Day 2 :
Alexandria Fever Hospital, Egypt
Amr Aboelfetouh, MD.Head of GIT center & liver investigation center at Alexandria Fever Hospital
Background:Estimates the different etiological varieties of hepatitis, helps to set priorities when deciding policies of investigations and management.
Objective:To estimate prevalence ofinfective and non-infective causes of hepatitis with or withoutjaundice inAlexandria Fever Hospital AFH.
Methods:A hospital-based cross sectional study was conducted atAFH, a tertiary hospital in Alexandria governorate.TheLiver Investigations unit (LIU), was responsible for setting the protocol of investigations and management.
Results:The most common causes were autoimmune hepatitis (25.2%) followed by cryptogenic (14.4%). Most patients with toxic hepatitis (Drug induced) (81.8%), autoimmune hepatitis (72.4%),acute HCV (66.7%) were femaleswhile most cases with leptospirosis (85.7%),heamochromatosis (83.3%),Bilharziasis (75%) were males.
Conclusion:In acute hepatitis patients, autoimmune hepatitis was the most common cause followed by toxic hepatitis. In chronic hepatitis patients, nonalcoholic steatohepatitis(NASH)was the most common cause followed bymetabolic causes.
Dr.D.Y.Patil University, India
Time : 09:45- 10:30
Dr.Vikas Leelavati BalaSaheb Jadhav has completed PostGraduation in Radiology in 1994. He has a 23 Years of experience in the field of Gastro-Intestinal Tract Ultrasound & Diagnostic as well Therapeutic Interventional Sonography. He is the Pioneer of Gastro-Intestinal Tract Sonography, especially Gastro-Duodenal Sonography. He has delivered many Guest Lectures in Indian as well International Conferences in nearly 27 countries as an Invited Guest Faculty, since March 2000. He is a Consultant Radiologist & the Specialist in Conventional as well Unconventional Gastro-Intestinal Tract Ultrasound & Diagnostic as well Therapeutic Interventional Sonologist in Pune, India.
TransAbdominal Sonography of the Stomach & Duodenum can reveal following diseases. Gastritis & Duodenitis. Acid Gastritis. An Ulcer, whether it is superficial, deep with risk of impending perforation, Perforated, Sealed perforation, Chronic Ulcer & Post-Healing fibrosis & stricture. Polyps & Diverticulum. Benign intra-mural tumours. Intra-mural haematoma. Duodenal outlet obstruction due to Annular Pancreas. Gastro-Duodenal Ascariasis. Pancreatic or Biliary Stents. Foreign Body. Necrotizing Gastro-Duodenitis. Tuberculosis. Lesions of Ampulla of Vater like prolapsed, benign & infiltrating mass lesions. Neoplastic lesion is usually a segment involvement, & shows irregularly thickened, hypoechoic & aperistaltic wall with loss of normal layering pattern. It is usually a solitary stricture & has eccentric irregular luminal narrowing. It shows loss of normal Gut Signature. Enlargement of the involved segment seen. Shouldering effect at the ends of stricture is most common feature. Enlarged lymphnodes around may be seen. Primary arising from wall itself & secondary are invasion from peri-Ampullary malignancy or distant metastasis. All these cases are compared & proved with gold standards like surgery & endoscopy.
Some extra efforts taken during all routine or emergent ultrasonography examinations can be an effective non-invasive method to diagnose primarily hitherto unsuspected benign & malignant Gastro-Intestinal Tract lesions, so should be the investigation of choice.