A5101757109- Organ Transplantation Techniques and Outcomes
- Renal Transplantation Outcomes and Treatments
- Clinical Nutrition and Gastroenterology
- Liver Disease and Transplantation
- Pancreatic and Hepatic Oncology Research
- Gallbladder and Bile Duct Disorders
- Congenital Anomalies and Fetal Surgery
- Organ Donation and Transplantation
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Liver Disease Diagnosis and Treatment
- Mechanical Circulatory Support Devices
- Renal and Vascular Pathologies
- Medical Imaging Techniques and Applications
- Pancreatitis Pathology and Treatment
- Congenital Diaphragmatic Hernia Studies
- Organ and Tissue Transplantation Research
- Neonatal Respiratory Health Research
- Gastrointestinal Bleeding Diagnosis and Treatment
- Mycobacterium research and diagnosis
- Esophageal and GI Pathology
- Gastric Cancer Management and Outcomes
- Abdominal vascular conditions and treatments
- Neuroendocrine Tumor Research Advances
- Cardiac Imaging and Diagnostics
- Transplantation: Methods and Outcomes
Mansoura University
2016-2025
National University of Singapore
2023
St Vincent Hospital
2019-2022
University of Alabama at Birmingham
2014-2021
Georgetown University
2016-2020
MedStar Georgetown University Hospital
2016-2020
Saint Louis University
2018-2020
Henry Ford Hospital
2020
University of Michigan
2013-2017
Saint Louis University Hospital
2016
There is a paucity of data on long-term outcomes following visceral transplantation in the contemporary era. This single-center retrospective analysis all allograft recipients who underwent transplant between November 2003 and December 2013 with at least 3-year follow-up data. Clinical from prospectively maintained database were used to assess including patient graft survival. Of 174 recipients, 90 adults 84 pediatric patients. Types transplants isolated intestinal (56.3%), combined...
Abstract Background To evaluate the impact of tumor size on perioperative and long-term outcomes liver resection for hepatocellular carcinoma (HCC). Methods We reviewed patients’ data who underwent HCC between November 2009 2019. Patients were divided into 3 groups according to size. Group I: < 5 cm, II: 10 III: ≥ cm in Results Three hundred fifteen patients included current study. Lower platelets count was noted Groups I II. Higher serum alpha-feto protein III. incidence multiple tumors,...
The potential benefit of preoperative biliary drainage (PBD) on postoperative outcomes remains controversial. aim this study was to elucidate surgical pancreaticoduodenectomy (PD) in patients with PBD and show the impact bilirubin level. We retrospectively studied all who underwent PD our center between January 2003 June 2015. Patients were divided into: Group A B (no PBD). primary outcome rate complication. total 588 cases PD. included 314 (53.4%) while 274 (46.6%) patients. overall...
When a partial liver graft is unable to meet the demands of recipient, clinical phenomenon, small-for-size syndrome (SFSS), may ensue. Clear definition, diagnosis, and management are needed optimize transplant outcomes.A Consensus Scientific committee (106 members from 21 countries) performed an extensive literature review on specific aspects SFSS, recommendations underwent blinded by independent panel, discussion/voting occurred at Conference.The ideal graft-to-recipient weight ratio ≥0.8%...
Abstract Background In living donor liver transplantation (LDLT), maintaining hepatic arterial flow is critical for graft survival. Alternative methods are required when the recipient’s artery unsuitable due to extensive dissection or inadequate flow. This study evaluates efficacy and safety of splenic transposition (SAT) reconstruction in LDLT. Methods retrospective cohort included 10 LDLT patients with by SAT assess operative parameters, postoperative complications, mortality, patency...
Background: Gastroesophageal reflux disease (GERD) is one of the most common benign medical conditions stomach and esophagus.Aim: To review cases laparoscopic Nissen fundoplication carried out at our hospital to analyze prognostic factors that influenced surgical outcome.Patients methods: This was a retrospective study patients who underwent in period between January 2017 till December 2021 Gastrointestinal Surgical Center, Mansoura University, Egypt.Results: 70.9% have no intraoperative...
Cardiopulmonary bypass (CPB) elicits a systemic inflammatory response. The cause may include surface-induced leukocyte activation and hemolysis. A study was designed to describe the effects of both suction an air-blood interface independently in combination on platelet activation, hemolysis vitro model. Fresh human blood drawn tested four different conditions including control (A), 10 minutes -600 mm Hg (B), exposure room air at 100 ml/min (C), simultaneous flow (D). Samples were analyzed by...
Background. Enhanced recovery after surgery (ERAS) pathway is a multimodal perioperative care designed to achieve early surgery. ERAS protocols have not yet been well recognized in kidney transplantation. The aim of this study was investigate the impact on and short-term clinical outcomes transplant. Methods. This single-center retrospective analysis comparing 20 adult transplant recipients subjected with operated before traditional standard care. Results. There were no significant...
An artificial placenta (AP) using venovenous extracorporeal life support (VV-ECLS) could represent a paradigm shift in the treatment of extremely premature infants. However, AP potentially alter cerebral oxygen delivery. We assessed perfusion fetal lambs on near-infrared spectroscopy (NIRS) and carotid arterial flow (CAF). Fourteen at estimated gestational age (EGA) 130 days (term = 145) underwent cannulation right jugular vein umbilical with initiation VV-ECLS. ultrasonic probe was placed...
Although renal arteriovenous fistula (AVF) is an uncommon condition, it may lead to high cardiac output heart failure and insufficiency. Recently, percutaneous transcatheter embolization has replaced traditional surgery as the first line of treatment. We report a case 68-year-old male who presented with AVF was treated by using Amplatzer Vascular Plug 2 (AVP 2; St Jude Medical, Plymouth, Minnesota) through arterial access. To our knowledge, use AVP device in treatment single embolotherapy...
Living donor robotic-assisted kidney transplantation (RAKT) is an alternative to open (OKT), but experience with this technique limited in the United States.A retrospective review of living transplants performed between 2016 and 2018 compared RAKT OKT regard recipient, donor, perioperative parameters. A 1:1 propensity score matching was on recipient/donor age, sex, body mass index, race, preoperative dialysis, calculated panel reactive antibodies.Outcomes patient survival, graft...
Data on rate, risk factors, and consequences of early reoperation after liver transplantation are still limited.Single-center retrospective analysis data 428 patients, who underwent in period between January 2009 December 2014. Univariate multivariate were used to study the factors its impact graft survival.Of 74 (17.3%) reoperation. Of them, 46 (62.2%) within first week 28 (37.8%) later than 1 transplantation. With analysis, significant included pretransplant ICU admission, previous...
ABSTRACT Objectives: Intestinal transplantation is an option for permanent intestinal failure with parenteral nutrition intolerance. We sought to determine long-term graft survival in pediatric patients at our center and identify factors influencing survival. Methods: Retrospective chart review of 86 transplanted between 2003 2013, targeting potential explanatory variables related demographics, perioperative factors, postoperative complications. Results: was 71% 65% after 5 10 years,...
We present a case of 2-year-old child who underwent combined en bloc liver and pancreas transplant following complications WRS. WRS is characterized clinically through infantile insulin-dependent diabetes mellitus, neutropenia, recurrent infections, propensity for failure viral bone dysplasia, developmental delay. Usually, death occurs from fulminant concomitant kidney failure. Few cases with are reported in the literature, mostly consanguineous parents. To best our knowledge, has not been...
Background. Idiopathic ileal ulceration after intestinal transplantation (ITx) has been discussed infrequently and an uncertain natural history relation to graft rejection. Herein, we review our experience with this pathology. Methods. We retrospectively reviewed 225 ITx in 217 patients minimum 1 y survival. Routine endoscopy was conducted up twice weekly within the first 90 d ITx, gradually decreasing once yearly. Risks for over time were evaluated using Cox regression. Results. Of 93 (41%)...
Abstract Fat malabsorption is common after SBT. To identify whether anatomic variant transplants differ in occurrence of exocrine pancreatic insufficiency that could contribute to fat malabsorption, we measured FPE repeatedly 54 recipients a SBT, ages 6.2 320 months. determination most distant from SBT was 6.1 years. Of the 54, 39% received an isolated intestinal graft (native pancreas only), 48% en bloc liver‐intestinal‐pancreas and pancreas), 13% multivisceral (graft only). Initial normal...
Abstract Background Split liver transplantation allows for expansion of the pool organs available pediatric transplantation. The impact sharing segments same between centers has not been studied. Study Design Retrospective analysis 24 split transplant cases in a recent cohort. We evaluated outcomes recipients who shared with adult patients our own center (group A) compared to other centers. B). Results One‐, 3‐, and 5‐year graft survival group A was 100%, 100% vs 83%, 71%, 57% B ( P = .039)....
Abstract Background Gastrointestinal (GI) tract bleeding is a major cause of mortality among patients with GI malignancies. We aimed to assess the technical and clinical efficacy trans-arterial embolization (TAE) as symptomatic treatment tumor-related bleeding. This study was conducted for secondary histopathologically proven different Fourteen underwent embolization. Patients were followed up clinically any complications or episodes recurrent Results included (9 males 5 females) mean age...