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Impact Of Admission Hyperglycemia On In-Hospital Arrhythmia In Medical Critical Illness, Ebrahim Elsayed Tawfik, Afaf Abdel Hafez, Tarek El-Sayed Gouda, Rehab Shaheen Bahram Shaheen

Mansoura Medical Journal

Background Admission hyperglycemia is frequently encountered in critically ill patients, even in the absence of pre-existing diabetes. Acute stress hyperglycemia triggers autonomic activation, oxidative stress, and electrophysiological disturbances that may predispose to cardiac arrhythmias. Aim of work The present study aimed to explore the frequency and type of arrhythmic events among critically ill patients with admission hyperglycemia in medical intensive care units (MICU). Methods: A prospective study was conducted on 354 critically ill ICU patients . They were divided into group A with admission hyperglycemia (>180 mg/dL) and group B with admission normoglycemia (≤180 mg/dL). All patients were subjected …

Evaluation Of The Frequency Of Subclinical Peripheral Neuropathy Among Children And Adolescents With Type 1 Diabetes Mellitus Using Nerve Conduction Studies, Hadeer Ashraf Abdulwahab, Ann A. Abdelkader, Nanees Salem, Bothina Hasaneen

Mansoura Medical Journal

Background: The long-term vascular complications of diabetes mellitus (DM) include nephropathy, retinopathy, neuropathy, and macrovascular diseases, so the aim of this study was to evaluate the frequency of subclinical peripheral neuropathy among children and adolescents with Type 1 DM using nerve conduction studies (NCSs) in relation to diabetesrelated clinical and metabolic parameters. Methods: This cross-sectional study was conducted on 50 children and adolescents with T1D. The patients were divided into 2 groups, symptomatic group who had symptoms or signs of diabetic sensorimotor polyneuropathy (DSPN) and asymptomatic group who had no signs or symptoms of polyneuropathy. NCSs were conducted and sensory …

Readmission And Reoperation Following Transurethral Incision Of The Prostate For Benign Prostatic Obstruction: A 20-Year Retrospective Review And Analysis, Amr Wael Yehia, Mohamed Hegazy, Ahmed Refat Elnahas, Ahmed Mohamed Elshal

Mansoura Medical Journal

Introduction: Transurethral Incision of the Prostate (TUIP) is a recognized surgical treatment for benign prostatic obstruction (BPO), particularly in patients with smaller glands. While valued for its minimal invasiveness, it is associated with higher medium-term reoperation rates. This study analyzes a 20-year institutional experience to define the rate, timing, causes, and predictors of readmission and reoperation after TUIP. Methods: A retrospective review of 557 patients who underwent TUIP for BPO was conducted. Data collected included demographics, comorbidities, perioperative details and complications graded by the Clavien-Dindo system. Univariate and multivariate logistic regression analyses identified predictors of readmission and reoperation if present. …

Assessment Of Serum Level Of Il-38 In Patients With Non-Segmental Vitiligo And Its Relation To Disease Severity, Zahraa Jafar Ahmed Altaitoon, Al-Shahat Farag Ahmed Sharaf, Hamdy Fouad A. Marzo, Mohammed Samir Sultan

Mansoura Medical Journal

Background: Vitiligo is a common autoimmune disorder (AID) characterized by extensive loss of melanocytes, causing depigmented skin patches. Interleukin-38 (IL- 38), an anti-inflammatory cytokine, has been linked to several autoimmune conditions, but its involvement in vitiligo hasn’t been confirmed. Aim: To measure serum IL-38 levels in patients with non-segmental vitiligo (NSV) and explores how these levels relate to disease severity and activity. Methods: We conducted a cross-sectional case-control study that included 40 patients with non-segmental vitiligo and 40 healthy individuals matched for age, sex, and BMI. Assessment of disease severity and activity was conducted by using the Vitiligo Area Scoring …

Management Of Seroma After Posterior Lumbar Spine Decompression, Ayman Mohamed Basha, Ahmed Anas Zahra

Mansoura Medical Journal

Background: Postoperative seroma formation represents a significant complication following posterior lumbar spine decompression (PLSD) that can compress neural structures, cause radiculopathy, and serve as potential infection sources. This study evaluated the clinical characteristics and therapeutic approaches for seroma formation after posterior lumbar decompression procedures.

Methods: An observational study was conducted on 140 patients aged 18 years and older who underwent elective PLSD. Patients were systematically evaluated at predetermined intervals using clinical examination and diagnostic imaging when seroma was suspected. Management protocols were stratified according to seroma size, symptom severity, and clinical progression, ranging from conservative compression dressings to percutaneous aspiration …

Role Of 16s Rrna Gene And Activin-A In Detection Of Neonatal Sepsis, Reem Gomaa, Walaa Othman Elshabrawy, Nada Mohsen, Mohamed Mofreh

Mansoura Medical Journal

Objective: A bloodstream infection in a newborn less than 28 days is referred to as neonatal sepsis (NS). A novel quick and sensitive markers are required for the early detection of bacterial infections in neonates with sepsis, even if blood culture is a great way to diagnose sepsis because the results are delayed. This study was done to estimate the value of activin-A and molecular method (16S rRNA gene) by PCR as new methods for diagnosis of neonatal sepsis.

Methods: Fifity neonates came to the Mansoura University Children Hospital (MUCH) divided into two Groups: Group І (Sepsis group) …

Comparative Study Between Cervical Disc Arthroplasty And Anterior Cervical Discectomy And Fusion, Samer Samy, Ayman Mohamed Basha

Mansoura Medical Journal

Background: Cervical disc arthroplasty (CDA) has emerged as an alternative to anterior cervical discectomy and fusion (ACDF), aiming to preserve segmental motion and reduce adjacent segment disease (ASD). However, evidence regarding its superiority remains controversial. This study was designed to relate ACDF and CDA following anterior cervical discectomy with respect to safety, efficacy, and impact on patient lifestyle.

Methods: This retrospective comparative study included 36 patients who underwent anterior cervical discectomy between August 2021 and September 2024. Twenty patients underwent ACDF (Group A), and sixteen patients underwent CDA (Group B). Clinical outcomes were assessed using the Visual Analogue Scale (VAS) …

Could Peri-Coronary Fat Thickness Predict Severity Of Pulmonary Covid 19 And Post Covid-19 Pulmonary Scarring?, Basma A El-Ged, Dalia Fahmy, Mohamed Hamoda, Mohamed Tohlob, Heba M Abou El-Atta

Mansoura Medical Journal

Objective: to study the correlation between peri-coronary fat thickness (PCFT) and clinical disease severity in patients with proved COVID-19, as well as post COVID-19 scarring.

Patients and methods: This retrospective comparative study included 202 patients with pulmonary COVID-19 who were referred for Chest High Resolution Computed Tomography (HRCT). Patients were further classified into Group A who had non-severe covid 19 disease and group B who had severe and critical disease according to WHO criteria. CT severity score (CSS), Total fibrosis score (TFS) and peri coronary fat thickness (PCFT) were evaluated and compared for both groups in the CT scans of …

Adnexal Magnetic Resonance (Adnex –Mr) Scoring System; A New Standardized Method For Characterization Of Adnexal Masses Inside Mansoura University Hospitals, Nora Diaa Ali Okab, Basma Elged, Sherif Abdel Fatah Moustafa, Sieza Samir, Yasser.M. Mesbah

Mansoura Medical Journal

Background Gynecologic masses are the most common subject of gynecologic imaging. The usefulness of MRI is high in the characterization of adnexal masses. The ADNEX MR classification framework was launched to stratify sonographically identified adnexal masses in to five groups based on their probability of malignancy: grade 1 (no lesion), grade 2 (benign), grade 3 (probably benign), grade 4 (indeterminate), and grade 5 (probably malignant). Aim to determine the accuracy of the ADNEX MR scoring system in classification of adnexal masses at Mansoura University Hospitals (MUH). Methods A total of 48 female patients with 52 adnexal masses on ultrasound were …

Epidemiology Of Closed Ruptured Tendoachilles, Hesham Mousad Alsakaan, Wael Mansour Wafa, Mohieb Sayed Ahmed, Ahmed El Sayed Magdy Elhawary

Mansoura Medical Journal

Background: To restore tendon function and avoid long-term impairment, early diagnosis and adequate treatment are crucial. The purpose of this study was to ascertain the incidence pattern of ATR and to pinpoint possible variables related to presentation and management approach.

Aim  identifying potential risk factors either patient or environmental related and to assess the incidence rate of ATR

Patients and Methods: This retrospective cross-sectional study was performed on 87 achilles tendon rupture patients. All the patients were subjected to full medical history taking. Clinical examination was performed including thompson test and Matles test and radiological investigations.

Results: The median age …

Use Of Thyroid Imaging Reporting And Data Systems (Tirads) Ultrasound In Differential Diagnosis Of Thyroid Nodules, Aya Mohamed Hamed Abdelaal, Ghada M Ahmed Gaballah, Donia Mohamed Sobh

Mansoura Medical Journal

Background: Thyroid nodules refer to masses of abnormally proliferating cells with abnormal tissue stiffness in thyroid. This study aimed to assess diagnostic accuracy of Thyroid Imaging Reporting and Data System in differentiating benign from malignant thyroid nodules.

Methods: This cross-sectional study included forty adult patients with sixty-two thyroid nodules. A 7.5-10 MHz linear array transducer was used to perform imaging protocol. Three-dimensional measurements were done on nodules. All thyroid nodules were  examined using doppler ultrasound. All thyroid nodules were described in terms of composition, echogenicity, margins, shape and echogenic foci.  According to ACR TI-RADS,  the points were given …

Whole Tumor Apparent Diffusion Coefficient Histogram In Assessment Of Treatment Response In Locally Advanced Cervical Cancer, Wahdan. N, Wahba. H, Samir. S, Dina. G. Abdelzaher

Mansoura Medical Journal

Purpose:

We aimed to determine the prognostic value of whole-tumor ADC histogram analysis in predicting therapeutic outcomes for patients undergoing concurrent chemoradiotherapy (CCRT) for locally advanced cervical cancer (LACC).

Methods:

This prospective, single-institution study enrolled 40 women (mean age 53.8 ± 11.4 years) with pathologically confirmed LACC (FIGO stages IIB–IVA). Pelvic MRI including diffusion-weighted imaging (DWI) was performed at baseline and after CCRT. Whole-tumor regions of interest (ROIs) were manually delineated on ADC maps to extract histogram parameters (mean, minimum, maximum ADC, skewness, and kurtosis). Using RECIST 1.1 criteria, patients were classified as responders (complete or partial response) or …

Prevalence And Spectrum Of Genitourinary Anomalies In Children With Anorectal Malformations, Adnan El-Ghazaly, Tamer A. Wafa, Ahmed M. Negm, Adham W. El-Saied

Mansoura Medical Journal

Background: Anorectal malformations (ARMs) encompass a broad range of congenital defects and are frequently associated with genitourinary (GU) anomalies, which may contribute to long-term morbidity if undetected. This study aimed to determine the prevalence and spectrum of GU anomalies in children with ARMs, describe the urological and genital findings, and assess associations with sex and ARM type.

Patients and Methods: A prospective survey enrolled children diagnosed with ARMs at a tertiary pediatric surgery center. All patients underwent standardized clinical assessment, including focused genital examination and structured imaging. Abdominal ultrasonography (US) served as baseline screening for urinary tract anomalies. Voiding cystourethrogram …

Clinical And Dermoscopic Nail Changes In Patients With Chronic Kidney Disease: A Cross-Sectional Study, Ghada Nagy Mansour Borham, Hassan Abdel-Raheim Fayed, Eman Nagy Ahmed Abdelrazik, Amany Awad Mohamed

Mansoura Medical Journal

Background: Nail abnormalities are commonly observed among patients with chronic kidney disease (CKD) and may reflect underlying systemic and metabolic alterations. Dermoscopy (Onychoscopy) has emerged as a valuable noninvasive tool for detecting subtle nail changes.

Aim:  To describe the patterns and dermoscopic features of nail changes in patients with chronic kidney disease (CKD) and to explore their association with disease severity and renal function parameters.

Methods: This cross-sectional descriptive study included 127 patients with different stages of CKD. All participants underwent a comprehensive clinical and dermoscopic evaluation of the nail apparatus. Dermoscopic findings included longitudinal ridging, white …

Effect Of Graft Steatosis On The Early Outcome Of Living Donor Liver Transplantation, Kareem Maher Shams Eldeen Hassan, Ahmed Mahmoud Abdelrafee, Ahmed Mohamed Ibrahim Elsabbagh, Mohamed Abd Elwahab Ali

Mansoura Medical Journal

Background

Hepatic steatosis in donor grafts represents a growing challenge in living donor liver transplantation (LDLT) due to the rising prevalence of metabolic syndrome. The impact of varying degrees of graft steatosis on recipient and donor outcomes remains incompletely defined.

Aim

To evaluate the effect of different degrees of graft steatosis on early postoperative outcomes in both recipients and donors following LDLT.

Methods

This retrospective study analyzed 169 LDLT cases performed at Mansoura University between January 2014 and June 2024. Donors aged 18-45 years with BMI≥5% on liver biopsy were included. Grafts were stratified by steatosis degree:20% (n=4). Primary outcome …

Quality-Of-Life Outcomes Of Tympanoplasty/Mastoidectomy Operations, Peter Shokr Meglaa, Ahmed Hemdan Eldeeb, Hisham Atef Abada, Yousef Kamel Shabana

Mansoura Medical Journal

Background: Chronic suppurative otitis media (CSOM) impairs quality of life (QoL) via otorrhea, hearing loss, and psychosocial effects, with surgery (tympanoplasty/mastoidectomy) as mainstay treatment despite limited patient-centered outcome data. This study aimed to evaluate QoL changes post-tympanoplasty/mastoidectomy in CSOM using validated tools.

Methods: This prospective study included 50 adults with CSOM at Mansoura University Hospitals. Pre/postoperative assessments included Chronic Otitis Media Outcome Test-15 (COMOT-15), Short Form-36 Health Survey (SF-36), Hearing Handicap Inventory for the Elderly-Screening (HHIE-S), Tinnitus Evaluation Questionnaire (TEQ), Situational Vertigo Questionnaire (SVQ), pure tone audiometry (PTA), and air-bone gap (ABG).

Results: PTA improved from 48.5±10.2 to 28.3±8.4 dB …

Fascia Transversalis Block With Different Volumes Of Local Anesthetic And Its Impact On Postoperative Pain In Major Abdominal Surgery: Prospective Randomized Study, Eman Eltabey Lotfi Taman, Mostafa Mohamed Ali Saied, Khaled Mohy Eldeen El Bahrawy, Abdelrahman Mamdouh El Naggar

Mansoura Medical Journal

Background Effective postoperative analgesia remains crucial in abdominal surgery to reduce physiological stress, improve respiratory function, and enhance recovery. The transversalis fascia plane block (TFPB) has recently emerged as an advantageous technique targeting the T12–L1 nerves responsible for somatic and visceral abdominal innervation. Objective To investigate the analgesic efficacy of different volumes of local anesthetic administered in TFPB and compare their effect on postoperative pain, visceral discomfort, and opioid requirements. Methods Eighty-one adult patients undergoing major abdominal surgery under general anesthesia were randomized into 3 groups: control (systemic analgesia only), lowvolume TFPB (20 mL total), and high-volume TFPB (25 mL …

Diagnostic Performance Of Digital Breast Tomosynthesis In The Characterisation Of Breast Lesions: Correlation With Sono-Mammography And Histopathology., Amira Hamed Megahed, Mona Mahmoud Zaky, Maha Mohamed Bilal

Mansoura Medical Journal

Background: Breast lesions range from benign to malignant, with early detection critical for management. Digital mammography is the standard screening tool but may be limited in dense breasts. Ultrasound (US) aids lesion characterisation, while digital breast tomosynthesis (DBT) reduces tissue overlap, enhancing lesion detection.

Objective: To evaluate the diagnostic performance of digital breast tomosynthesis in the characterisation of breast lesions compared with sono-mammography, using histopathology as the reference standard.

Methods: This prospective study included 33 symptomatic female patients with a mean age (45.4 ± 8.2 years) who presented with symptoms such as palpable breast lumps, Mastalgia and nipple discharge between …

Comparative Study Between Serum Levels Of Interleukin-19 And Interleukin-38 In The Egyptian Patients With Non-Segmental Vitiligo, Reem Ahmed Al Maaddawy, Mohamed Kh. Selim, Ahmed Fawzi Ismail, Ahmad S. Hasan, Manar Ali Hassan

Mansoura Medical Journal

Background: The precise etiology of vitiligo remains unclear; nonetheless, it is predominantly regarded as an autoimmune disorder. This work aimed to compare serum levels of IL-19 and IL-38 between patients with non-segmental vitiligo (NSV) and healthy controls (HC). Patients and Methods: This study included 88 participants, evenly split into two groups: 44 individuals with non-segmental vitiligo and 44 healthy controls. Both groups underwent full history taking. The Vitiligo Area Severity Index (VASI) score and Vitiligo Disease Activity (VIDA) score were used to assess disease severity and activity. The levels of human IL-19 and IL-38 were also measured.

Results:Serum IL-38 …

A Comparative Study Of Topical 5% 5-Fluorouracil With Needling Versus 100% Trichloroacetic Acid With Needling Versus Needling Alone In Treatment Of Multiple Warts, Nesma Abd-Elmonem Saad, Hassan A. Fayed, Manar Ali

Mansoura Medical Journal

Aim: This study aimed to compare the efficacy and safety of topical 5% 5-Fluorouracil (5-FU) with Needling versus 100% Trichloroacetic acid (TCA) with Needling versus Needling Alone in treatment of multiple warts.

Methods: This study included a total of 60 patients clinically diagnosed with multiple warts, who were randomly allocated (computer-generated simple randomisation, 1:1:1, concealed in sequentially numbered opaque sealed envelopes) into three equal groups (n=20 per group). The first group received 100% TCA with Needling; the second group received topical 5% 5-FU combined with Needling; the third group underwent Needling alone. The study was single-blinded at the level …

Active Deresuscitation Strategies After Septic Shock: A Scoping Review, Alrefaey K. Alrefaey, Rania E Elbadrawy, Mohamed Aboelela, Mohammed Mamoun

Mansoura Medical Journal

Background: Fluid overload in septic shock patients is linked to higher morbidity and mortality. After the stabilization phase, fluid restriction may not result in the resolution of tissue edema. Active deresuscitation refers to the use of diuretics or ultrafiltration for the removal of excess fluids. Objectives: This review explores the current practices applied for the active deresuscitation strategies after stabilization of septic shock patients.  Search strategy: A literature search was performed through the following databases: Medline, PubMed, Google Scholar, Web of Science, and Scopus for relevant studies from 2015 to January 2026. Selection criteria:  The selected articles included …

Laparoscopic Versus Open Redo Anti-Reflux Surgery, Mohamed Barkok, Mohammed Said, Ahmed Shehta, Abdel-Raouf El-Geidie

Mansoura Medical Journal

Background

Gastroesophageal reflux disease (GERD) is common. Laparoscopic fundoplication became the gold standard for GERD surgery after medical treatment failed. If a previous anti-reflux surgery fails, redo surgery requires a thorough review to determine the cause and a skilled surgical team. Choosing the optimal approach during the redo surgeries, whether open or laparoscopic hasn’t been previously illustrated.

Aim

To compare the outcomes of laparoscopic versus open redo anti-reflux surgeries.

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Patients and methods

This study included 28 patients who underwent redo anti-reflux surgery. The patients were divided according to the approach into laparoscopic (n = 11) and open (n = …

Short Term Echocardiographic And Clinical Assessment Of Aortic Valve Neo-Cuspidization (Ozaki Procedure) In Comparison With Mechanical Aortic Valve Replacement, Amr Mohamed Ahmed Elshabrawy, Mohamed A. Gabr, Eid M Daoud, Mohammed Sanad, Sherif Arafa

Mansoura Medical Journal

Background: Aortic valve neo-cuspidization (AVNeo, Ozaki procedure) has emerged as an alternative to conventional aortic valve replacement, aiming to preserve native aortic root dynamics and improve postoperative hemodynamics. The replacement of the aortic valve presents challenges because both biological and mechanical prostheses have notable limitations.

Aim: To evaluate the short-term clinical and echocardiographic outcomes of aortic valve neocuspidization (Ozaki procedure) compared with mechanical aortic valve replacement (AVR) in patients with isolated aortic valve disease.

Patients and methods: This prospective comparative observational study included 42 adult patients with isolated aortic valve disease. 20 patients underwent AVNeo (Ozaki procedure) and 22 …

Diffusion Mri Characterization Of Paranasal Sinus Masses, Fatma Elsayed Ali, Doaa Khedr Mohamed, Mohamed Magdy El-Rakhawy

Mansoura Medical Journal

Background: In ordinary clinical practice, a number of nasal cavity lesions, both neoplastic and non-neoplastic, are often seen. Because diffusion-weighted MRI imaging (DWI) captures the random migration of water protons, it provides superior characterization of tissues and their physiological processes. Therefore, the current study's goal was to use echoplanar DWI to classify malignant and non-malignant sinonasal lesions.

Methods: Fifty patients with paranasal sinus masses who were sent to Mansoura University Hospitals' Diagnostic Radiology Department for radiological examination, including a traditional MRI procedure, were included in this prospective research, Diffusion Weighted Images (DWI) and apparent diffusion coefficient (ADC). The final diagnosis …

Clinical Outcomes Of Anticoagulant Therapy In Cirrhotic Patients With Benign Portal Vein Thrombosis, Dalia Elsayed Tawfik, Muhammad Abdulaty Diasty, Aya Ahmed Elboghdady, Hatem Abdel Wahab Elalfy

Mansoura Medical Journal

Background

Portal vein thrombosis (PVT) is among the recognized vascular complications encountered in cirrhotic patients and may significantly influence disease progression and survival. The clinical course of PVT differs according to its etiology, particularly when hepatocellular carcinoma (HCC) is absent. This study was designed to assess the outcomes of benign portal vein thrombosis in cirrhotic patients.

Methods

This prospective observational study enrolled 18 cirrhotic patients diagnosed with non-malignant portal vein thrombosis. All participants underwent comprehensive clinical evaluation, laboratory investigations, and radiological assessment. Severity of liver disease was determined using the Child–Pugh classification and MELD score. Radiological imaging was utilized to …

Serum Zinc Levels In Children With Complicated Community Acquired Pneumonia: A Case-Control Study, Eslam Elhendawy, Angi Alwakeel, Shimaa R. Hendawy, Amal Osman

Mansoura Medical Journal

Background Zinc performs an important part in maintaining proper immune function, and its deficiency has been connected to an increased risk of severe respiratory infections. However, there is limited data on serum zinc concentrations in children suffering from complicated community-acquired pneumonia (cCAP), particularly within the Egyptian pediatric population. Objectives This study aimed to evaluate serum zinc levels in children diagnosed with severe cCAP in comparison to healthy controls and to assess the diagnostic effectiveness of serum zinc levels in distinguishing children with cCAP. Methods This study included 100 children with severe cCAP and 100 age- and sex-matched healthy controls enrolled …

Evaluation Of Sodium Butyrate As An Anti-Fibrotic Agent In Experimental Schistosomiasis Mansoni Infection, Rania Eladl Hassan, Manar Ezzelarab Ramadan, Nora Ibrahim Aboulfotouh, Ramy Ahmed Abdelsalam Sallam, Basma Hamed Othman, Soha Ibrahim Awad

Mansoura Medical Journal

Background: Schistosomiasis is a prominent neglected tropical disease that is caused by Schistosoma mansoni, and it is characterized by granuloma formation, which advances to hepatic fibrosis and serious liver damage. The standard medication is praziquantel (PZQ), but it has minimal effect on larvae and no effect on fibrosis which is a main pathological feature in schistosomiaiss. So, new alternatives were suggested, such as sodium butyrate (SB), which is a fatty acid salt with medicinal qualities.

Objective: This study investigated the anti-fibrotic effect of sodium butyrate (SB) in a mouse model of S. mansoni-induced liver immunopathology using …

Intelligence Quotient In Egyptian Children With Attention-Deficit/Hyperactivity Disorder, Yomna Sh. Abdrabouh, Zeinab A. Gomaa, Mohammed A. Elwasify, Ibrahem H. Elkalla

Mansoura Medical Journal

Background: Attention-Deficit/Hyperactivity Disorder (ADHD) affects cognitive functioning in children, yet evidence remains limited in Middle Eastern populations regarding comprehensive IQ evaluation and associated clinical characteristics. This study aimed to assess verbal, non-verbal, and total IQ in Egyptian children with ADHD and examine their associations with sociodemographic, developmental, educational, and clinical factors while identifying factors associated with IQ classification.

Methods: A cross-sectional observational study enrolled 150 Egyptian children aged 6-12 years diagnosed with ADHD according to DSM-5 criteria with IQ above 80 at Mansoura University Hospital from February 2022 to October 2023. Intellectual functioning was evaluated using the Stanford-Binet Intelligence Scale, …

Validation Of Anorectal Manometry Based On The Continence Clinical Scoring Systems For Evaluation Of Fecal Continence In Patients With Anorectal Malformations, Momen Abdelglil, Mohamed El-Sherbiny, Mahmoud Abdelwahab, Adham Elsaeid

Mansoura Medical Journal

Background/purpose: Anorectal malformations (ARM) are complex anomalies associated with long-term problems such as fecal incontinence. Clinical scoring systems are commonly used to assess bowel function but lack proper validation. Anorectal manometry is an objective tool for evaluating anorectal function. This study aimed to correlate anorectal manometric parameters and clinical continence scoring systems to enhance the postoperative evaluation of children with ARMs.

Patients and methods:

We conducted a descriptive cross-sectional study including 47 children who had undergone definitive surgical repair for ARMs between January 2010 and June 2021. Fecal continence was assessed using the Kelly and Templeton & Ditesheim scoring systems. …

Neonatal Intestinal Obstruction: Etiological Spectrum, Surgical Outcomes, And Predictors Of Mortality In A Tertiary Referral Center In Egypt”, Mohamed M. Abdelghany, Kamal Abd El-Elah Ali, Mohamed Said Elsherbiny, Mohamed Attia Shehata

Mansoura Medical Journal

Background: Neonatal intestinal obstruction (NIO) remains a major surgical emergency associated with substantial morbidity and mortality, particularly in low- and middle-income countries. Early identification of neonates at increased risk of adverse outcomes may improve perioperative management and survival. This study aimed to evaluate the etiological spectrum, surgical management, short-term outcomes, and predictors of mortality among neonates undergoing surgery for intestinal obstruction in a tertiary referral hospital in Egypt, with particular emphasis on the prognostic value of perioperative inflammatory markers. Objective: this study aimed to evaluate the causes and early postoperative outcomes among neonates operated for intestinal obstruction in a tertiary …