• Personal information

          

    Prof. of Hepatology & Gastroenterology, Cairo University.

    Consultant of Hepatology,Gastroenterology and Endoscopy

    Management Positions: •

    Chief of Hepatology unit El Manial University Hospital (1994-1998).

    • Chief of Gastroentero ICU in Cairo university hospital (1997-2000)

    • President of the board of AlfaScope GI Specialized center (2004-2014).

    • Head of Endoscopy Unit in Cairo University Hospitals (2005-2010).       

     

     .Read more

     

    استاذ الكبد و الجهاز الهضمى بكلية الطب جامعة القاهرة

    استشارى الكبد و الجهاز الهضمى و المناظير

    دكتوراه امراض الكبد و الجهاز الهضمى من كلية الطب جامعة القاهرة

    الرئيس السابق لقسم الامراض الباطنية بكلية الطب جامعة ٦ اكتوبر

    الرئيس السابق لوحدة مناظير الجهاز الهضمى و مركز الكبد و الرعاية المركزة بقصر العينى

     

    إقرأ المزيد

     

About Me

Tuesday, Aug 20th

Last update01:52:33 AM

        

Gastro-duodenal diseases

volvulus of the stomach

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55 years old female came to my clinic complaining of a 12 years history of attacks of severe upper abdominal pain associated with repeated vomiting. The attacks in many times were severe leading to admission to a hospital and IV analgesia and fluids. The attack lasts few hours to few days, not related to meals, psychic stress or other precipitating factors. The attack relieves spontaneously, and no special procedure or medications relieve it. The attacks are not asociated with fever or diarrhea, but some times associated with constipation, and sometimes there is abdominal distention. The patient has FMF, but she confidently says that these attacks are different from the attacks of FMF. Inbetween the attacks the patient was complaining of symptoms suggestive of IBS and functional dyspepsia. A differential diagnosis was put. including calcular cholecystitis, attacks of acute pancreatitis, ovarian torsion or hemorrhage, and based on severe abdominal pain, repeated vomiting, associated with constipation and abdominal distension, the possibility of attacks of intestinal obstruction or gastric outlet obstruction was put. The possibility of PUD and funcional dyspepsia were also put as possibilities. The following investigations were done:

A Case of superior mesenteric artery syndrome

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A 19 year old Yemeny female came to my clinic complaining of vomiting, heart burn and regurgitation of food, together with diffuse abdominal pain, distention, and constipation. The condition started one year ago, and was thought to be related to a psychic trauma, that happened at that time. Since then the condition was progressive and was associated with loss of weight. Upper endoscopy was performed in Yemen, after failure of repeated medical treatments, (including PPIs, prokinetics, antispasmodics, laxatives, and anti-depressants) to improve the symptoms. The endoscopy revealed incompetent cardia and pan-gastitis. The dose of PPIs was increased with no improvement. The patient came to Egypt  seeking medical advice and the following investigations were done

for her in a University hospital:

CBC, ESR, CRP: normal

Creatinine, Na, K: normal

Cortisol, thyroid hormones: normal

PP sugar, HbA1c: normal

Serum amylase & lipase: normal.

CEA, CA19-9: normal

Superior mesenteric artery syndrome

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Superior mesenteric artery syndrome

Definition:

Superior mesenteric artery syndrome is an unusual cause of proximal intestinal obstruction. The syndrome is characterized by compression of the third portion of the duodenum due to narrowing of the space between the superior mesenteric artery and aorta and is primarily attributed to loss of the intervening mesenteric fat pad.

the normal angle between the superior mesenteric artery and the aorta is between 38 and 65º due, in part, to the mesenteric fat pad. This angle correlates with body mass index.

In superior mesenteric artery syndrome, the angle

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كيف تصل الينا

  • عنوان: 98 شارع التحرير , ميدان الدقي, القاهرة , مصر
     
  • هاتف: (+202) 376 1111 8

حقوق الملكية

 المعلومات الواردة في مختلف صفحات موقع د.سامح لبيب على الإنترنت هي معلومات صادرة عنه لأغراض تعليمية-خدميه. وتلك المعلومات محمية بموجب قوانين  حماية المصنفات الأدبية والفنية واتفاقيات دولية أخرى وبمقتضى القوانين الوطنية الخاصة بحقوق التأليف والحقوق المرتبطة بها. ويجوز استعراض أجزاء من المعلومات الواردة في الموقع أو نسخها أو ترجمتها لأغراض البحث أو لإجراء دراسة شخصية ولكن ليس لبيعها أو استخدامها لأغراض تجارية.

©  د.سامح لبيب ـ2012-2107

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