4^th International Conference on Gastroenterology July 20-22, 2015 Florida, USA

Biography:

Nisreen E Mahmoud currently holds the position of a professor in the department of parasitology in the University of Cairo since 2004. Her fi eld of specialization is Fish Parasitology. She joined as an Assistant Lecturer from 1990 to 1994. Lecturer of Parasitology since 1994.Assistant Professor of Parasitology since Sept.1999.Prof. of Parasitology since 2004.She had received her MVSc (Parasitology, fi sh parasites) in 1990 and PhD (Parasitology, fi sh parasites) from Cairo University in 1994.She is the chair and member of the following commitees & associations:Charing in the project of Biotechnological control of ticks in Egypt ( from 1995-1996).Charing in the project of Geographical imfomation systems (GIS) and controlof snail borne diseases. Member of the Egyptian Vet. Med. Assoc. Member of the zoological society A. R. Egypt. Member of fish committee of the general organization for veterinary services, Egypt.(G.O.Vet.S.) Member of the fish committee for the solution of Lake Naser fi sh helminth problems in G. O. Vet. S. Egypt. Attemptin a training course on fi sh Parasites in General Authority for Fish Resources Development 2002. Member of the Egyptian Society of Veterinary Parasitology. Member of the Egyptian Society of Parasitology. Charring in the Project Comparative study of Lime Borreliosis Vectors/ Pathogenesis (Egyptian/US Project # 930312. from 1999-2002). Member of the Egyptian Society of Environment and Aquatic Animal Health.

Abstract:

There are some fish diseases and infections that can be transmitted from fish to humans. It is a health risk that needs to be recognised by fi sh farmers and other people who handle and/or consume seafood. Th e incidence of transmission of parasitic disease from fi sh to humans is dependant upon several factors including the type of parasitic organisms, the susceptibility of the host (immuno-compromised individuals ) and environmental factors (quality of the water). In the present study ,a survey was done to investigate the zoonotic parasitic species that transmitted from diff erent fi sh species to human and causing gastroenteritis and other health problems. Results revealed the presence of three trematod , two nematode and two protozoan species. In addition another survey was done for estimating the incidence of infection with these parasites among human population in diff erent localities in Egypt.

Biography:

Mrinal Pahwa did his MBBS - Maulana Azad Medical College, New Delhi 2003. MS(General Surgery) - Maulana Azad Medical College, New Delhi 2008. DNB (UROLOGY) - Sir Ganga Ram Hospital, New Delhi, 2013. Working As Consultant Urologist At GNH Hospitals, Gurgaon

Abstract:

Introduction: ESWL has become the preferred tool in the Urologist’s armamentarium for treatment of urinary calculi in appropriate cases because it is simple, eff ective and minimally invasive technique. Effi cacy of ESWL besides other factors also depends on cooperation of the patient throughout the procedure. Several diff erent techniques along with analgesic drugs have been used for ESWL procedure including general, regional and local anesthesia as well as monitored anesthesia care. Th e aim of our study was to compare safety and effi cacy of performing ESWL under intravenous (IV) anesthesia as compared to local anesthesia. Material & Methods: A prospective study was carried out in a tertiary care centre in New Delhi from March 2013 till April 2014 on 60 patients with renal or upper ureteric calculus less than 2cm. Patients were divided into two groups of 30 each: Group I included patients who underwent ESWL under IV anesthesia & group II patients underwent ESWL under local anesthesia. Preoperative, intraoperative details, complications, number of sessions required and the cost incurred in the procedure were recorded and analyzed. Th e patients in group A were given fentanyl, midazolam and propofol infusion whereas patients in group B were given IV/intramuscular analgesia along with local application of EMLA cream (eutectic mixture of prilocaine and lignocaine hydrochloride). Results: Th e study groups were comparable for age, gender and stone size. Th ere was signifi cant diff erence in the number of sessions required (1.06 vs. 2.2), average intensity of shock waves (4.33 vs. 3.53), postoperative score (p 0.0001 ), average shockwaves used (3800 vs. 5967), the cost of the procedure (Rs.3270 vs. 2140) and the time taken for clearance (1.53 vs. 2.4 months). Th ere was no morbidity or side eff ects attributable to I.V anesthesia. Conclusion: We conclude that ESWL under total intravenous anesthesia is highly eff ective, safe and cost eff ective for solitary renal and upper ureteric stones and leads to complete and early stone clearance than ESWL under local anesthesia.

Biography:

Jose Luis Mosso Vazquez is a Researcher at the Universidad Panamericana and Clinical-surgical practitioner in Public Health Institutions in Mexico City. He developed the fi rst robot (Tonatiuh) to hold laparoscope as assistance in Endoscopic surgery in Mexico in 1996. He introduce Cybertherapy in 15 differents areas in Medicine with highlights in ambulatory surgery reducing pain and anxiety considerably. The recent contribution is using tablets and smartphones as Surgical simulators for endoscopic surgery training in 304 undergraduate students since 2010 until today, At the Universidad Panamericana. He perform Emergency Surgeries at the Regional Hospital number 25 of the IMSS (Instituto Mexicano del Seguro Social) since 2000 until today, performing surgical repairs on neck, thoracic, gastrointestinal and pelvic regions. He serves as Gastrointestinal Endoscopist since 1997 until today at the ISSSTE (Instituto de Seguridad y Servicios Sociales para los Trabajadores del Estado).

Abstract:

Objective: We report the fi rst clinical application in medicine with virtual reality scenarios (Cyber-therapy) to decrease anxiety, visceral pain and reduction of medication during gastrointestinal endoscopic procedures. Methodology: 100 patients used a Spiderman game with a Head Mounted Display (HMD) and 100 did not use it since October 2004 to June 2007 at the Pisanty Clinic of the ISSSTE in Mexico City. Results: Pain decreased by 50%, anxiety by 75% and lidocaine in spray by 100%. Conclusions: If a simple entertainment game, such as Spiderman, reduced important metabolic response like anxiety, pain and medication, it is possible, that in the future, using serious games or virtual reality scenarios designed for medicine, metabolic responses in diff erent medical procedures could be reduced.

Biography:

Khursheed Anwar is a renowned gastroenterologist at Alfaisal University in Saudi Arabia. His current study includes clinicopathological correlation of carcinoid in appendectomy specimens.

Abstract:

Background: Carcinoid tumors are rare but considered to be one of the commonest tumors in the appendix. Th eir incidence has been shown to vary in diff erent studies. Aims, Setting & Design: Th is seminal study was carried out to determine the incidence and clinico-pathological profi le of appendiceal carcinoids in a cohort of patients undergoing emergency appendicectomies for clinically suspected acute appendicitis in Emirate of Sharjah. Materials and methods: Th e study included the retrospective data of 964 patients operated for clinically suspected appendicitis, the resected specimens of whom were received in the Pathology laboratory of Al-Qasmi hospital Sharjah from January2010 to December 2010. Results: Out of the 964 patients 9 (0.93%) were found to have appendiceal carcinoids. Th e mean age was 28.7 years with a male to female ratio of 2:1. Eight tumors were located near the tip of appendix with mean diameter of 3.3 mm. All tumors were found to be positive for chromogranin A, synaptophysin and neuron-specifi c enolase on immunohistochemistry (IHC). None of the patient’s had recurrence or any reportable complications in the short follow up period (12-26 months). Conclusions: Our study found higher incidence of appendiceal carcinoids in Patients undergoing emergency appendectomy for Acute appendicitis in Emirate of Sharjah compared to two previous studies from the same geographical region. Moreover, tumors were found more commonly in young males in contrary to previous studies and all the tumors were positive for common neuroendocrine markers.

Biography:

Mohammed Amin is currently working as an eminent faculty member at El-Minya University, Egypt. He is involved in the diagnostic and detection on gastroenterology disorders and mainly colonoscopy.

Abstract:

Purpose: To prospectively evaluate the diagnostic performance of Computed Tomographic Colonography with limited bowel preparation for the depiction of colorectal polyps, by using conventional colonoscopy as the goldstandard technique. Material and Methods: Study included forty fi ve consecutively registered patients referred for conventional colonoscopy for colorectal cancer screening or for evaluation of colorectal symptoms; they were scheduled to undergoMDCT examination on the same day at Radiology Department in our institution, before the conventional colonoscopy examination. All patients underwent limited preparation. Main outcome measures: Sensitivity, specifi city, positive and negative predictive value of CTC versus CCin each group and overall. Results: A total of 60 polypoid lesions were detected with colonoscopy in45 patientsover all sensitivity of CTC in polypdetection was 85.71%, specifi city 71.24, PPV 96.77 and NPV 33.33, as regarding CTC performance in each group. Conclusion: Th is study proved that CTC with limited cathartic bowel preparation and iodinated agents for faecal tagging can obtain high sensitivity and PPV values results for <5 mm polyps comparable to those obtained with conventional preparation with laxatives. Furthermore, this method could really improve the acceptance of CTC for colorectal cancer screening.

Biography:

Tamara Alempijevic is currently working as Associate Professor at School of Medicine, University of Belgrade, Serbia. She is a specialist gastroenterologist involved in various clinical research and treatment projects.

Abstract:

Acute liver failure (ALF) and acute-on-chronic liver failure (ACLF) usually mandate management within an intensive care unit (ICU).Some current ICU prognostic models [Acute Physiology and Chronic Health Evaluation (APACHE), Organ System Failure (OSF) and Sequential Organ Failure Assessment (SOFA)] were used to stratify cirrhotics into risk categories, but few cirrhotics were included in the original model development. Liver-specific scores [Child-Turcotte-Pugh (CTP) and model for end-stage liver disease (MELD)] could be useful in this setting. Th e aim of this presentation will be evaluation whether ICU prognostic models perform better compared with liver-disease specifi c ones in cirrhotics admitted to ICU, and it is possible to outline the best prognostic tool

Biography:

Abstract:

Biography:

Professor Azza El-Medany has completed her PhD at the age of 32 years from Alexandria University and postdoctoral studies from Alexandria University College of Medicine . Acting as Prof. of pharmacology & Vice head department of pharmacology , College of Medicine , KSU. She published more than 25 papers in the areas of GIT & toxicological researches , in reputed journals and serving as a memberships of a number of Professional Bodies ; was a speaker in several international conferences , the last ones in Singapore & Japan 2013. She is a recipient of Awards for scientific research & Teaching

Abstract:

Residential and agricultural pesticide use is widespread in the world . Their indiscriminative use , with their ability to interact with biological systems constitute a health hazards . 40 adult male rats, were classified into three groups; control were received corn oil (10mg/kg/day) . Diazinon were received diazinon ( 10mg/kg/day ). Mesna group (15rats), were received mesna 180mg/kg once a week 15 min. before administration of diazinon s. At the end of the experiment ( 2 months ), animals were anesthetized , blood samples were taken for glucose and insulin assays & pancreas was removed and divided into 3 portions ; for histopathological ; ultrastructural & biochemical studies. A significant increase in the levels of malondialdehyde, TNF-α, myeloperoxidase activity , IL-1β , serum glucose levels in the toxicated group were observed , while a significant reduction was noticed in GSH & in serum insulin levels. After treatment with mesna a significant reduction was observed in the previously mentioned parameters except that there was a significant rise in GSH & in insulin levels. Histopathological & ultrastructural studies showed destruction in pancreatic tissues and the β cells were the most affected cells . This study shows the role of antioxidant drugs in ameliorating the toxicity that is considered as a complementary treatment of pesticide toxicity.