Mother website for health care professionals with an interest in gastroenterology and Endoscopy. EndoGastroHep contains scientific and educational materials, Updated Regularly. We hope you will find this E-magazine useful.
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Congratulations
from EndoGastroHep eMagazine
Congratulations to Professor Dr Ibrahim Mostafa, from EGYPT
,for his great achievements
He will be awarded the ASGE 2012 Crystal Awards Honorees
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فيروس س و الأعشاب
أخي الكريم بالنسبة لموضوع الأعشاب و علاقتها بـ فيروس س أحب ان اوضح بعض النقاط:
حتى الأن العلاج الفعال الوحيد للفيروس هو الإنترفيرون و ذلك في المراحل المبكرة للمرض اما الأعشاب الموجودة بالسوق لم تثبت نتائج فعالة اما بالنسبة للأعشاب التي قللت من نسبة البي سي أر أو حتى قلبته سالب فهي ………….باقي التفاصيل
PPI use in cirrhosis increases the risk of spontaneous bacterial peritonitis
Patients with cirrhosis frequently receive proton pump inhibitor (PPI) or H2-receptor antagonist therapies.
Dr William Carey and colleagues from Ohio, USA investigated whether acid-suppressive therapy is associated with spontaneous bacterial peritonitis (SBP) in cirrhotic patients with ascites. The research team……..see details
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Management of the Hematologic Complications
of Hepatitis C Therapy, update 2012
Stem Cells, End-stage Liver disease
Space for Advertisement
Contact info@endogastrohep.net
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Noradrenaline versus Terlipressin in the Treatment of
Hepatorenal Syndrome:A Randomized Study
Abstract
Background/aims
Various vasoconstrictors are useful in the management of hepatorenal syndrome (HRS). Terlipressin is the drug of choice; however, it is expensive. In this study, we evaluated safety and efficacy of terlipressin and noradrenaline in the treatment of HRS.
Methods
Forty-six patients with HRS type 1 were managed with terlipressin (group A, N = 23) or noradrenaline (Group B, N = 23) with albumin in a randomized controlled trial at a tertiary centre.
Results
HRS reversal could be achieved in 9(39.1%) patients in group A and 10(43.4%) patients in group B (p= 0.764). Univariate analysis showed baseline Child Turcotte Pugh score (CTP), model of end stage liver disease (MELD), urine output on day 1(D1), albumin, and mean arterial pressure (MAP) were associated with response. However, on multivariate analysis only CTP score was associated with response. Fourteen patients in group A and 12 in group B died at day 15 (p > 0.05). Noradrenaline was less expensive than terlipressin (p<0.05). No major adverse effects were seen.
Conclusions
The results of this randomized study suggest that noradrenaline is as safe and effective as terlipressin, but less expensive in the treatment of HRS and baseline CTP score is predictive of response.
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Video for Teaching Paracentesis
Download from here EndoGastroHep
New Hepatology 2010 – 2nd Edition
Percussion of the liver
How you examine tenderness in non palpable
liver
Watch
http://www.youtube.com/watch?v=LmNQGKvTck0
Endoscopy and antiplatelet agents.
Since learners learn best using different formats and Sonography of The Pancreas
Do You Understand ? Don’t Say Masked by Gases Again, Give your Patient a Cup of Water. Post cholecystectomy Syndrome
When gallbladder surgery is incomplete, long cystic duct remnants are more frequently seen in the laparoscopic approach, where the cystic duct is usually divided closer to the gallbladder to avoid iatrogenic common bile duct damage . A common cause for leaving a gallbladder remnant is failure to properly identify the gallbladder-cystic junction, which can occur with incomplete mobilization of the cystic duct . This complication is thought to be more common in the setting of acute cholecystitis. Incomplete surgery can lead to postcholecystectomy syndrome, described as a recurrence of symptoms similar to those that led to the initial cholecystectomy. This usually presents as right-upper-quadrant pain and dyspepsia without jaundice.
=============================== Management of ingested foreign bodies and food impactions (June 2011) Americam Society of Gastrointestinal Endoscopy |
Each weekend, for over 300 weeks now, a “Case of the Week” Users can test themselves on previous Cases of Sonar Guided Paracentesis View this Video
What are the drugs causing nonspecific
small intestinal ulcers ?? 1 thiazides, Commentary A 32-year-old man infected with human immunodeficiency virus 
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