: 10.2174/18742106-v16-e2209090] [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: 11/06/2022] Open
Abstract
Objectives:
To compare the effectiveness of Silver nanoparticles (AgNPs) and Chlorhexidine (CHX) mouthwash on Streptococcus mutans (S. mutans), Lactobacillus spp., and Candida albicans (C. albicans) counts O’Leary plaque index (O’Leary PI) scores, and salivary pH levels among children.
Materials and Methods:
The study sample consisted of 117 eligible participants aged 12–18 years. They were divided into control, CHX, and AgNPs groups, with 39 subjects per group. The log10 salivary microbial counts, O’Leary PI, and salivary pH values were recorded and statistically analyzed at baseline and the 28th day. Descriptive statistics were presented as the mean ± standard deviation. In addition, the analyses of variance (ANOVA) and Tukey posthoc test were implemented. The p-value ≤ 0.05 denotes a significant difference between the two points.
Results:
AgNPs and CHX mouthwash were found to have significantly reduced salivary microbial counts and O’Leary PI scores. The salivary pH levels notably increased on the 28th day (p-value < 0.001). All measured outcomes demonstrated notable effects, with the greatest observed for the CHX group, followed by the AgNPs group, and finally, the control group.
Conclusion:
Chlorhexidine and AgNPs mouthwash effectively reduced the cariogenic microbial count and dental plaque and improved the salivary pH values. AgNPs mouthwash may be used as an adjunctive measure to prevent dental caries.
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El-Patal MAE, Khalil MA, Shipl W, Barakat I, Youssef EMI, El Attar S, Fathi A, Abdallah AA. Detection of soluble urokinase type plasminogen activator receptors in children with gingivitis and normal subjects. BMC Oral Health 2022; 22:436. [PMID: 36192745 PMCID: PMC9531525 DOI: 10.1186/s12903-022-02478-7] [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: 02/09/2022] [Accepted: 09/22/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Gingivitis is a reversible condition; however, if left untreated, it progresses to periodontitis, which a serious infection that leads to bone destruction. Soluble urokinase-type plasminogen activator receptor (suPAR) measurement may be of value in the early assessment of gingivitis in children, thereby minimizing risk of tooth loss. OBJECTIVES In this observational study, we assessed salivary and serum concentrations of suPAR for the diagnosis of gingivitis and correlation of salivary suPAR with the periodontal clinical parameters. METHODS Ninety children participated in the study, with 20 healthy subjects as controls and 70 patients with gingivitis. The gingivitis group was divided into mild, moderate, and severe cases. According to the gingival index (GI), salivary and serum samples were analyzed for the suPAR and C-reactive protein levels using an enzyme-linked immunosorbent assay. RESULTS The salivary suPAR was significantly higher in patients with gingivitis (10.8 ± 2.9 ng/mL) than in the control group (7.0 ± 1.1 ng/mL) as P < 0.001. SuPAR was correlated with gingivitis severity. It was 7.7 ± 1.5 1 ng/mL in mild cases, 10.9 ± 1.2 ng/mL in moderate cases, and 14.4 ± 0.9 ng/mL in severe cases. The difference was significantly high (P < 0.001) between the groups; however, the difference between the mild cases and the control was nonsignificant as P < 0.066. The salivary suPAR was correlated with periodontal clinical parameters, which included GI and simple oral hygiene index (SOHI). Conversely the serum suPAR was not correlated with the salivary suPAR or the periodontal clinical parameters. CONCLUSION The results of the present study demonstrated that the salivary suPAR is increased in proportionate with the degree of severity of gingivitis in children. Moreover, salivary suPAR was correlated with the periodontal clinical parameters.
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Affiliation(s)
| | - Mona A Khalil
- Department of Biochemistry, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
| | - Walaa Shipl
- Department of Biochemistry, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
| | - Ibrahim Barakat
- Department of Pedodontics and Oral Health, College of Dentistry, Al-Azhar University, Cairo, Egypt
| | - Eman M I Youssef
- Department of Biochemistry, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.,Department of Biochemistry, College of Medicine, Taif University, Taif, Saudi Arabia
| | - Shahinaz El Attar
- Department of Biochemistry, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
| | - Adel Fathi
- Department of Pedodontics and Oral Health, College of Dentistry, Al-Azhar University, Cairo, Egypt.,Department of Pediatric Dentistry, College of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Alaa A Abdallah
- Department of Pedodontics and Oral Health, College of Dentistry, Al-Azhar University, Cairo, Egypt
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Gaballa K, Abdelkhalek M, Fathi A, Refky B, Belal K, elaraby M, Zuhdy M. Management of borderline ovarian tumors: A tertiary referral center experience in Egypt. Front Surg 2022; 9:962820. [PMID: 36117821 PMCID: PMC9478369 DOI: 10.3389/fsurg.2022.962820] [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] [Received: 06/06/2022] [Accepted: 08/01/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundIn this retrospective study, we discuss our experience as a large tertiary referral center in Egypt in the management and follow-up of borderline tumorsPatients and methodsThis is a retrospective cohort study where all patients diagnosed with a borderline ovarian tumor at Oncology Center Mansoura University from November 2014 to June 2020 were included. Demographics, preoperative, operative, postoperative, pathologic, and oncologic follow-up data were retrieved from a prospectively maintained electronic database. The included patients were followed until April 2022.ResultsWe included 27 patients with borderline ovarian tumors. The mean age of the study patients was 47.67 ± 16.39 years. The median CA 125 was 33 (6–304 U/ml). Frozen section examination was utilized in 13 patients (48.14%), where a diagnosis of borderline ovarian tumors was revealed in 8 patients. Recurrence was reported in one patient with serous type after approximately 26 months. The most common pathological type in our cohort was the mucinous borderline type reported in 14 patients (51.9%), followed by the serous type reported in 11 patients (40.7%), and the seromucinous type in 1 patient only. Patients with mucinous borderline type were significantly younger (40.083 ± 18.47 vs. 53.73 ± 11.91 years, p = 0.028). Interestingly, Cancer Antigen 125 levels were significantly higher in mucinous than serous and seromucinous types [67(16–304) vs. 20(6–294.6) U/ml, p = 0.027]. On the other hand, the radiological tumor size of serous and seromucinous types was larger than that of the mucinous type [23(19–31) cm vs. 8(5–20) cm, p = 0.001]. Over a median follow-up period of 58.66 (54.16–63.16) months, only one postoperative mortality was reported, while only one recurrence was reported.ConclusionBorderline ovarian tumors still represent a dilemma either in diagnosis or management. A frozen section examination could help to reach a preliminary diagnosis. Total abdominal hysterectomy and bilateral salpingo-oophorectomy are the cornerstone of surgical management; however, fertility-sparing surgery could be a valid option for women desiring fertility.
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Affiliation(s)
- Khaled Gaballa
- Department of Surgical Oncology, Oncology Center, Mansoura University, Mansoura, Egypt
- Correspondence: Khaled Gaballa
| | - Mohamed Abdelkhalek
- Department of Surgical Oncology, Oncology Center, Mansoura University, Mansoura, Egypt
| | - Adel Fathi
- Department of Surgical Oncology, Oncology Center, Mansoura University, Mansoura, Egypt
| | - Basel Refky
- Department of Surgical Oncology, Oncology Center, Mansoura University, Mansoura, Egypt
| | - Khaled Belal
- Department of Surgical Oncology, Oncology Center, Mansoura University, Mansoura, Egypt
| | - Moustafa elaraby
- Ministry of Health, Consultant of Obstetrics and Gynecology, Mansoura, Egypt
| | - Mohammad Zuhdy
- Department of Surgical Oncology, Oncology Center, Mansoura University, Mansoura, Egypt
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4
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Kahter A, Ghazy H, Setit A, Shams N, Gohar O, Abdelwahab K, Eldamshety O, Fathi A. Laparoscopically Harvested Omental Flap for Immediate Total Breast Reconstruction; Lessons Learnt Through Ten-Year Experience in a Tertiary Oncology Center. Surg Innov 2022:15533506221120149. [PMID: 35961943 DOI: 10.1177/15533506221120149] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background. Most of the publications about Laparoscopically harvested omental flap after skin sparing mastectomy were case reports or case series. Most of them were designed for partial breast reconstruction and were lacking long-term follow-up for cosmetic results, oncologic safety, and detailed methodology. Our study aimed at highlighting the place of this method of reconstruction with long-term oncologic safety and cosmetic outcome. Methods. This study included 95 women who were candidates for skin-sparing mastectomy. Those with body mass index below 25 and above 40, those with omental resection or expected marked adhesions were excluded. All patients were consented to then undergo breast reconstruction using pedicled laparoscopically harvested omental flap. Results. The mean BMI was 34. The mean tumor size was 3.4 cm. The mean total operative time was 129 minutes. Inadequate volume occurred in 12 patients (13%). The mean total drainage output was 750 ml with 8.7% incidence of seroma. Partial breast envelop necrosis was encountered in 5 cases. Partial flap loss occurred in 2 patients. Fat necrosis occurred in 11 cases. Mastectomy and abdominal complications were accepted. Local recurrence was met in one patient and distant metastases occurred in 3 cases. 83.7% of patients expressed excellent and good aesthetic outcomes. Conclusion. When skin sparing mastectomy is chosen with suitable body mass index, laparoscopically harvested omental flap is a very safe and attractive option for total breast reconstruction with a minimal donor site morbidity, satisfactory cosmetic outcome with no compromise of the oncologic safety.
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Affiliation(s)
- Ashraf Kahter
- Department of Surgical Oncology, Mansoura Oncology Center, Faculty of Medicine, 68779Mansoura University, Egypt
| | - Hosam Ghazy
- General Surgery Department, Mansoura University Hospital, 68779Mansoura University, Egypt
| | - Ahmed Setit
- Department of Surgical Oncology, Mansoura Oncology Center, Faculty of Medicine, 68779Mansoura University, Egypt
| | - Nazem Shams
- Department of Surgical Oncology, Mansoura Oncology Center, Faculty of Medicine, 68779Mansoura University, Egypt
| | - Omnia Gohar
- Surgical Oncology Department, Damietta Oncology Institute, Egypt
| | - Khaled Abdelwahab
- Department of Surgical Oncology, Mansoura Oncology Center, Faculty of Medicine, 68779Mansoura University, Egypt
| | - Osama Eldamshety
- Department of Surgical Oncology, Mansoura Oncology Center, Faculty of Medicine, 68779Mansoura University, Egypt
| | - Adel Fathi
- Department of Surgical Oncology, Mansoura Oncology Center, Faculty of Medicine, 68779Mansoura University, Egypt
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Rees WD, Telkar N, Lin D, Wong M, Poloni C, Fathi A, Kobor M, Zachos N, Ted S. A8 REPEATED SUBMERGENCE OF AIR-LIQUID INTERFACE COLONOID CULTURES IMPAIRS INFLAMMATORY AND REGENERATIVE RESPONSES. J Can Assoc Gastroenterol 2022. [DOI: 10.1093/jcag/gwab049.007] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Damage in the intestinal epithelium is repaired via de-differentiation of mature intestinal epithelial cells to a stem-like state. Indeed, literature has primarily focused on acute forms of intestinal damage, but there is a lack of models to study how intestinal stem cells function after chronic injury, such as in inflammatory bowel disease (IBD). A previous report found that growth of mouse intestinal organoids in air-liquid interface (ALI) follows by submergence caused differentiation and reversible injury, but this has not been demonstrated in human cells or with repeated cycles of injury. Understanding how chronic damage alters human intestinal stem cell fate and function is imperative to developing novel therapies that repair the epithelium in people with IBD
Aims
To develop a robust in vitro model to differentiate and damage human intestinal epithelial cells, with or without the addition of bacterial flagellin to mimic pathogen exposure.
Methods
Human colonoid monolayers were seeded on Transwell inserts for 10 days until fully confluent and then differentiated by removing the apical media to create ALI growth conditions for 7 days. To induce damage, media was added to the apical side of the Transwell, with or without the addition of flagellin in the basolateral compartment. Following submergence induced damage, the apical media was removed and collected for chemokine analysis, and the cells were grown back in ALI for 3 days to recover them from injury. This cycle was repeated 5 times to induce chronic damage. Cells were collected for qPCR analysis, immunofluorescence imaging, RNA sequencing and DNA methylation analysis
Results
Repeated rounds of damage impaired the ability of intestinal epithelial cells (IECs) to respond to TLR stimulation (a decrease in basolateral IL-8 with each round), likely due to a decrease in TLR signaling pathways, as demonstrated by GSEA and qPCR. Chronic submergence damage led to an increase in differentiation of cells expressing MUC2, SLC26a3 and CHGA, and a decrease in stemness as shown by qPCR for BMI1, HOPX, and LGR5. After several rounds of damage, colonoid monolayers were unable to regrow as monolayers after passaging, likely due to a decrease in YAP signaling. We also identified mRNA expression and DNA methylation changes in genes associated with IBD and colon cancer.
Conclusions
We have developed a novel chronic damage model of recurrent IEC injury, which possibly mimics pathologies seen in people with inflammatory bowel disease. This model can be used to understand how chronic damage alters the ability of IECs to respond to pathogens and regenerate to repair and protect the epithelium from further damage.
Funding Agencies
CCC
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Affiliation(s)
- W D Rees
- Stanford University, Stanford, CA
| | - N Telkar
- The University of British Columbia, Vancouver, BC, Canada
| | - D Lin
- The University of British Columbia, Vancouver, BC, Canada
| | - M Wong
- The University of British Columbia, Vancouver, BC, Canada
| | - C Poloni
- The University of British Columbia, Vancouver, BC, Canada
| | - A Fathi
- The University of British Columbia, Vancouver, BC, Canada
| | - M Kobor
- The University of British Columbia, Vancouver, BC, Canada
| | - N Zachos
- Johns Hopkins University, Baltimore, MD
| | - S Ted
- The University of British Columbia, Vancouver, BC, Canada
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Matuq Badri S, Felemban EH, Alnajjar GK, Alotaibi FM, Aljahdali ST, Maher YA, Fathi A. Effectiveness of probiotic lozenges and Chlorhexidine mouthwash on plaque index, salivary pH, and Streptococcus mutans count among school children in Makkah, Saudi Arabia. Saudi Dent J 2021; 33:635-641. [PMID: 34803312 PMCID: PMC8589601 DOI: 10.1016/j.sdentj.2020.05.006] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 05/12/2020] [Accepted: 05/29/2020] [Indexed: 11/29/2022] Open
Abstract
Purpose To compare the effect of the probiotic lozenges and chlorhexidine (CHX) mouthwash on plaque index (PI) , salivary pH and Streptococcus mutans (S. mutans) 3 count among groups of Saudi children. Methods A total of 54 participants aged 8-12 years were randomly allocated into three groups, 18 children in each group. Children in the probiotic group consumed one probiotic lozenge (Biogaia prodentis) daily, while children in the CHX group were instructed to use CHX mouthwash twice daily. The control group was only instructed to follow regular oral hygiene measures. Saliva samples were taken at baseline, 15th and 30th days. PI scores, salivary pH values and S. mutans count were evaluated. Data were statistically analyzed using the ANOVA and the Tukey post-hoc test. Results Probiotic lozenges and CHX mouthwash significantly reduced PI and S. mutans count and increased the salivary pH values. However, there were no statistical differences between the effect of probiotic lozenges and CHX mouthwash on PI (p-value= 800) and pH values (p-value= 0.927) on the 30th day. Conversely a significant difference was reported among their effects on S. mutans count (p-value=0.014) on the 30th day. Greater acceptance and compliance of children to probiotic lozenges were reported. Conclusions Probiotic lozenges could be an alternative to CHX mouthwash and encouraged to be included with the daily oral hygiene measures.
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Affiliation(s)
- Sara Matuq Badri
- Dental Intern, College of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
| | | | | | | | | | - Yahia Ahmed Maher
- Department of Basic Oral Sciences, College of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia.,Department of Microbiology, Faculty of Science, Al-Azhar University, Cairo, Egypt
| | - Adel Fathi
- Department of Preventive Dentistry, College of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia.,Department of Pedodontics and Oral Health, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt
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Fathi A, Saleh MM, Shetiwy M, Elzahaby IA, Farouk O, Shams N, Elghandour MF, Abouzid A. Operative Outcomes of Single-Incision Laparoscopic Hysterectomy vs Conventional Laparoscopic Total Hysterectomy: A Prospective Randomized Controlled Study. Surg Innov 2021; 29:590-599. [PMID: 34465254 DOI: 10.1177/15533506211041892] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background. Over time, there was an emerging need to shift from laparotomy to minimally invasive laparoscopic surgery, with the success of laparoscopic surgery in the last decade in gyne-oncology. Patients and Methods. This is a prospective randomized controlled trial conducted in Surgical Oncology Unit, Oncology Centre, Mansoura University, in the period between February 2016 and October 2019. Fifty female patients planned for total hysterectomy were randomized into two equal groups; the first underwent conventional laparoscopic hysterectomy (CLH), while the second underwent single-incision laparoscopic hysterectomy (SILH). Results. The mean operative time in the SILH group was 120.00 ± 28.72 minutes vs 103.20 ± 23.04 minutes in the CLH group (P= .027). Median hospital stay in the SILH group was 1 day (range: 1-3 days), the same as that in the CLH group, with no statistical significance (P= .384). Postoperative pain assessment using the Visual Analogue Scale (VAS) after 6 hours had a median score of 6 (2-8) in the SILH group and 6 (4-7) in the CLH group with significant increase in experienced pain in the SILH group (P= .004), while no significant difference was noted after 12 hours and 24 hours in both SILH and CLH groups. Conclusion. Single-incision laparoscopic hysterectomy (SILH) has similar outcomes when compared to conventional laparoscopic hysterectomy as regard blood loss, hospital stay, conversion to laparotomy, intraoperative and postoperative complications with the disadvantages of longer operative time, increased surgeon's workload, and relatively more postoperative pain.
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Affiliation(s)
- Adel Fathi
- Surgical Oncology Unit, Oncology Center, 243489Mansoura University (OCMU), Egypt
| | - Mahmoud M Saleh
- Surgical Oncology Unit, Oncology Center, 243489Mansoura University (OCMU), Egypt
| | - Mosab Shetiwy
- Surgical Oncology Unit, Oncology Center, 243489Mansoura University (OCMU), Egypt
| | - Islam A Elzahaby
- Surgical Oncology Unit, Oncology Center, 243489Mansoura University (OCMU), Egypt
| | - Omar Farouk
- Surgical Oncology Unit, Oncology Center, 243489Mansoura University (OCMU), Egypt
| | - Nazem Shams
- Surgical Oncology Unit, Oncology Center, 243489Mansoura University (OCMU), Egypt
| | - Mohamed F Elghandour
- Department of general surgery, 243489Mansoura University Hospital, Mansoura, Egypt
| | - Amr Abouzid
- Surgical Oncology Unit, Oncology Center, 243489Mansoura University (OCMU), Egypt
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Abouzid A, Setit A, Fathi A, Shetiwy M. Laparoscopic Partial Gastrectomy for Large Gastric GISTs. J Gastrointest Cancer 2021; 53:564-570. [PMID: 34245430 DOI: 10.1007/s12029-021-00658-2] [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] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/23/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Gastrointestinal stromal tumors (GISTs) are considered the most common mesenchymal tumors in the gastrointestinal tract and the stomach is the most frequently site affected (50-60%). The safety and feasibility of laparoscopic surgery for gastric GISTs of sizes larger than 5 cm remains unclear. It depends on the surgical skills, tumor location, and the learning curve of the surgeons. METHODS Between December 2013 and January 2021, 30 patients diagnosed with gastric GISTs underwent laparoscopic partial gastrectomy. This is a retrospective study done in Surgical Oncology unit, Oncology Center, Mansoura University, Egypt. RESULTS The most common tumor location was in the greater curvature in (46.7%). The mean tumor size was 9.5 cm (range 5-17 cm). All of the patients underwent laparoscopic partial gastrectomy. Associated splenectomy was done for only one patient. The mean operative time was 152.67 min and the estimated blood loss (EBL) was 139.33 ml. The mean hospital stay was 3.53 days. The mean follow-up period was 32.4 months. CONCLUSION Laparoscopic resection for gastric GISTs has become a feasible method. Patients with large tumors have the same favorable outcomes as small tumors. Large-sized GISTs may receive neoadjuvant therapy to downstage the disease and make it amenable for laparoscopic resection.
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Affiliation(s)
- Amr Abouzid
- Department of Surgery, Surgical Oncology Unit, Oncology Center Mansoura University (OCMU), Gomhouria St., Mansoura, 35516, Egypt.
| | - Ahmed Setit
- Department of Surgery, Surgical Oncology Unit, Oncology Center Mansoura University (OCMU), Gomhouria St., Mansoura, 35516, Egypt
| | - Adel Fathi
- Department of Surgery, Surgical Oncology Unit, Oncology Center Mansoura University (OCMU), Gomhouria St., Mansoura, 35516, Egypt
| | - Mosab Shetiwy
- Department of Surgery, Surgical Oncology Unit, Oncology Center Mansoura University (OCMU), Gomhouria St., Mansoura, 35516, Egypt
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Kufiyah AK, Bagasi AMH, Nawlalili SM, Bazaid DS, Marghalani AA, Fathi A. Effect of Zamzam Water on Microhardness of Primary Tooth Enamel After Erosion Induced by Claritin Syrup: An In-vitro Study. J Int Soc Prev Community Dent 2021; 11:173-178. [PMID: 34036079 PMCID: PMC8118050 DOI: 10.4103/jispcd.jispcd_420_20] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Revised: 01/20/2021] [Accepted: 02/09/2021] [Indexed: 11/12/2022] Open
Abstract
Background: Dental erosion is an irreversible damage to hard tissues in the mouth due to acid dissolution not induced by microorganisms. Oral medications contributed to the etiology of dental erosion. Among these medications, antihistamine-containing syrups were reported to have a considerable erosive effect on hard dental tissues. Objective: The objective was to evaluate the effect of Zamzam water on the microhardness of primary tooth enamel after erosion induced by Claritin™ syrup. Materials and Methods: The present in-vitro study was conducted on 25 primary central incisor teeth. The labial surfaces of the specimens were prepared for microhardness testing. Baseline microhardness was measured first, then the samples were submerged in the erosive agent Claritin™ syrup, for 30 min every 12 h for 12 days. Thereafter, all the teeth were placed in Zamzam water for 30 min every 12 h for 12 days. The microhardness was measured by the Vickers hardness tester and expressed as Vickers microhardness value (VH). The measurements were completed three times for the same sample: baseline, after erosion, and after Zamzam treatment. Data were analyzed statistically using one-way repeated analysis of variance (ANOVA) followed by Tukey’s post hoc test. Results: The primary teeth included in this study showed a significant increase in their surface microhardness after Zamzam water treatment; the mean value of VH was increased from 33.12 ± 1.62 to 89.32 ± 8.52 (P-value <0.0001). Conclusion: Zamzam water could be introduced as a part of the management of dental erosion in the primary dentition.
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Affiliation(s)
| | | | | | | | | | - Adel Fathi
- Preventive Dentistry Department, Umm Al-Qura University, Makkah, Saudi Arabia.,Department of Pedodontics and Oral Health, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt
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10
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Fathi A, Hennigs A, Addo MM. [Less is more… in infectious diseases]. Internist (Berl) 2021; 62:373-378. [PMID: 33580310 DOI: 10.1007/s00108-021-00967-5] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/22/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND The increasing development of antimicrobial resistance has been identified as one of the greatest threats to public health and is caused to a relevant extent by falsely indicated antibiotic treatment. OBJECTIVE The main aim of this article is to identify areas in infectious disease diagnostics and treatment where overuse occurs and to provide recommendations on how to avoid it. MATERIAL AND METHODS The authors identified current and relevant studies on the topic of medical overuse in infectious diseases via a literature search. In particular, contributions from international "less is more" initiatives were included. The focus was on areas in which a reduction of diagnostic and therapeutic measures leads to an optimization of patient outcomes. RESULTS In many cases overuse in the context of diagnostics and treatment of infectious diseases not only leads to an unnecessary financial burden on the healthcare system and is not beneficial but can also increase the risk of development of antimicrobial resistance and have adverse consequences for patients. CONCLUSION Correct indications as well as focused selection and adequate application of antimicrobial agents is crucial to provide the best possible medical care. Diagnostic and antibiotic stewardship measures, which should be implemented in collaboration with infectious disease specialists, can help to identify and reduce areas of overuse and misuse.
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Affiliation(s)
- A Fathi
- Medizinische Klinik und Poliklinik, Sektion Infektiologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.
| | - A Hennigs
- Medizinische Klinik und Poliklinik, Sektion Infektiologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland
| | - M M Addo
- Medizinische Klinik und Poliklinik, Sektion Infektiologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland
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11
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Fathi A, Elmoatasembellah M, Senbel A, Shahatto F, Eldamshety O, Shetiwy M, Abdel Wahab K, Abouzid A, Setit A. Safety and Efficacy of Using Staplers and Vessel Sealing Devices for Laparoscopic Splenectomy: A Randomized Controlled Trial. Surg Innov 2020; 28:303-308. [PMID: 32845223 DOI: 10.1177/1553350620953023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Background. Laparoscopic splenectomy (LS) is considered the operation of choice on elective basis for managing patients with certain hematological disorders. Hemostatic control of the splenic pedicle is one of the crucial steps in LS. This study compares the safety and efficacy of using endoscopic staplers and vessel sealing devices to control the splenic pedicle in patients with nonsevere splenomegaly. Methods. Fifty-one consecutive patients with different blood disorders including idiopathic thrombocytopenic purpura (ITP), hypersplenism, and lymphoma were randomized for elective LS. Traditional steps of LS, via lateral approach, were followed, and pedicle control was done with either endovascular gastrointestinal anastomosis stapler (n = 26) or vessel sealing device (Ligasure) (n = 25). Results. No difference was noted with different splenic spans when using either methods of pedicle control (P = .145). The volume of blood loss was higher in the Ligasure group compared to the staplers group (182 mL vs 131 mL, respectively), but was not statistically significant (P = .249). Conversion to open was notably higher in the Ligasure group (P = .034), but the intraoperative complications were comparable in both groups (P = .357). Conclusion. The use of vessel sealing devices for splenic pedicle control has comparable surgical outcomes compared with the use of endoscopic staplers for LS, but with higher rate of conversion to open surgery.
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Affiliation(s)
- Adel Fathi
- Surgical Oncology Unit, Oncology Center, Department of Surgery, 243489Mansoura University, Egypt
| | - Mansour Elmoatasembellah
- Surgical Oncology Unit, Oncology Center, Department of Surgery, 243489Mansoura University, Egypt
| | - Ahmed Senbel
- Surgical Oncology Unit, Oncology Center, Department of Surgery, 243489Mansoura University, Egypt
| | - Fayez Shahatto
- Surgical Oncology Unit, Oncology Center, Department of Surgery, 243489Mansoura University, Egypt
| | - Osama Eldamshety
- Surgical Oncology Unit, Oncology Center, Department of Surgery, 243489Mansoura University, Egypt
| | - Mosab Shetiwy
- Surgical Oncology Unit, Oncology Center, Department of Surgery, 243489Mansoura University, Egypt
| | - Khaled Abdel Wahab
- Surgical Oncology Unit, Oncology Center, Department of Surgery, 243489Mansoura University, Egypt
| | - Amr Abouzid
- Surgical Oncology Unit, Oncology Center, Department of Surgery, 243489Mansoura University, Egypt
| | - Ahmed Setit
- Surgical Oncology Unit, Oncology Center, Department of Surgery, 243489Mansoura University, Egypt
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Hassan SS, Attia MA, Attia AM, Nofal RA, Fathi A. Distribution of Cytokeratin 17 in the Parenchymal Elements of Rat's Submandibular Glands Subjected to Fractionated Radiotherapy. Eur J Dent 2020; 14:440-447. [PMID: 32590870 PMCID: PMC7440947 DOI: 10.1055/s-0040-1713705] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objectives
The aim of this research was to study the intensity of cytokeratin 17 (CK17) in the parenchymal elements of rat’s submandibular salivary glands subjected to fractionated radiotherapy regimen that used for treatment of head and neck malignancy.
Materials and Methods
Twenty male albino rats were divided into two equal groups (normal and irradiated). The irradiated group received a radiation dose of 5 Grays daily for 5 days using therapeutic X-ray beam. Six months later, submandibular gland was dissected out and prepared for both histological and immunohistochemical studies.
Results
Submandibular gland of irradiated group showed two different types of histological alterations. The first alteration showed severe gland atrophy replaced by either fibrous or fatty tissues. In some sections, the gland exhibited proliferating activity in the form of profuse amounts of mitotic figures. Immunohistochemical examination of control glands displayed a mild cytoplasmic expression of CK17 of duct cells as well as serous acini. The staining pattern was either diffused or concentrated at the basal part of the cell with negative expression at its apical part.
Statistical Analysis
Expression of CK17 in submandibular gland of irradiated group displayed a highly significant differences (P < 0.001) in both intercalated and striated ducts. Many serous acini displayed a highly significant differences (P < 0.001) whereas, mucous acini were negatively stained.
Conclusions
The intensity and diffusion of CK17 expression in our results foretell the pathological effect of radiotherapy on the intermediate filaments of salivary gland parenchyma that interfered with production and/or secretion of saliva leading to xerostomia.
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Affiliation(s)
- Sherif S Hassan
- Department of Oral Biology and Dental Anatomy, Faculty of Dentistry, Al-Azhar University (Assiut), Egypt and, Umm Al-Qura University, Saudi Arabia
| | - Mahmoud A Attia
- Department of Oral Pathology, Faculty of Dentistry, Al-Azhar University, (Assiut), Egypt and Faculty of Applied Medical Science, Al-Baha University, Saudi Arabia
| | - Alaa M Attia
- Department of Oral Medicine and Periodontology, Faculty of Dentistry, Al-Azhar University (Assiut), Egypt and Umm Al-Qura University, Saudi Arabia
| | - Reda A Nofal
- Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Al-Azhar University (Assiut), Egypt
| | - Adel Fathi
- Department of Pedodontics and Oral Health, Faculty of Dentistry, Al-Azhar University (Cairo), Egypt and Umm Al-Qura University, Saudi Arabia
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Eldamshety O, Kotb S, Khater A, Roshdy S, Elashry M, Zahi MS, Elkalla HMHR, Elnahas W, Farouk O, Fathi A, Senbel A, Hamed EE, Abdelwahab K, Elzahby IA, Abdallah A, Abdelaziz M, Lezoche E. Early and Late Functional Outcomes of Anal SphincterSparing Procedures With Total Mesorectal Excision for Anorectal Adenocarcinoma. Ann Coloproctol 2020; 36:148-154. [PMID: 32311866 PMCID: PMC7392569 DOI: 10.3393/ac.2018.07.19] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [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: 06/13/2018] [Accepted: 07/19/2018] [Indexed: 01/07/2023] Open
Abstract
Purpose The study aims to assess the functional outcome of anal sphincter-sparing procedures (SSP) with total mesorectal excision (TME) for anorectal adenocarcinoma. Methods In a multicentric, prospective, single-group study in the period between December 2012 and November 2017, 93 patients presented with anorectal adenocarcinoma were included in the study. Sixty-nine patients underwent SSP with TME. SSP included the combined approach of transabdominal TME with intersphincteric resection (ISR) or transanal transabdominal TME. Using the per anal examination scoring system (PASS), postoperative anal function was assessed after 1 year. Results Bowel motility time was 50±19 hours. The time needed for narcotic analgesia was 54±18.8 hours. Mean hospital stay was 15.4±10.25 days. Incidence of evident fecal incontinence after ISR is 10.6% (7 of 67 cases). The PASS findings of 69 cases are as follows: extremely hypotonic 8.6% (6 cases), slightly hypotonic 26.1% (18 cases), normal tone 58% (40 cases), slightly stenotic 3 cases (4.3%), or occluded 2.9% (2 cases). Urinary dysfunction occurred in 1 case (1.4%). Temporary diversion was performed in 61 patients (87.1%). Conclusion Sphincter preservation with TME for anorectal adenocarcinoma helps avoid permanent stoma and provides reasonable functional outcomes. PASS is a new application for postoperative assessment of anal function.
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Affiliation(s)
- Osama Eldamshety
- surgical oncology, oncology centre, Mansoura university, Elmansoura, Egypt
| | - Sherif Kotb
- Surgery department, Oncology Centre of Mansoura University, Mansoura, Egypt
| | - Ashraf Khater
- Surgery department, Oncology Centre of Mansoura University, Mansoura, Egypt
| | - Sameh Roshdy
- Surgery department, Oncology Centre of Mansoura University, Mansoura, Egypt
| | - Mohamed Elashry
- Department of clinical oncology and nuclear medicine, Mansoura University, Mansoura, Mansoura, Egypt
| | - Mohamed S Zahi
- Department of clinical oncology and nuclear medicine, Mansoura University, Mansoura, Mansoura, Egypt
| | | | - Waleed Elnahas
- Surgery department, Oncology Centre of Mansoura University, Mansoura, Egypt
| | - Omar Farouk
- Surgery department, Oncology Centre of Mansoura University, Mansoura, Egypt
| | - Adel Fathi
- Surgery department, Oncology Centre of Mansoura University, Mansoura, Egypt
| | - Ahmed Senbel
- Surgery department, Oncology Centre of Mansoura University, Mansoura, Egypt
| | - Emad-Eldeen Hamed
- Surgery department, Oncology Centre of Mansoura University, Mansoura, Egypt
| | - Khaled Abdelwahab
- Surgery department, Oncology Centre of Mansoura University, Mansoura, Egypt
| | | | - Ahmed Abdallah
- Surgery department, Oncology Centre of Mansoura University, Mansoura, Egypt
| | - Mahmoud Abdelaziz
- Surgery department, Oncology Centre of Mansoura University, Mansoura, Egypt
| | - Emanuele Lezoche
- Surgery department, Policlinico Umberto primo, Sapienza University of Rome, Rome, Italy
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Elbalka SS, Taha A, Srinivas C, Hegazy MA, Kotb SZ, Elnahas W, Farouk O, Metwally IH, Elzahaby IA, Abdelwahab K, Fathi A, Tobias-Machado M, Nayak SP. Short-Term Surgical Outcomes of Standard and Lateral Video Endoscopic Inguinal Lymphadenectomy: A Multinational Retrospective Study. J Laparoendosc Adv Surg Tech A 2020; 30:373-377. [DOI: 10.1089/lap.2019.0733] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Affiliation(s)
| | - Anis Taha
- Faculdade de Medicina do ABC, Santo Andre, Brazil
| | | | | | - Sherif Z. Kotb
- Oncology Center Mansoura University (OCMU), Mansoura, Egypt
| | - Waleed Elnahas
- Oncology Center Mansoura University (OCMU), Mansoura, Egypt
| | - Omar Farouk
- Oncology Center Mansoura University (OCMU), Mansoura, Egypt
| | | | | | | | - Adel Fathi
- Oncology Center Mansoura University (OCMU), Mansoura, Egypt
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Abstract
Objectives: To assess the oral health status and salivary composition in a group of children suffering from bronchial asthma. Materials and Methods: The sample consisted of sixty asthmatic children, sixty healthy negative controls, and sixty healthy positive controls of both sexes with age ranging from 4 to 12 years old. The asthmatics were grouped according to disease severity into mild, moderate, or severe asthmatic. All the children were clinically examined to assess their dental caries experience (decayed, indicated for extraction, and filled primary tooth [def] and decayed-missing-filled permanent tooth [DMF]), dental erosion condition (tooth wear index), and gingival health condition (gingival index [GI]). Salivary samples were collected and assessed for salivary flow rate, salivary pH, and the level of calcium, sodium, and potassium. Results: The results of this study revealed that asthmatic children presented significantly higher def, DMF score, and GI mean values compared to the control groups. Severe asthmatics significantly presented the highest def and GI score. Salivary analysis revealed reduced stimulated salivary flow rate and altered salivary pH. In addition, significantly elevated mean salivary calcium level found to be associated with higher GI mean score. Conclusions: Children suffering from bronchial asthma should receive special dental preventive attention as presented with greater risk for oral and dental diseases as compared to the healthy controls.
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Affiliation(s)
- Abla Arafa
- Department of Pediatric Dentistry, Faculty of Oral and Dental Medicine, Misr International University, Cairo, Egypt.,Department of Preventive Dentistry, College of Dental Medicine, Umm Al-Qura University, Saudi Arabia
| | - Salwa Aldahlawi
- Department of Basic and Clinical Oral Sciences, College of Dental Medicine, Umm Al-Qura University, Saudi Arabia
| | - Adel Fathi
- Department of Preventive Dentistry, College of Dental Medicine, Umm Al-Qura University, Saudi Arabia.,Department of Pediatric Dentistry and Oral Health, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt
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Khater A, Hamed E, Roshdy S, Elnahas W, Farouk O, Senbel A, Fathi A, Eldamshety O, Abdallah A. A New Concept of Interval TRAM for Immediate Breast Reconstruction in Obese Women. Indian J Surg Oncol 2019; 10:280-285. [PMID: 31168248 DOI: 10.1007/s13193-018-0866-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2018] [Accepted: 12/18/2018] [Indexed: 10/27/2022] Open
Abstract
Performing pedicled TRAM in obese women carries risk of flap loss or native breast envelop necrosis. Our technique depends on performing total flap delay at the same setting with mastectomy with flap suture in situ to be followed 1 week later by flap transfer. This study included 24 operable women who were candidates for skin sparing or modified radical mastectomy. In one case, delay was only done and followed by mastectomy and flap transfer. In later experience, delay plus mastectomy was done first and followed later by flap transfer. Operative data and postoperative complications were recorded. The mean BMI was 37 ± 2.75. The mean total operative time was 200 ± 20.37. The mean total hospital stay was 9.1 ± 3.35 days. The mean total volume of blood loss was 380 ± 82.33 ml. Breast envelop necrosis was encountered in four cases; three of them were replaced by the TRAM skin. There was no total flap loss while partial loss was recorded in five cases. Fat necrosis occurred in eight cases. Most of mastectomy bed and abdominal complications were in average. Most of cases showed satisfactory esthetic outcome. Our new concept of "Interval TRAM" enables safe immediate breast reconstruction with pedicled TRAM in obese women and ensures presence of a skin pack up for the native breast envelop skin. We recommend this technique in every obese female who undergoes skin sparing mastectomy with immediate pedicled TRAM flap reconstruction.
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Affiliation(s)
- Ashraf Khater
- Department of Surgical Oncology, Mansoura Oncology center (OCMU), Faculty of Medicine, Mansoura University, Egypt, Gomhoria Street, Mansoura, 35511 Egypt
| | - EmadEldeen Hamed
- Department of Surgical Oncology, Mansoura Oncology center (OCMU), Faculty of Medicine, Mansoura University, Egypt, Gomhoria Street, Mansoura, 35511 Egypt
| | - Sameh Roshdy
- Department of Surgical Oncology, Mansoura Oncology center (OCMU), Faculty of Medicine, Mansoura University, Egypt, Gomhoria Street, Mansoura, 35511 Egypt
| | - Waleed Elnahas
- Department of Surgical Oncology, Mansoura Oncology center (OCMU), Faculty of Medicine, Mansoura University, Egypt, Gomhoria Street, Mansoura, 35511 Egypt
| | - Omar Farouk
- Department of Surgical Oncology, Mansoura Oncology center (OCMU), Faculty of Medicine, Mansoura University, Egypt, Gomhoria Street, Mansoura, 35511 Egypt
| | - Ahmed Senbel
- Department of Surgical Oncology, Mansoura Oncology center (OCMU), Faculty of Medicine, Mansoura University, Egypt, Gomhoria Street, Mansoura, 35511 Egypt
| | - Adel Fathi
- Department of Surgical Oncology, Mansoura Oncology center (OCMU), Faculty of Medicine, Mansoura University, Egypt, Gomhoria Street, Mansoura, 35511 Egypt
| | - Osama Eldamshety
- Department of Surgical Oncology, Mansoura Oncology center (OCMU), Faculty of Medicine, Mansoura University, Egypt, Gomhoria Street, Mansoura, 35511 Egypt
| | - Ahmed Abdallah
- Department of Surgical Oncology, Mansoura Oncology center (OCMU), Faculty of Medicine, Mansoura University, Egypt, Gomhoria Street, Mansoura, 35511 Egypt
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Abstract
INTRODUCTION Lactating adenoma is the commonest benign breast lesion seen during pregnancy and puerperium. It is commonly seen in young primigravideous women in the second or third decade during the third trimester of their pregnancy. Occasionally, lactating adenoma is large and rapidly growing and must be differentiated from malignant breast masses that could be seen during pregnancy and lactation. The diagnosis is usually established by cytological and histopathological examination. CASE PRESENTATION Here we have presented a rare case with huge lactating adenoma arising in the left breast of 38 years old Egyptian multiparous lady during lactation. Enucleation of the mass was done with good aesthetic outcome. CONCLUSION The case we have presented was unique in its huge size and in being diagnosed in a multiparous lady and furthermore it was successfully treated by enucleation without any need for reconstruction.
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Affiliation(s)
- Islam A Elzahaby
- IMRCS, Lecturer of surgical oncology, Oncology center Mansoura University Masoura, Egypt
| | - Saleh Saleh
- Assistant lecturer of surgical oncology, Oncology center Mansoura University, Mansoura, Egypt
| | - Islam H Metwally
- Assistant lecturer of surgical oncology, Oncology center Mansoura University, Mansoura, Egypt
| | - Adel Fathi
- Lecturer of surgical oncology, Oncology center Mansoura University, Mansoura, Egypt
| | - Khaled Atallah
- Assistant lecturer of surgical oncology, Oncology center Mansoura University, Mansoura, Egypt
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18
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Singh JSS, Mordi I, Fathi A, Vickneson K, Donnan PT, Mohan M, Choy AM, Gandy SG, Pearson ER, Houston JG, Struthers AD, Lang CC. P905Research into the effect of sodium-glucose linked transporter inhibition in left ventricular remodelling in patients with heart failure and diabetes mellitus. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p905] [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] [Indexed: 11/13/2022] Open
Affiliation(s)
- J S S Singh
- University of Dundee, Division of Molecular and Clinical Medicine, Dundee, United Kingdom
| | - I Mordi
- University of Dundee, Division of Molecular and Clinical Medicine, Dundee, United Kingdom
| | - A Fathi
- University of Dundee, Medical School, Dundee, United Kingdom
| | - K Vickneson
- University of Dundee, Medical School, Dundee, United Kingdom
| | - P T Donnan
- University of Dundee, Dundee Epidemiology and Biostatistics Unit, Dundee, United Kingdom
| | - M Mohan
- University of Dundee, Division of Molecular and Clinical Medicine, Dundee, United Kingdom
| | - A M Choy
- University of Dundee, Division of Molecular and Clinical Medicine, Dundee, United Kingdom
| | - S G Gandy
- NHS Tayside, Department of Medical Physics, Dundee, United Kingdom
| | - E R Pearson
- University of Dundee, Division of Molecular and Clinical Medicine, Dundee, United Kingdom
| | - J G Houston
- University of Dundee, Division of Molecular and Clinical Medicine, Dundee, United Kingdom
| | - A D Struthers
- University of Dundee, Division of Molecular and Clinical Medicine, Dundee, United Kingdom
| | - C C Lang
- University of Dundee, Division of Molecular and Clinical Medicine, Dundee, United Kingdom
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Al-Thubiani ASA, Maher YA, Fathi A, Abourehab MAS, Alarjah M, Khan MSA, Al-Ghamdi SB. Identification and characterization of a novel antimicrobial peptide compound produced by Bacillus megaterium strain isolated from oral microflora. Saudi Pharm J 2018; 26:1089-1097. [PMID: 30532629 PMCID: PMC6260495 DOI: 10.1016/j.jsps.2018.05.019] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [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: 01/17/2018] [Accepted: 05/30/2018] [Indexed: 11/15/2022] Open
Abstract
In recent years, the decreased efficacy of existing antibiotics toward management of emergent drug-resistant strains has necessitated the search for novel antibiotics from natural products. In this regard, Bacillus sp is well known for producing variety of secondary metabolites of potential use. Therefore, we performed an investigation to isolate and identify Bacillus sp from oral cavity for production of novel antimicrobial compounds. We extracted, purified, and identified a novel bioactive compound by B. megaterium (KC246043.1). The optimal production of compound was observed on de Man Rogosa and Sharpe broth by incubating at 37 °C, and pH 7.0 for 4 days. The bioactive compound was extracted by using n-butanol (2:1 v/v), purified on TLC plates with detection at Rf 7.8 cm; further characterized and identified as a cyclic ploypeptide sharing structural similarity with bacitracin. Minimum inhibitory concentration of bioactive compound was found to be 0.25, 0.5, 1.0, 3.125 and 6.25 μg/ml against Micrococcus luteus ATCC10240, Salmonella typhi ATCC19430, Escherichia coli ATCC35218. Pseudomonas aeruginosa ATCC27853 and Staphylococcus aureus ATCC25923 respectively, with no activity against Candida albicans ATCC10231. Our findings have revealed a novel cyclic peptide compound from B. megaterium with broad spectrum antimicrobial activity against both Gram positive and Gram negative bacteria.
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Affiliation(s)
| | - Yahia A Maher
- Faculty of Science, Al-Azhar University, Cairo, Egypt.,College of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Adel Fathi
- Pediatric Dentistry and Oral Health Department, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt.,Preventive Dentistry Dept., College of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Mohammed A S Abourehab
- Pharmaceutics and Industrial Pharmacy Dept., Faculty of Pharmacy, Minia University, Minia, Egypt.,Pharmaceutics Dept., Faculty of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Mohammed Alarjah
- Pharmaceutical Chemistry Dept., Faculty of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Mohd S A Khan
- Department of Biology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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20
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Neshat MA, Kiani M, Hassanzadeh S, Jeidi S, Fathi A, Yaghoubi H. Computational Fluid Dynamics of Co-Production of Zinc and Syngas in a Solar Reactor. Theor Found Chem Eng 2018. [DOI: 10.1134/s0040579518010128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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21
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Kouli O, Khalil M, Fathi A, Gill S, Headon E, Love G. Total Hip Replacement (THR) In Intracapsular Neck of Femur (NOF) Fracture Management in Ninewells Hospital. Int J Surg 2017. [DOI: 10.1016/j.ijsu.2017.08.413] [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: 11/30/2022]
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22
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Alsagheer G, Abdel-Kader MS, Hasan AM, Mahmoud O, Mohamed O, Fathi A, Abass M, Abolyosr A. Extracorporeal shock wave lithotripsy (ESWL) monotherapy in children: Predictors of successful outcome. J Pediatr Urol 2017; 13:515.e1-515.e5. [PMID: 28457667 DOI: 10.1016/j.jpurol.2017.03.029] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Accepted: 03/23/2017] [Indexed: 12/27/2022]
Abstract
INTRODUCTION AND OBJECTIVES Although extracorporeal shock wave lithotripsy (ESWL) is the first choice for pediatric renal calculi <2 cm, the success rate after the first session is low. This is in contrast to other minimally invasive procedures like percutanous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS), which have higher rates of success. Therefore, the present study sought to identify predictors of success after one session of ESWL. PATIENTS AND METHODS A prospective study including 100 children with renal stone burden <2 cm who underwent ESWL at the present institution. The success rate after the first session was analyzed, and the predictors of success were investigated. The success of ESWL monotherapy was defined by absence of any residual fragments after 3 months, on non-contrast spiral computerized tomography (NCCT) scan, without need of any additional intervention. RESULTS Between January 2013 and October 2015, 100 children were treated with a Dornier Gemini lithotripter at the present institution. The mean patients age and stone size were 6 years (range: 1.8-14) and 13.1 mm (range: 6-20), respectively. After one session, 47% of patients showed complete clearance 3 months postoperative, those patients versus those who required an additional session or auxiliary procedures were younger in age, with smaller stone size and lower density. On multivariate analysis, only patient age was an independent predictor of success (odds ratio (OR) 0.9; P < 0.001). CONCLUSION Patient's age was an important predictor for response after ESWL monotherapy: not only did children respond better than adults, but age was also an independent predictor within the pediatric group.
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Affiliation(s)
- G Alsagheer
- Urology Department, Qena Faculty of Medicine, South Valley University, Qena, Egypt
| | - M S Abdel-Kader
- Urology Department, Qena Faculty of Medicine, South Valley University, Qena, Egypt
| | - A M Hasan
- Urology Department, Qena Faculty of Medicine, South Valley University, Qena, Egypt
| | - O Mahmoud
- Urology Department, Qena Faculty of Medicine, South Valley University, Qena, Egypt.
| | - O Mohamed
- Urology Department, Qena Faculty of Medicine, South Valley University, Qena, Egypt
| | - A Fathi
- Urology Department, Qena Faculty of Medicine, South Valley University, Qena, Egypt
| | - M Abass
- Urology Department, Qena Faculty of Medicine, South Valley University, Qena, Egypt
| | - A Abolyosr
- Urology Department, Qena Faculty of Medicine, South Valley University, Qena, Egypt
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24
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Elzahaby IA, Khater A, Fathi A, Hany I, Abdelkhalek M, Gaballah K, Elalfy A, Hamdy O. Etiologic revelation and outcome of the surgical management of idiopathic granulomatous mastitis; An Egyptian centre experience. Breast Dis 2016; 36:115-122. [PMID: 27612044 DOI: 10.3233/bd-160238] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
INTRODUCTION Idiopathic granulomatous mastitis (IGM) is a chronic inflammatory condition that is confused with cancer. It usually affects women in child bearing age. The exact aetiology and pathogenesis are still unknown, and the optimal therapeutic modality has not yet been established. Treatment most frequently includes Antibiotics, corticosteroids and immunosuppressant, surgical excision, and even mastectomy. MATERIAL AND METHODS We studied a thirty cases diagnosed with IGM in our locality to find out the leading risk factors and the outcome of our surgical approach which involves excision of the lesion in continuity with duct system. Patients demographic data, history related to lactation and outcome were recorded. RESULTS All patients were parous women with history of previous breast feeding for all kids. Twenty-six patients (86.66%) had a history of early incomplete nursing care to the affected breast. After our surgical approach, Twenty eight (93.3%) patients showed fast recovery with no detectable recurrences in the median follow up period (18 months) with acceptable cosmoses. CONCLUSION History of breast feeding together with early failure of complete nursing from a single breast is the most important risk factors for development of IGM in young aged women. Surgery plays an important role in treating IGM, however, it should be directed towards excision of the present mass (s) together with the pathological and colonized duct system.
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25
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Tefahi B, Belkacemi M, Fathi A, Guedmani M, Djendi N. Existe-t-il des biomarqueurs du tabagisme chez les dépendants à la nicotine ? Eur Psychiatry 2015. [DOI: 10.1016/j.eurpsy.2015.09.191] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
La dépendance à la nicotine est un comportement appris et renforcé par la consommation d’une substance psycho-active, « la nicotine », caractérisée par le besoin invincible et continu de consommer le tabac afin d’en éprouver des sensations psychiques et parfois de supprimer le malaise consécutif à son absence. Le dépendant à la nicotine ainsi que le thérapeute éprouvent de réelles difficultés d’estimation de la consommation du tabac lors d’un sevrage tabagique ou du maintien d’abstinence. Nous illustrerons notre intervention à travers une revue de littérature faite sur la base des données Pub Med entre 2010–2015 en utilisant les mots clés suivants : « tobacco », « nicotine », « dependence », « biomarkers » pour étayer à l’état actuel des nouveautés médicales, l’existence des biomarqueurs, leurs milieux et leurs techniques de dosage afin d’établir le diagnostic, apprécier le degré de dépendance nicotinique et adapter les posologies des traitements substitutifs.
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Novitsky Y, Fayezizadeh M, Majumder A, Yee S, Petro C, Orenstein S, Woeste G, Reinisch A, Bechstein WO, Rosen M, Carbonell A, Cobb W, Bauer J, Selzer D, Chao J, Harmaty M, Poulose B, Matthews B, Goldblatt M, Jacobsen G, Rosman C, Hansson B, Prabhu A, Fathi A, Skipworth J, Younis I, Floyd D, Shankar A, Olmi S, Cesana G, Ciccarese F, Uccelli M, Carrieri D, Castello G, Legnani G, Lyo V, Irwin C, Xu X, Harris H, Zuvela M, Galun D, Petrovic J, Palibrk I, Koncar I, Basaric D, Tian W, Fei Y, Pittman M, Jones E, Schwartz J, Mikami D, Perrakis A, Knüttel D, Klein P, Croner RS, Hohenberger W, Perrakis E, Müller V, Grande M, Villa M, Lisi G, Esser A, De Sanctis F, Petrella G, Birolini C, Miranda JS, Tanaka EY, Utiyama EM, Rasslan S, Shi Y, Guo XB, Zhuo HQ, Li LP, Liu HJ, Bauder A, Gerety P, Epps G, Pannucci C, Fischer J, Kovach S. Incisional Hernia: Difficult Cases 2. Hernia 2015; 19 Suppl 1:S105-11. [PMID: 26518784 DOI: 10.1007/bf03355335] [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] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Y Novitsky
- Case Comprehensive Hernia Center, Cleveland, USA
| | | | - A Majumder
- Case Comprehensive Hernia Center, Cleveland, USA
| | - S Yee
- Case Comprehensive Hernia Center, Cleveland, USA
| | - C Petro
- Case Comprehensive Hernia Center, Cleveland, USA
| | - S Orenstein
- Case Comprehensive Hernia Center, Cleveland, USA
| | - G Woeste
- Department of Surgery, Goethe University, Frankfurt, Germany
| | - A Reinisch
- Department of Surgery, Goethe University, Frankfurt, Germany
| | - W O Bechstein
- Department of Surgery, Goethe University, Frankfurt, Germany
| | - M Rosen
- Cleveland Clinic Foundation, Cleveland, USA
| | | | | | | | | | | | | | | | | | | | | | | | | | | | - A Fathi
- Case Comprehensive Hernia Center, Cleveland, USA
| | - J Skipworth
- Hospital Complex Hernia Unit, Royal Free and University College London, London, UK
| | - I Younis
- Hospital Complex Hernia Unit, Royal Free and University College London, London, UK
| | - D Floyd
- Hospital Complex Hernia Unit, Royal Free and University College London, London, UK
| | - A Shankar
- Hospital Complex Hernia Unit, Royal Free and University College London, London, UK
| | - S Olmi
- School of General Surgery, University of Milan, Milan, Italy.,General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - G Cesana
- School of General Surgery, University of Milan, Milan, Italy.,General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - F Ciccarese
- School of General Surgery, University of Milan, Milan, Italy.,General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - M Uccelli
- School of General Surgery, University of Milan, Milan, Italy.,General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - D Carrieri
- General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - G Castello
- General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - G Legnani
- General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - V Lyo
- Division of General Surgery, University of California San Francisco, San Francisco, USA
| | - C Irwin
- Division of Plastic & Reconstructive Surgery, University of California San Francisco, San Francisco, USA
| | - X Xu
- Division of Plastic & Reconstructive Surgery, University of California San Francisco, San Francisco, USA
| | - H Harris
- Division of General Surgery, University of California San Francisco, San Francisco, USA
| | - M Zuvela
- Clinical center of Serbia, University Clinic for Digestive Surgery, Belgrade, Serbia.,Medical School, University of Belgrade, Belgrade, Serbia
| | - D Galun
- Clinical center of Serbia, University Clinic for Digestive Surgery, Belgrade, Serbia.,Medical School, University of Belgrade, Belgrade, Serbia
| | - J Petrovic
- Clinical center of Serbia, University Clinic for Digestive Surgery, Belgrade, Serbia
| | - I Palibrk
- Medical School, University of Belgrade, Belgrade, Serbia.,Clinical center of Serbia, Clinic for vascular and endovascular surgery, Belgrade, Serbia
| | - I Koncar
- Clinical center of Serbia, University Clinic for Digestive Surgery, Belgrade, Serbia.,Medical School, University of Belgrade, Belgrade, Serbia
| | - D Basaric
- Clinical center of Serbia, University Clinic for Digestive Surgery, Belgrade, Serbia
| | - W Tian
- Department of General Surgery, 1st affiliated hospital of PLA general hospital, Beijing, China
| | | | - M Pittman
- The Ohio State University Medical Center, Columbus, USA
| | | | | | | | - A Perrakis
- Department of Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - D Knüttel
- Department of Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - P Klein
- Department of Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - R S Croner
- Department of Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - W Hohenberger
- Department of Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - E Perrakis
- Department of Surgery, Omilos Iatrikoo Kentrou Athinon, Iatriko Kentro Peristeriou, Athens, Greece
| | - V Müller
- Department of Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - M Grande
- University Hospital of Tor Vergata, Rome, Italy
| | - M Villa
- University Hospital of Tor Vergata, Rome, Italy
| | - G Lisi
- University Hospital of Tor Vergata, Rome, Italy
| | - A Esser
- University Hospital of Tor Vergata, Rome, Italy
| | | | - G Petrella
- University Hospital of Tor Vergata, Rome, Italy
| | - C Birolini
- Abdominal Wall and Hernia Surgery, University of São Paulo, School of Medicine, São Paulo, Brazil
| | - J S Miranda
- Abdominal Wall and Hernia Surgery, University of São Paulo, School of Medicine, São Paulo, Brazil
| | - E Y Tanaka
- Abdominal Wall and Hernia Surgery, University of São Paulo, School of Medicine, São Paulo, Brazil
| | - E M Utiyama
- Abdominal Wall and Hernia Surgery, University of São Paulo, School of Medicine, São Paulo, Brazil
| | - S Rasslan
- Abdominal Wall and Hernia Surgery, University of São Paulo, School of Medicine, São Paulo, Brazil
| | - Y Shi
- Department of Gastrointestinal Surgery, Provincial Hospital Affiliated to Shandong University, Jinan, China
| | | | | | | | | | - A Bauder
- Division of Plastic Surgery, University of Pennsylvania, Philadelphia, USA
| | - P Gerety
- Division of Plastic Surgery, University of Pennsylvania, Philadelphia, USA
| | - G Epps
- Division of Plastic Surgery, University of Pennsylvania, Philadelphia, USA
| | - C Pannucci
- Division of Plastic and Reconstructive Surgery, University of Utah, Salt Lake City, USA
| | - J Fischer
- Division of Plastic Surgery, University of Pennsylvania, Philadelphia, USA
| | - S Kovach
- Division of Plastic Surgery, University of Pennsylvania, Philadelphia, USA
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Farouk O, Attia E, Roshdy S, Khater A, Senbe A, Fathi A, Hamed EE, Mesbah M, Shehatto F, El-Saed A, Denewer A. The outcome of oncoplastic techniques in defect reconstruction after resection of central breast tumors. World J Surg Oncol 2015; 13:285. [PMID: 26409877 PMCID: PMC4584018 DOI: 10.1186/s12957-015-0688-1] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2015] [Accepted: 09/07/2015] [Indexed: 11/10/2022] Open
Abstract
Background Traditionally, conservative breast surgery was contraindicated in centrally located breast tumors, with total mastectomy as the treatment of choice. However, restorations of the central defects by the oncoplastic volume displacement or replacement techniques have been shown to be effective. The aim of the current study was to assess the surgical outcome of oncoplastic techniques after central breast tumors resection. Methods Thirty patients with central breast cancer, including two patients with Paget disease, treated at the Oncology Center of Mansoura University (Egypt) between June 2011 and December 2014 were included in this study. The oncoplastic techniques performed were Grisotti advancement rotational flap in eight (26.7 %) patients, classic skin-sparing mastectomy (SSM) with latissimus dorsi pedicled flap in 20 (66.7 %) patients, and skin-reducing mastectomy (SRM) with latissimus dorsi pedicled flap using wise pattern inverted T incision in two (6.7 %) patients. The choice of the oncoplastic techniques depends on the achievement of free safety margins, the breast volume, and its ptotic degree. Results The median age was 40.5 years (range; 23–55). There were no major complications that require repeating the oncoplastic techniques. Recorded complications included wound dehiscence (4/30, 13.3 %) donor site seroma (4/30, 13.3 %), and surgical site infection (1/30, 3.3 %). The 6-month subjective patient satisfaction was excellent in 21 (70 %) patients, good in 6 (20 %) patients, and fair in 3 (10 %) patients. There was no episode of local recurrence or systemic metastasis after an average follow-up duration of 24 months (range; 6–42). Conclusions Restoring the central defect after resection of the central breast tumors can be safely achieved using oncoplastic procedures including the Grisotti technique or the design of SSM or SRM with immediate breast reconstruction. In our patients, these procedures yield a satisfactory esthetic outcome with lower morbidity.
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Affiliation(s)
- Omar Farouk
- Surgical Oncology Department, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
| | - Essam Attia
- Surgical Oncology Department, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Sameh Roshdy
- Surgical Oncology Department, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Ashraf Khater
- Surgical Oncology Department, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Ahmad Senbe
- Surgical Oncology Department, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Adel Fathi
- Surgical Oncology Department, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Emad-Eldeen Hamed
- Surgical Oncology Department, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Mahmoud Mesbah
- Surgical Oncology Department, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Fayez Shehatto
- Surgical Oncology Department, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Aiman El-Saed
- Community Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Adel Denewer
- Surgical Oncology Department, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt
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Fathi A, Marbacher S, Remonda L, Danura H, Schatlo B, Muroi C, Diepers M, Fandino J. Intraoperative Three-Dimensional Angiography Increases the Diagnostic Yield for Detection of Neck Remnant during Microsurgical Aneurysm Occlusion. J Neurol Surg A Cent Eur Neurosurg 2015. [DOI: 10.1055/s-0035-1564517] [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: 10/23/2022]
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Roshdy S, Senbel A, Khater A, Farouk O, Fathi A, Hamed E, Denewer A. Genital Sparing Cystectomy for Female Bladder Cancer and its Functional Outcome; a Seven Years' Experience with 24 Cases. Indian J Surg Oncol 2015; 7:307-11. [PMID: 27651690 DOI: 10.1007/s13193-015-0462-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Accepted: 09/01/2015] [Indexed: 11/27/2022] Open
Abstract
The surgical treatment of bladder cancer is the curative treatment especially in early cases. In this study, our aim was to assess the outcome of preservation of internal genital organs in selected females both oncologically and functionally, and to assess the feasibility of technique and its complication. 24 females with clinically and radiologically diagnosed T2 bladder cancer underwent gynecologic-tract sparing cystectomy (GTSC). Age ranged from 45 to 60 years. Patients with diffuse carcinoma-in-situ, those with tumors involving the bladder neck, those with poor general condition and those with preoperative incontinence were excluded. 1 patient, who developed local recurrence after 6 months. One patient lost follow up after 15 months. No recurrence developed in the retained genital organs. The remaining 20 patients remained free of disease. Among women who were eligible for functional evaluation, Daytime and nighttime continence were satisfactory in 21/22 (95.4 %) and in 20/22 (90.9 %) respectively. Chronic urinary retention, pouch-vaginal fistula was not noted. Most of patients showed superior Sexual Function index. Cystectomy with preservation of the internal genital organs is feasible in female with early, solitary or T2 bladder cancer with satisfactory functional and oncologic outcomes with proper case selection.
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Affiliation(s)
- Sameh Roshdy
- Unit of Surgical Oncology, Mansoura Oncology Center (OCMU), Faculty of Medicine, Mansoura University, Gomhoria Street, Mansoura, 35511 Egypt
| | - Ahmed Senbel
- Unit of Surgical Oncology, Mansoura Oncology Center (OCMU), Faculty of Medicine, Mansoura University, Gomhoria Street, Mansoura, 35511 Egypt
| | - Ashraf Khater
- Unit of Surgical Oncology, Mansoura Oncology Center (OCMU), Faculty of Medicine, Mansoura University, Gomhoria Street, Mansoura, 35511 Egypt
| | - Omar Farouk
- Unit of Surgical Oncology, Mansoura Oncology Center (OCMU), Faculty of Medicine, Mansoura University, Gomhoria Street, Mansoura, 35511 Egypt
| | - Adel Fathi
- Unit of Surgical Oncology, Mansoura Oncology Center (OCMU), Faculty of Medicine, Mansoura University, Gomhoria Street, Mansoura, 35511 Egypt
| | - EmadEldeen Hamed
- Unit of Surgical Oncology, Mansoura Oncology Center (OCMU), Faculty of Medicine, Mansoura University, Gomhoria Street, Mansoura, 35511 Egypt
| | - Adel Denewer
- Unit of Surgical Oncology, Mansoura Oncology Center (OCMU), Faculty of Medicine, Mansoura University, Gomhoria Street, Mansoura, 35511 Egypt
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D'Alonzo D, Diepers M, Stauffer A, Muroi C, Danura H, Marbacher S, Schatlo B, Röthlisberger M, Remonda L, Fandino J, Fathi A. Correlation of Ruptured Aneurysm Size at Subarachnoid Hemorrhage with Clinical Characteristics and Outcome. J Neurol Surg A Cent Eur Neurosurg 2015. [DOI: 10.1055/s-0035-1564519] [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: 10/23/2022]
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31
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Röthlisberger M, Zumofen D, Schatlo B, Stienen M, Zumofen D, Sailer M, Fung C, Burkhardt J, Tok S, D'Alonzo D, Marbacher S, Hiroki D, Dell-Kuster S, Achermann R, Corniola M, Bervini D, Fathi A, Daniel R, Hildebrandt G, Regli L, Reinert M, Raabe A, Fandino J, Bijlenga P, Schaller K, Keller E, Mariani L, Guzman R. Clinical and Radiological Characteristics of Aneurysmal Subarachnoid Hemorrhage in Older Adults. J Neurol Surg A Cent Eur Neurosurg 2015. [DOI: 10.1055/s-0035-1564548] [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: 10/23/2022]
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Schatlo B, Fung C, Stienen M, Fathi A, Fandino J, Smoll N, Tok S, Daniel R, Zumofen D, Burkhard J, Dan-Ura H, Röthlisberger M, Reinert M, Winkler K, Ahlborn P, Mendes-Pereira V, D́Alonzo D, Seule M, Kerkeni H, Bervini D, Sailer M, Kuhlen D, Remonda L, Rohde V, Mostaguir K, Marbacher S, Valsecchi D, Corniola M, Schöni D, Woernle C, Regli L, Levivier M, Hildebrandt G, Mariani L, Beck J, Guzman R, Raabe A, Bijlenga P, Keller E, Schaller K. Incidence, Therapy, and Outcome of Aneurysmal Subarachnoid Hemorrhage. The Swiss Study on Aneurysmal Subarachnoid Hemorrhage (Swiss SOS). J Neurol Surg A Cent Eur Neurosurg 2015. [DOI: 10.1055/s-0035-1564496] [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: 10/23/2022]
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Schatlo B, Fandino J, Smoll N, Wetzel O, Remonda L, Marbacher S, Perrig W, Landolt H, Fathi A. Outcomes after Combined Use of Intraoperative MRI and 5-Aminolevulinic Acid in High-Grade Glioma Surgery. J Neurol Surg A Cent Eur Neurosurg 2015. [DOI: 10.1055/s-0035-1564503] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Roshdy S, Hussein O, Khater A, Zuhdy M, El-Hadaad HA, Farouk O, Senbel A, Fathi A, Hamed E, Denewer A. Safety and esthetic outcomes of therapeutic mammoplasty using medial pedicle for early breast cancer. Breast Cancer (Dove Med Press) 2015; 7:173-8. [PMID: 26185469 PMCID: PMC4500603 DOI: 10.2147/bctt.s83725] [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] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background Although therapeutic mammoplasty (TM) was introduced for treatment of localized ductal carcinoma in situ and invasive breast carcinoma (stages I and II) in females with large breast size, the suitability of medial pedicle TM for treatment of breast tumors at different locations has not been established. The objective of this study was to assess the safety and esthetic outcome of medial pedicle TM for breast tumors at different locations. Methods The study was conducted from February 2012 to July 2014. Consecutive patients with early breast carcinoma with medium- and large-sized breasts, with or without ptosis, who were offered medial pedicle TM were included in the study. Patients who were not candidates for breast-conserving surgery or those with tumors located along the medial pedicle were excluded. All patients received immediate postoperative adjuvant chemoradiotherapy. Results Thirty patients with a mean age of 48.5 years received medial pedicle TM in the breast harboring the tumor or, additionally, the other breast (N=14). The tumors were in the upper (60.0%), lower (26.7%), and lateral (13.3%) quadrants. Minor complications occurred in five cases (5/30, 16.7%) in the ipsilateral and in two (2/14, 14.3%) contralateral breasts. No wound dehiscence or areolar necrosis was recorded. A total of 22 (73.3%) patients were scored as excellent cosmesis. After a median follow-up of 20 months, no locoregional recurrence or distant metastases were observed. Conclusion TM using a medial pedicle is a safe and appealing technique among women with tumors at different locations.
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Affiliation(s)
- Sameh Roshdy
- Department of Surgical Oncology, Mansoura Oncology Center, Mansoura University, Mansoura, Egypt
| | - Osama Hussein
- Department of Surgical Oncology, Mansoura Oncology Center, Mansoura University, Mansoura, Egypt
| | - Ashraf Khater
- Department of Surgical Oncology, Mansoura Oncology Center, Mansoura University, Mansoura, Egypt
| | - Mohammad Zuhdy
- Department of Surgical Oncology, Mansoura Oncology Center, Mansoura University, Mansoura, Egypt
| | - Hend A El-Hadaad
- Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Omar Farouk
- Department of Surgical Oncology, Mansoura Oncology Center, Mansoura University, Mansoura, Egypt
| | - Ahmad Senbel
- Department of Surgical Oncology, Mansoura Oncology Center, Mansoura University, Mansoura, Egypt
| | - Adel Fathi
- Department of Surgical Oncology, Mansoura Oncology Center, Mansoura University, Mansoura, Egypt
| | - Emadeldeen Hamed
- Department of Surgical Oncology, Mansoura Oncology Center, Mansoura University, Mansoura, Egypt
| | - Adel Denewer
- Department of Surgical Oncology, Mansoura Oncology Center, Mansoura University, Mansoura, Egypt
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Nateghi MR, Borhani zarandi M, Fathi A. Structural and morphological aspects considerations of bilayers actuators based on polypyrrole/polyethylene glycole composites. Polym Sci Ser A 2014. [DOI: 10.1134/s0965545x14050137] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Marbacher S, Klinger E, Schwzer L, Fischer I, Nevzati E, Diepers M, Roelcke U, Fathi A, Coluccia D, Fandino J. Use of Fluorescence to Guide Resection or Biopsy of Primary Brain Tumors and Brain Metastases. J Neurol Surg A Cent Eur Neurosurg 2014. [DOI: 10.1055/s-0034-1383791] [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: 10/25/2022]
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Stienen M, Smoll N, Battaglia M, Schatlo B, Woernle C, Fung C, Röthlisberger M, Daniel R, Fathi A, Hildebrandt G, Schaller K, Bijlenga P. Is Intracranial Aneurysm Rupture Related to Solar Activity? J Neurol Surg A Cent Eur Neurosurg 2014. [DOI: 10.1055/s-0034-1383800] [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: 10/25/2022]
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Kerkeni H, Schatlo B, Danura H, Muroi C, Remonda L, Diepers M, Fandino J, Fathi A. Intracerebral Artery Diameters on Digital Subtraction Arteriography Correlate with Non-invasive Angio-CT for Reliable Assessment of Cerebral Vasospasm. J Neurol Surg A Cent Eur Neurosurg 2014. [DOI: 10.1055/s-0034-1383788] [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: 10/25/2022]
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Danura H, Schatlo B, Marbacher S, Kerkeni H, Soleman J, Coluccia D, Diepers M, Remonda L, Fathi A, Fandino J. Does Intraoperative Angiographic Vasospasm during Aneurysm Clipping influence the Incidence of Delayed Cerebral Vasospasm and Delayed Neurological Deficit? J Neurol Surg A Cent Eur Neurosurg 2014. [DOI: 10.1055/s-0034-1383757] [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: 10/25/2022]
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Garvey W, Fathi A, Bigelow F, Jimenez C, Carpenter B. Rapid, Reliable and Economical Silver Stain for Neurofibrillary Tangles and Senile Plaques. J Histotechnol 2013. [DOI: 10.1179/his.1991.14.1.39] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Garvey W, Bigelow F, Fathi A, Jimenez C, Carpenter B. Modified Gomori Trichrome Stain for Frozen Skeletal Muscle and Paraffin Embedded Sections. J Histotechnol 2013. [DOI: 10.1179/his.1996.19.4.329] [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: 10/31/2022]
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Garvey W, Fathi A, Bigelow F. Demonstration of Senile Plaques and Neurofibrillary Tangles in Alzheimer's Disease with Uranyl and Silver Nitrates. J Histotechnol 2013. [DOI: 10.1179/his.1994.17.4.353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Fathi A, Nevzati E, Marbacher S, Gugliotta M, Remonda L, Fandino J. Validation and Accuracy of Intraoperative CT Scan Using the Philips Allura Xper FD20 Angiography Suite for Assessment of Free-Hand Pedicle Screw Placement. J Neurol Surg A Cent Eur Neurosurg 2012. [DOI: 10.1055/s-0032-1316272] [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: 10/28/2022]
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Fathi A, Soleman J, Penik K, Gugliotta M, Remonda L, Fandino J. Safety, Feasibility, Radiographic, and Clinical Outcome of Transforaminal Lumbar Interbody Fusion Using PEEK “Loop” Cage Implants. J Neurol Surg A Cent Eur Neurosurg 2012. [DOI: 10.1055/s-0032-1316273] [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: 10/28/2022]
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46
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Mahfouz R, Elsahfei M, Kandil S, Sharma R, Fathi A, Agarwal A. Prediction of ICSI outcome by sperm chromatin parameters. Fertil Steril 2007. [DOI: 10.1016/j.fertnstert.2007.07.895] [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: 11/16/2022]
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47
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El Aich A, El Assouli N, Fathi A, Morand-Fehr P, Bourbouze A. Ingestive behavior of goats grazing in the Southwestern Argan (Argania spinosa) forest of Morocco. Small Rumin Res 2007. [DOI: 10.1016/j.smallrumres.2006.03.011] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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48
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Amirzargar A, Lessanpezeshki M, Fathi A, Amirzargar M, Khosravi F, Ansaripour B, Nikbin B. TH1/TH2 cytokine analysis in Iranian renal transplant recipients. Transplant Proc 2006; 37:2985-7. [PMID: 16213281 DOI: 10.1016/j.transproceed.2005.08.004] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
The pretransplant cytokine profile of donor and recipient blood and tissues may be associated with transplant outcome. A Th1 response is generally associated with transplant rejection, while a Th2 response may lead to tolerance and stable graft survival. A total of 56 (37 male and 19 female) patients of mean 36 +/- 5 years were candidates for living unrelated kidney transplantation. Serum samples were collected 24 hours pretransplantation as well as at 1 and 2 weeks posttransplantation. Immunosuppression consisted of cyclosporine, prednisolone, and mycophenolate mofetil. Among the transplanted patients, 19 (33.9%) individuals experienced an acute rejection episode, as proven by biopsy, as well as an increased serum creatinine and blood urea nitrogen, within 14 days after transplantation. We determined serum concentrations of interleukin (IL) 2 and interferon (IFN)-gamma for Th1 and IL4 and IL10 for Th2 by an enzyme-linked immunosorbent assay method (Bender med system kits, Germany). Among Th1 cytokines, the mean concentration levels for groups with versus without acute rejection were: IL-2 pretransplant 15 pg/mL vs 6.8 pg/mL, respectively (P = .005); IL-2 at 1 week, 19 pg/mL vs 4.85 pg/mL, respectively (P = .001); IL-2 at 2 weeks, 21.1 pg/mL vs 4.65 pg/mL, respectively (P = .0001); IFN-gamma pretransplant 161.1 pg/mL vs 65.2 pg/mL, respectively (P = .001); IFN-gamma at 1 week, 175.6 pg/mL vs 66.5 pg/mL, respectively (P = .001); and IFN-gamma at 2 weeks, 173.7 pg/mL vs 77.1 pg/mL (P = .001). IL-2 and IFN-gamma levels were significantly higher in the group with acute rejection versus those without acute rejection. In conclusion, these data suggest that cytokine analysis, especially of Th1 cytokines, might be a valuable prognotic index of kidney transplant outcome.
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Affiliation(s)
- A Amirzargar
- Immunology Department, Immunogenetic Laboratory, Medical School, Tehran University of Medical Sciences, Tehran, Iran
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Lessan-Pezeshki M, Amirzargar A, Fathi A, Khatami MR, Einollahi B, Pourfarziani V, Azmandian J, Khosravi F, Ansaripour B, Nikbin B. Value of Pretransplantation Cytokine Profiles for Predicting Acute Rejection in Renal Transplant Recipients. Transplant Proc 2005; 37:2982-4. [PMID: 16213280 DOI: 10.1016/j.transproceed.2005.08.031] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Episodes of acute rejection may represent an important risk factor for the development of chronic allograft nephropathy. Various studies have shown that pretransplant cytokine profiles in recipient blood are associated with transplant outcome. Serum samples were collected 24 hours before transplantation from 57 patients (38 men and 19 women of age 36 +/- 5 years) receiving kidneys from unrelated living donors. Additional samples were collected at 1 and 2 weeks after transplantation, as well as during every rejection episode. The immunosuppression consisted of a cyclosporine, prednisolone, and mycophenolate mofetil. Among the transplanted patients, 19 (33.3%) individuals experienced an acute rejection episode based on an increased level of serum creatinine and blood urea nitrogen during the first 14 days after transplantation. TGF-beta, IL-2 and IFN-gamma serum levels were determined by an ELISA method using Bindermed system kits. The mean concentration of TGF-beta before transplantation tended to be lower among patients with acute rejection episodes compared to those with stable graft (75,265 versus 85,394 pg/mL; P = .34) and at 1 week after transplantation (77,558 versus 84,390 pg/mL), although the differences were not significant. Among patients with rejection the mean IL-2 concentration was significantly higher before, at 1 week, and at 2 weeks after transplantation (15.0 versus 6.8 pg/mL, P = .005; 19.0 versus 4.9 pg/mL, P = .001; and 21.1 versus 4.7 pg/mL, P = .0001). The mean concentration of IFN-gamma was significantly higher pre- and at 1 and 2 weeks posttransplantation in patients with acute rejection episodes (161.1 versus 65.2, 175.6 versus 66.5 and 173.7 versus 77.1 pg/mL, all P < .001). In conclusion, evaluation of Th1 cytokines before transplantation may represent valuable predictive marker for an acute rejection episode.
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50
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Garvey W, Fathi A, Bigelow F, Carpenter B, Jimenez C. A new method for demonstrating argyrophil cells of the pancreas and intestines. Stain Technol 1989; 64:87-91. [PMID: 2477921 DOI: 10.3109/10520298909108051] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
A new method for demonstrating argyrophil cells of the pancreas and intestinal tract using a combined silver and reducing solution in sections of formaldehyde fixed tissue is described. Impregnating sections in a 60 C water bath, the procedure takes about 25 min. A microwave version that takes about 5 min is also given. Results are similar to those obtained with the Grimelius method for argyrophil cells.
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Affiliation(s)
- W Garvey
- Children's Hospital of Eastern Ontario, Ottawa
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