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Alsulaiman RM, Al-Quorain AA, Al-Muhanna FA, Piotrowski S, Kurdi EA, Vatte C, Alquorain AA, Alfaraj NH, Alrezuk AM, Robinson F, Dowdell AK, Alamri TA, Hamilton L, Lad H, Gao H, Gandla D, Keating BJ, Meng R, Piening B, Al-Ali AK. Gut microbiota analyses of inflammatory bowel diseases from a representative Saudi population. BMC Gastroenterol 2023; 23:258. [PMID: 37507685 PMCID: PMC10375692 DOI: 10.1186/s12876-023-02904-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 07/25/2023] [Indexed: 07/30/2023] Open
Abstract
BACKGROUND Crohn's diseases and ulcerative colitis, both of which are chronic immune-mediated disorders of the gastrointestinal tract are major contributors to the overarching Inflammatory bowel diseases. It has become increasingly evident that the pathological processes of IBDs results from interactions between genetic and environmental factors, which can skew immune responses against normal intestinal flora. METHODS The aim of this study is to assess and analyze the taxa diversity and relative abundances in CD and UC in the Saudi population. We utilized a sequencing strategy that targets all variable regions in the 16 S rRNA gene using the Swift Amplicon 16 S rRNA Panel on Illumina NovaSeq 6000. RESULTS The composition of stool 16 S rRNA was analyzed from 219 patients with inflammatory bowel disease and from 124 healthy controls. We quantified the abundance of microbial communities to examine any significant differences between subpopulations of samples. At the genus level, two genera in particular, Veillonella and Lachnoclostridium showed significant association with CD versus controls. There were significant differences between subjects with CD versus UC, with the top differential genera spanning Akkermansia, Harryflintia, Maegamonas and Phascolarctobacterium. Furthermore, statistically significant taxa diversity in microbiome composition was observed within the UC and CD groups. CONCLUSIONS In conclusion we have shown that there are significant differences in gut microbiota between UC, CD and controls in a Saudi Arabian inflammatory bowel disease cohort. This reinforces the need for further studies in large populations that are ethnically and geographically diverse. In addition, our results show the potential to develop classifiers that may have add additional richness of context to clinical diagnosis of UC and CD with larger inflammatory bowel disease cohorts.
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Affiliation(s)
- Raed M Alsulaiman
- Department of Internal Medicine, King Fahd Hospital of the University, Alkhobar, Imam Abdulrahman bin Faisal University, Dammam, 31441, Saudi Arabia
| | - Abdulaziz A Al-Quorain
- Department of Internal Medicine, King Fahd Hospital of the University, Alkhobar, Imam Abdulrahman bin Faisal University, Dammam, 31441, Saudi Arabia
| | - Fahad A Al-Muhanna
- Department of Internal Medicine, King Fahd Hospital of the University, Alkhobar, Imam Abdulrahman bin Faisal University, Dammam, 31441, Saudi Arabia
| | - Stanley Piotrowski
- Earle A Chiles Research Institute, Robert W. Franz Cancer Center, Portland, Oregon, OR, 97213, USA
| | | | - Chittibabu Vatte
- Department of Clinical Biochemistry, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Ahmed A Alquorain
- Department of Internal Medicine, King Fahd Hospital of the University, Alkhobar, Imam Abdulrahman bin Faisal University, Dammam, 31441, Saudi Arabia
| | | | - Abdulaziz M Alrezuk
- Department of Internal Medicine, King Fahd Hospital of the University, Alkhobar, Imam Abdulrahman bin Faisal University, Dammam, 31441, Saudi Arabia
| | - Fred Robinson
- Earle A Chiles Research Institute, Robert W. Franz Cancer Center, Portland, Oregon, OR, 97213, USA
| | - Alexa K Dowdell
- Earle A Chiles Research Institute, Robert W. Franz Cancer Center, Portland, Oregon, OR, 97213, USA
| | - Turki A Alamri
- Department of Internal Medicine, King Fahd Hospital of the University, Alkhobar, Imam Abdulrahman bin Faisal University, Dammam, 31441, Saudi Arabia
| | - Lauren Hamilton
- Earle A Chiles Research Institute, Robert W. Franz Cancer Center, Portland, Oregon, OR, 97213, USA
| | - Hetal Lad
- Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Pennsylvania, PA, 19104, USA
| | - Hui Gao
- Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Pennsylvania, PA, 19104, USA
| | - Divya Gandla
- Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Pennsylvania, PA, 19104, USA
| | - Brendan J Keating
- Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Pennsylvania, PA, 19104, USA
| | - Ryan Meng
- Earle A Chiles Research Institute, Robert W. Franz Cancer Center, Portland, Oregon, OR, 97213, USA
| | - Brian Piening
- Earle A Chiles Research Institute, Robert W. Franz Cancer Center, Portland, Oregon, OR, 97213, USA
| | - Amein K Al-Ali
- Department of Clinical Biochemistry, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.
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Al-Muhanna FA, Dowdell AK, Al Eleq AH, Albaker WI, Brooks AW, Al-Sultan AI, Al-Rubaish AM, Alkharsah KR, Sulaiman RM, Al-Quorain AA, Cyrus C, Alali RA, Vatte C, Robinson FL, Zhou X, Snyder MP, Almuhanna AF, Keating BJ, Piening BD, Al-Ali AK. Gut microbiota analyses of Saudi populations for type 2 diabetes-related phenotypes reveals significant association. BMC Microbiol 2022; 22:301. [PMID: 36510121 PMCID: PMC9746012 DOI: 10.1186/s12866-022-02714-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 11/24/2022] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Large-scale gut microbiome sequencing has revealed key links between microbiome dysfunction and metabolic diseases such as type 2 diabetes (T2D). To date, these efforts have largely focused on Western populations, with few studies assessing T2D microbiota associations in Middle Eastern communities where T2D prevalence is now over 20%. We analyzed the composition of stool 16S rRNA from 461 T2D and 119 non-T2D participants from the Eastern Province of Saudi Arabia. We quantified the abundance of microbial communities to examine any significant differences between subpopulations of samples based on diabetes status and glucose level. RESULTS In this study we performed the largest microbiome study ever conducted in Saudi Arabia, as well as the first-ever characterization of gut microbiota T2D versus non-T2D in this population. We observed overall positive enrichment within diabetics compared to healthy individuals and amongst diabetic participants; those with high glucose levels exhibited slightly more positive enrichment compared to those at lower risk of fasting hyperglycemia. In particular, the genus Firmicutes was upregulated in diabetic individuals compared to non-diabetic individuals, and T2D was associated with an elevated Firmicutes/Bacteroidetes ratio, consistent with previous findings. CONCLUSION Based on diabetes status and glucose levels of Saudi participants, relatively stable differences in stool composition were perceived by differential abundance and alpha diversity measures. However, community level differences are evident in the Saudi population between T2D and non-T2D individuals, and diversity patterns appear to vary from well-characterized microbiota from Western cohorts. Comparing overlapping and varying patterns in gut microbiota with other studies is critical to assessing novel treatment options in light of a rapidly growing T2D health epidemic in the region. As a rapidly emerging chronic condition in Saudi Arabia and the Middle East, T2D burdens have grown more quickly and affect larger proportions of the population than any other global region, making a regional reference T2D-microbiome dataset critical to understanding the nuances of disease development on a global scale.
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Affiliation(s)
- Fahad A. Al-Muhanna
- grid.411975.f0000 0004 0607 035XDepartment of Internal Medicine, King Fahd Hospital of the University, Al-Khobar and College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Alexa K. Dowdell
- grid.240531.10000 0004 0456 863XEarle A Chiles Research Institute, Providence Portland Medical Center, Portland, OR USA
| | - Abdulmohsen H. Al Eleq
- grid.411975.f0000 0004 0607 035XDepartment of Internal Medicine, King Fahd Hospital of the University, Al-Khobar and College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Waleed I. Albaker
- grid.411975.f0000 0004 0607 035XDepartment of Internal Medicine, King Fahd Hospital of the University, Al-Khobar and College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Andrew W. Brooks
- grid.168010.e0000000419368956Department of Genetics, Stanford University School of Medicine, Stanford, CA USA
| | - Ali I. Al-Sultan
- grid.411975.f0000 0004 0607 035XDepartment of Internal Medicine, King Fahd Hospital of the University, Al-Khobar and College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Abdullah M. Al-Rubaish
- grid.411975.f0000 0004 0607 035XDepartment of Internal Medicine, King Fahd Hospital of the University, Al-Khobar and College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Khaled R. Alkharsah
- grid.411975.f0000 0004 0607 035XDepartment of Microbiology, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Raed M. Sulaiman
- grid.411975.f0000 0004 0607 035XDepartment of Internal Medicine, King Fahd Hospital of the University, Al-Khobar and College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Abdulaziz A. Al-Quorain
- grid.411975.f0000 0004 0607 035XDepartment of Internal Medicine, King Fahd Hospital of the University, Al-Khobar and College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Cyril Cyrus
- grid.411975.f0000 0004 0607 035XDepartment of Clinical Biochemistry, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Rudaynah A. Alali
- grid.411975.f0000 0004 0607 035XDepartment of Internal Medicine, King Fahd Hospital of the University, Al-Khobar and College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Chittibabu Vatte
- grid.411975.f0000 0004 0607 035XDepartment of Clinical Biochemistry, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Fred L. Robinson
- grid.240531.10000 0004 0456 863XEarle A Chiles Research Institute, Providence Portland Medical Center, Portland, OR USA
| | - Xin Zhou
- grid.168010.e0000000419368956Department of Genetics, Stanford University School of Medicine, Stanford, CA USA
| | - Michael P. Snyder
- grid.168010.e0000000419368956Department of Genetics, Stanford University School of Medicine, Stanford, CA USA
| | - Afnan F. Almuhanna
- grid.411975.f0000 0004 0607 035XDepartment of Radiology, King Fahd Hospital of the University, Al-Khobar and College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Brendan J. Keating
- grid.25879.310000 0004 1936 8972Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA USA
| | - Brian D. Piening
- grid.240531.10000 0004 0456 863XEarle A Chiles Research Institute, Providence Portland Medical Center, Portland, OR USA
| | - Amein K. Al-Ali
- grid.411975.f0000 0004 0607 035XDepartment of Clinical Biochemistry, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
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Alkharsah KR, Aljindan RY, Alamri AM, Alomar AI, Al-Quorain AA. Molecular characterization of Helicobacter pylori clinical isolates from Eastern Saudi Arabia. Saudi Med J 2022; 43:1128-1135. [PMID: 36261204 PMCID: PMC9994491 DOI: 10.15537/smj.2022.43.10.20220355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2022] [Accepted: 08/10/2022] [Indexed: 06/16/2023] Open
Abstract
OBJECTIVES To describe the frequency of cytotoxin-associated gene A (CagA) and vacuolating cytotoxin A (VacA) virulence genes and clarithromycin resistance-associated mutations among Helicobacter pylori (H. pylori) clinical isolates from Eastern Saudi Arabia. METHODS A cross-sectional study was carried out between July 2020 and June 2021 in a tertiary hospital in AL-Khobar, Saudi Arabia. A total of 34 H. pylori isolates were obtained from gastric biopsies of patients with dyspepsia. The existence of the virulence genes was studied by polymerase chain reaction and the gene fragment of the 23s ribosomal subunit (23s rRNA) gene was sequenced. RESULTS All isolates harbored the CagA gene. Approximately 97.1% (33/34) isolates were positive using the VacA M primer and 91.2% (31/34) isolates were positive using the VacA S primer. The most frequent allelic combination was S2/M2/cag (60%), followed by S1/M2/cag (26.7%), S1/M1/cag (10%), and S2/M1/cag (3.3%). Approximately 6.5% isolates harbored the A2142G mutation and 29% isolates harbored the A2143G mutation. One isolate contained the mutation T2182C. The phylogenetic analysis showed that 58% isolates clustered with the regional and global isolates while the remaining 42% isolates seemed to be specifically circulating in Saudi Arabia. Most of the patients (73.5%) had already underwent a previous H. pylori eradication therapy. CONCLUSION We showed that there is a regional variation in the frequency of the virulence genes among H. pylori isolates. Additionally, we showed the frequency of 23s rRNA mutations related to clarithromycin resistance in Saudi Arabia.
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Affiliation(s)
- Khaled R. Alkharsah
- From the Department of Microbiology (Alkharsah, Aljindan), College of Medicine; from the Department of Clinical Laboratory Sciences (Alamri, Alomar), College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, and from the Department of Gastroenterology (Al-Quorain), King Fahd Hospital of the University, Alkhobar, Kingdom of Saudi Arabia.
| | - Reem Y. Aljindan
- From the Department of Microbiology (Alkharsah, Aljindan), College of Medicine; from the Department of Clinical Laboratory Sciences (Alamri, Alomar), College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, and from the Department of Gastroenterology (Al-Quorain), King Fahd Hospital of the University, Alkhobar, Kingdom of Saudi Arabia.
| | - Aisha M. Alamri
- From the Department of Microbiology (Alkharsah, Aljindan), College of Medicine; from the Department of Clinical Laboratory Sciences (Alamri, Alomar), College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, and from the Department of Gastroenterology (Al-Quorain), King Fahd Hospital of the University, Alkhobar, Kingdom of Saudi Arabia.
| | - Amer I. Alomar
- From the Department of Microbiology (Alkharsah, Aljindan), College of Medicine; from the Department of Clinical Laboratory Sciences (Alamri, Alomar), College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, and from the Department of Gastroenterology (Al-Quorain), King Fahd Hospital of the University, Alkhobar, Kingdom of Saudi Arabia.
| | - Abdulaziz A. Al-Quorain
- From the Department of Microbiology (Alkharsah, Aljindan), College of Medicine; from the Department of Clinical Laboratory Sciences (Alamri, Alomar), College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, and from the Department of Gastroenterology (Al-Quorain), King Fahd Hospital of the University, Alkhobar, Kingdom of Saudi Arabia.
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Al-Quorain AA. Extraintestinal Manifestations of Inflammatory Bowel Disease. Saudi J Med Med Sci 2019; 7:65. [PMID: 31080384 PMCID: PMC6503688 DOI: 10.4103/sjmms.sjmms_111_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Abdulaziz A Al-Quorain
- Department of Internal Medicine, Division of Gastroenterology and Hepatology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia
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Abstract
Background: The obesity epidemic, which is among the most common nutritional disorders, is rising rapidly worldwide. It leads to several health problems such as metabolic disorders, stroke, and even cancer. Efforts to control obesity with exercise and diet have a limited value in obese patients and different approaches to do this have been tried. In this paper, we share our experience with bioenteric intragastric balloon (BIB) in treating obesity: Its safety, tolerability, and its efficacy in weight reduction. Materials and Methods: From January 2009 to September 2012, a total of 190 gastric balloons was inserted on patients at the endoscopy unit in King Fahd Hospital of the University, Al-Khobar. This is an evaluation of the first 100 patients. All the patients had a body mass index of over 30 kg/m2 and were within the age range of 17-55 with a mean age of 32 years. After consent, preballoon investigation tests and anesthesia evaluation, BIB was inserted under monitored anesthesia care sedation in the endoscopy suite. The balloon was filled with 500-700 mls of stained saline. All patients' were given an analgesic and antiemetic for a week and antisecretory proton pump inhibitor's for 6 months. Diet and the importance of the exercise were part of the preballoon insertion phase and protocol. The balloon was removed after 6-12 months. Results: The weight loss response to BIB in the 100 patients are classified into four groups: In the uncooperative, noncompliant patients - the maximum weight loss was 7 kg, while in the most compliant patients the weight loss reached up to 39 kg. In addition, there was significant improvement into diabetes mellitus, hypertension, dyslipidemia, and fatty liveras. Its safety and tolerability were extremely acceptable. Conclusion: Our data indicates that in well-selected patients, BIB is an effective device, which with minimum complications helps to achieve body weight loss and resolve many obesity related morbidities in cooperative and dedicated obese patients.
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Affiliation(s)
- Mohammed I Yasawy
- Department of Internal Medicine, King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia
| | - Abdulaziz A Al-Quorain
- Department of Internal Medicine, King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia
| | - Anas M Hussameddin
- Department of Internal Medicine, King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia
| | - Zakia M Yasawy
- Department of Internal Medicine, King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia
| | - Raid M Al-Sulaiman
- Department of Internal Medicine, King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia
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Al-Sulaiman AA, Al-Muslim NI, Al-Quorain AA, Al-Sulaiman RM. The self-limiting nature of statin-induced rhabdomyolysis. J Family Community Med 2009; 16:119-21. [PMID: 23012203 PMCID: PMC3377045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Statins have come to the forefront of treatments for hyperlipidemias, coronary artery diseases and strokes. They have been shown to cause myotoxicity and rhabdomyolysis. In most cases, rhabdomyolysis is self-limiting and needs supportive therapy. Two cases of statin-induced rhabdomyolysis are reported emphasizing the definition, risk factors, clinical features and the self-limiting nature of the disorder.
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Affiliation(s)
- Abdulsalam A. Al-Sulaiman
- Department of Neurology, King Fahd Hospital of the University, Al-Khobar 31952, Saudi Arabia,
Correspondence to: Prof. Abdulsalam A. Al-Sulaiman, Dept. of Neurology, KFHU, P.O. Box 40180, Al-Khobar 31952, Saudi Arabia - E-mail:
| | - Nora I. Al-Muslim
- Department of Neurology, King Fahd Hospital of the University, Al-Khobar 31952, Saudi Arabia
| | - Abdulaziz A. Al-Quorain
- Department of Internal Medicine, King Fahd Hospital of the University, Al-Khobar 31952, Saudi Arabia
| | - Raed M. Al-Sulaiman
- Department of Internal Medicine, King Fahd Hospital of the University, Al-Khobar 31952, Saudi Arabia
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Abdulrahman IS, Al-Quorain AA. Prevalence of gastroesophageal reflux disease and its association with Helicobacter pylori infection in chronic renal failure patients and in renal transplant recipients. Saudi J Gastroenterol 2008; 14:183-6. [PMID: 19568535 PMCID: PMC2702933 DOI: 10.4103/1319-3767.41741] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2007] [Accepted: 03/24/2008] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND/AIMS The prevalence of gastroesophageal reflux disease (GERD) in chronic renal failure patients and in renal transplant recipients (RTR) has been a subject of discussion in the last few years. Our aims are to clarify this association and its relation to Helicobacter pylori infection, and also to identify possible pathogenic factors in the development of this disease in both groups. METHODS The study involved 40 end-stage renal disease (ESRD) patients with upper gastrointestinal (GI) symptoms (group I), 36 patients who had undergone kidney transplantation and had similar symptoms (group II), and 44 age- and sex-matched controls with the same upper GI symptoms (group III). All patients were subjected to esophagogastroduodenoscopy, and biopsies were obtained from the antrum for histological evaluation and identification of H. pylori. RESULTS The prevalence of GERD in the first two groups was similar (77.5 vs. 75.0%, P = 0.412), while it was significantly lower in the control group (38.6%, P < 0.01). H. pylori infection was present in 40.0, 36.1 (P > 0.05) and 75% (P < 0.01 and < 0.001) of the patients in groups I, II, and III, respectively. Multivariate logistic regression analysis in groups I and II showed that high serum creatinine (Odds ratio [OR] = 6.78, 95% Confidence Interval (CI) = 1.12-45.82), immunosuppressive therapy (OR = 5.78, 95% CI = 1.01-32.5), and absence of H. pylori infection (OR = 3.58, 94% CI = 1.11-18.6) were significantly associated with GERD. The duration of ESRD correlated significantly with the prevalence of GERD in group I. CONCLUSIONS This study showed a similar prevalence of H. pylori infection and GERD in ESRD and RTR patients. GERD prevalence was higher in these two groups than in the controls. Renal transplantation, chronic renal disease, immunosuppressive therapy, and the absence of H. pylori infection seem to be risk factors for the development of GERD.
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Affiliation(s)
- Ibraheim S. Abdulrahman
- Department of Internal Medicine, Nephrology Division, King Fahad University Hospital, Al-Khobar, Saudi Arabia,Address: Dr. Ibrahiem S. Abdulrahman, King Fahad University Hospital, PO Box 40032, Al-Khobar, 31952, Saudi Arabia. E-mail:
| | - Abdulaziz A. Al-Quorain
- Department of Internal Medicine, Gastroenterology Division, King Fahad University Hospital, Al-Khobar, Saudi Arabia
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Al-Amri A, Al-Quorain AA. Coexisting malignant lymphoma of the duodenum and adenocarcinoma of the colon. Saudi Med J 2007; 28:463-4. [PMID: 17334482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2023] Open
Abstract
Synchronous malignant mucosa associated lymphoid tissue MALT-lymphoma of the small bowel and adenocarcinoma of the colon in the same patient is a scarce rarity. Only few cases have been reported so far. Thus, it might be of interest to report such a case of coexisting malignant MALT-lymphoma of the duodenum and adenocarcinoma of the large bowel.
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Affiliation(s)
- Ali Al-Amri
- Department of Internal Medicine, King Fahd Hospital of the University, PO Box 40182, Al-Khobar 31952.
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Elsharawy MA, Al-Quorain AA. Saphenoperitoneal shunt for intractable ascites. Saudi Med J 2006; 27:191-3. [PMID: 16501674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/06/2023] Open
Abstract
OBJECTIVE Ascites usually complicates chronic liver disease, and some patients with ascites are refractory to medical treatment. Recently, saphenoperitoneal shunt (SPS) was described to treat this condition. This procedure avoids the insertion of a foreign expensive shunt into the circulation. We present our experience with this procedure with some modification in the technique. METHODS We performed a prospective study on 11 patients with intractable ascites admitted to the Vascular Unit, Suez Canal University Hospital, Egypt from June 2001 to October 2003. We divided the long saphenous vein approximately at 15 cm distally. We turned the proximal cut end upwards and tunneled under the skin towards the midline in the suprapubic region where we anastomosed it to the peritoneum. RESULTS One patient died from liver failure 8 days after the operation. Two patients died during follow-up, one at 3 months from liver failure, and the other at 4 months from variceal hemorrhage. We lost one patient to follow up. Seven patients remained alive with patent shunt up to 6 months follow up. CONCLUSION The SPS is a safe and effective procedure in the management of intractable ascites.
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Affiliation(s)
- Mohamed A Elsharawy
- Department of Surgery, College of Medicine, King Faisal University, Dammam, Kingdom of Saudi Arabia.
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Al-Asoom LI, Al-Rubaish A, Al-Quorain AA, Qutub H, El-Munshid HA. The association of gastroesophageal reflux with bronchial asthma. Can asthma also trigger reflux? Hepatogastroenterology 2006; 53:64-72. [PMID: 16506378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
BACKGROUND/AIMS The frequency of gastroesophageal reflux (GER) among asthmatic patients was found to range from 34% to 89% at different locations. The aims of this study have been to determine the frequency of GER in patients with asthma in the Saudi environment, to ascertain the main mechanism whereby GER triggers asthma, and to seek any evidence whether asthma can also trigger GER. METHODOLOGY Fifty asthmatic patients were consecutively recruited as they reported to King Fahd Hospital of the University (KFHU), Al-Khobar, Saudi Arabia, in the period from February 2000 to February 2001; their mean age +/- SD was 38.0 +/- 9.8 years. Twenty-two subjects without asthma or GER served as controls; their mean age +/- SD was 29.4 +/- 8.6. Both groups were subjected to a questionnaire, esophageal manometry, dual probe ambulatory 24-hour pH monitoring, and pulmonary function tests. RESULTS Among the asthmatic group 22 patients (44%) had GER. Accordingly, the asthmatic patients were divided into two groups: asthmatic with GER (n=22), and asthmatic without GER (n=28). Hoarseness of voice and nocturnal symptoms were found to be significant predictors for the presence of GER in asthmatics. Manometry revealed that asthmatic patients with GER had higher gastric pressure (11.4 +/- 4.0 mmHg vs. 8.4 +/- 2.8 mmHg; p=0.006) and lower resting pressure at the lower esophageal sphincter (LES) (21.2 +/- 8.7 mmHg vs. 28.2 +/- 9.3 mmHg; p=0.013) when compared with controls, both factors favoring the occurrence of reflux. With regard to pH data, acid reflux occurred both at the distal and proximal esophagus but the percent total acid exposure time was about 7 times longer at the distal than at the proximal esophagus (5.80 vs. 0.9). In addition, gastric pressure was positively and significantly correlated with distal esophageal acid exposure time and the DeMeester score, negatively correlated with spirometric parameters in asthmatic patients, as well as found to be a significant predictor of the severity of asthma (p=0.006). CONCLUSIONS Forty-four percent of the sample of asthmatic patients reporting to KFHU had GER. Since distal esophageal total acid exposure time was nearly 7 times longer than at the proximal esophagus, the main mechanism for GER triggering asthma is the vagally mediated reflex initiated by acid in the distal esophagus. In addition, the positive correlation of increased gastric pressure with the distal esophageal acid exposure time and the DeMeester score, its negative correlation with spirometric parameters and being a significant predictor of asthma severity suggest that severe asthma may trigger or aggravate GER.
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Affiliation(s)
- L I Al-Asoom
- Department of Physiology, College of Medicine, King Faisal University, Dammam, Saudi Arabia
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Aljabre SH, Hoffmann F, Almorzog BS, Mikiling L, Alabdulatif M, Al-Quorain AA. Hospital generated waste: an assessment of the awareness of hospital staff. J Family Community Med 2002; 9:47-50. [PMID: 23008662 PMCID: PMC3430175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND The provision of healthcare generates waste which can be detrimental to health and environment. Staff who provide healthcare ought to be aware of the proper handling and the system of management of healthcare waste used by different hospitals. MATERIALS AND METHODS A survey of doctors, nurses and allied medical staff for their awareness of the hospital generation and handling of waste was conducted. A self-administered questionnaire was used. RESULTS Lack of awareness, ignorance of policy and procedure on the handling of healthcare waste and failure to attend educational activities were major defects found among healthcare staff in the study. CONCLUSION There is a need for a plan to improve the awareness of healthcare workers about hospital generated waste and its proper handling.
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Affiliation(s)
- Salih H.M. Aljabre
- King Fahd Hospital of the University, Al-Khobar, Saudi Arabia,Correspondence to: Dr. Salih H.M. Aljabre, P.O. Box 10011, Dammam, Saudi Arabia
| | - Frank Hoffmann
- King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
| | | | - Lilia Mikiling
- King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
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Al-Qurashi AR, El-Morsy F, Al-Quorain AA. Evolution of metronidazole and tetracycline susceptibility pattern in Helicobacter pylori at a hospital in Saudi Arabia. Int J Antimicrob Agents 2001; 17:233-6. [PMID: 11282271 DOI: 10.1016/s0924-8579(00)00336-8] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
The association of Helicobacter pylori with chronic gastritis and peptic ulcer disease led to new therapeutic approaches including the use of antibiotics. Recently, resistance of H. pylori to antibiotics has emerged as the major cause of treatment failure. This retrospective analysis was aimed at investigating the development of antimicrobial susceptibility patterns amongst H. pylori strains isolated at King Fahd Hospital of the University, Al-Khobar. Susceptibility patterns obtained using isolates from a pilot study (1987-1988) were compared with those subsequently isolated (1990-1996). Metronidazole resistance was estimated to be 35.2% in the first period but more than doubled (78.5%) during the second period. Isolates from females showed a higher resistance rate to metronidazole than those from males. Only one strain was tetracycline resistant. The extremely high resistance rate to metronidazole indicates that it may not be very effective for eradication of H. pylori. Tetracycline should prove a useful component of treatment regimens in this geographical region.
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Affiliation(s)
- A R Al-Qurashi
- Department of Microbiology, College of Medicine, King Faisal University, P.O. Box 2114, Dammam 31451, Saudi Arabia.
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Satti MB, Al-Idrissi HY, Ismail MH, Gindan YM, Al-Quorain AA. Anaplastic KI-1 (CD30) positive large cell lymphoma of the stomach mimicking Hodgkin's disease: A case report and review of the literature. Ann Saudi Med 1999; 19:352-6. [PMID: 17277540 DOI: 10.5144/0256-4947.1999.352] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- M B Satti
- Departments of Pathology and Internal Medicine, King Faisal University, Al-Khobar, Saudi Arabia
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Al-Gindan YM, Satti MB, Al-Quorain AA, Al-Hamdan A. Crohn's disease in Saudi Arabia: a clinicopathological study of 12 cases. Saudi J Gastroenterol 1996; 2:150-5. [PMID: 19864824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
Abstract
In this report we present our experience with 12 cases of Crohn's disease out of 1279 consecutive colorectal biopsies (0.9%), seen during an l 1 years period (1983-1994) in a tertiary care teaching hospital. During the period 76 cases (6%) of Ulcerative Colitis (UC) were seen. Of the 12 patients with Crohn's disease, seven were males and five were females, all Saudi nationals aged 16-39 with a median of 23 years, relatively younger than those with UC seen during the same period. Recurrent colicky abdominal pain was the striking presenting symptoms in all patients, commonly associated with weight loss. The disease involved both small and large bowel in eight patients (67%) and the colon alone in one patient. Granulomas were seen in seven patients (58%). Surgery was offered for two patients and most of the remaining patients were symptomatic on follow up.
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Affiliation(s)
- Y M Al-Gindan
- Department of Pathology, College of Medicine and Medical Sciences, King Faisal University, Dammam, Saudi Arabia
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Satti MB, Al-Quorain AA, Al-Awami MS, El-Hassan AY, Al-Ghassab G, Al-Jamaa AA. Hepatic cystadenoma with mesenchymal stroma (CMS): Report of case presenting with obstructive jaundice. Ann Saudi Med 1991; 11:465-70. [PMID: 17590769 DOI: 10.5144/0256-4947.1991.465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- M B Satti
- Department of Pathology, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
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Al-Quorain AA, Al-Nahdi M. The effect of plantation on increased allergic rhinitis in the eastern province of Saudi Arabia. Allergol Immunopathol (Madr) 1988; 16:57-9. [PMID: 3260062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
In a study done between 1982-1986, 129 patients with allergic rhinitis were followed-up in the Outpatient Department of King Fahd University Hospital, Al-Khobar (Saudi Arabia). Eighty patients were males (62%), 49 patients were females (38%); 71% Saudis, and 29% non-Saudis. Routine laboratory investigations, IgE and skin test were performed. The commonest allergens were pollens, house dust and cat danders. We found that males were significantly more affected than females, particularly in the cases of ages between 20-30 years. Beside the known causes, other factors such as the increase of plantation and local customs are discussed.
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Affiliation(s)
- A A Al-Quorain
- Department of Internal Medicine, King Faisal University Hospital, Dammam, Saudi Arabia
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Al-Nahdi M, Al-Quorain AA. Sex distribution and common allergens of bronchial asthma in a Saudi Arabian (eastern province) population. Allergol Immunopathol (Madr) 1987; 15:389-91. [PMID: 3445880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
In a study carried out between 1982-1986, 68 asthmatic patients of different ages were followed-up in the Outpatient Department of the King Fahd University Hospital, Al-Khobar. Fifty-two patients were Saudis (78%) while the rest were of other nationalities (22%). The sex distribution was 39 (55.9%) females and 30 males (44%). Routine and skin tests were performed; the IgE was in 70% elevated. The commonest allergens among these patients were house dust, cat danders and D. Pteronyssinus. Females were significantly more affected than males, particularly in the ages between 20-30 years. Among the multiple causes, the local ones such as customs are postulated.
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Affiliation(s)
- M Al-Nahdi
- Department of Internal Medicine, King Faisal University Hospital, Dammam, Saudi Arabia
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