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Bouasker I, Hani MA, Ben Achour J, Bedoui R, Najah H, Zoghlami A, Najah N, Dziri C. [Annular pancreas in adults: a case report]. Gastroenterol Clin Biol 2008; 32:924-925. [PMID: 18814982 DOI: 10.1016/j.gcb.2008.04.029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2007] [Revised: 04/02/2008] [Accepted: 04/07/2008] [Indexed: 05/26/2023]
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2
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Ferchichi L, Kourda N, Zermani R, Aouem J, Zaouche A, Abdjellil Z, Najah N, Baltagi Ben Jilani S. [Extragastrointestinal stromal tumors: a report of 4 cases]. ACTA ACUST UNITED AC 2005; 131:271-5. [PMID: 16472759 DOI: 10.1016/j.anchir.2005.09.010] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2005] [Accepted: 09/16/2005] [Indexed: 01/19/2023]
Abstract
Gastrointestinal stromal tumors (GIST) are mesenchymal tumors that arise from the wall of the gastrointestinal tract expressing CD117 and/or the CD34. Similar tumors were described in the soft tissue of the abdomen and are so-called extragastrointestinal stromal tumors (EGIST). We report 4 new cases of EGIST. The tumors occurred in 2 women and 2 men, who ranged in age from 42 to 71 years. Three tumors arose from the soft tissue of the abdominal cavity, and the remainder arose from the retroperitoneum. They ranged in size from 10 to 27 cm. Three cases were composed purely of short fusiform cells tumors, the last case showed an epithelioid pattern. All the tumors expressed CD117. One patient presented with local recurrence and metastasis, one was lost to the follow-up and two patients were doing well. Immunohistochemistry is useful in distinguishing EGIST from other mesenchymal tumors. Intra-abdominal aggressive fibromatosis may express actin and CD117 but catenin is also positive, leiomyosarcoma expresses the actin and/or desmin but CD117 is usually negative, retroperitoneal dedifferentiated liposarcoma is CD117 negative and PS100 positive, inflammatory myofibroblastic tumor is negative for CD117 and CD34. The solitary fibrous tumor expresses CD34 and is negative to CD117. Some tumors expressing CD117 such desmoplastic round cell tumor should not be confused with EGIST. On the occasion of these four observations, we will discuss the clinical aspects and the main differential diagnoses of this tumor.
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Affiliation(s)
- L Ferchichi
- Service d'Anatomie et de Cytologie Pathologiques, Hôpital Charles-Nicolle, boulevard du 9-Avril-1938, 1006 Tunis, Tunisie
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3
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Ennigrou S, Mokhtar L, Ben Alaya N, Dziri C, Cherif A, Najah N, Ben Redjeb S, Zouari B. [Study of the incidence and cost of nosocomial infections in general surgery]. Tunis Med 2000; 78:628-33. [PMID: 11155385] [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: 02/18/2023]
Abstract
Nosocomial infection incidence and its cost were study. We have identified 61 infected patients and 75 infectious episodes, is an incidence of 9.4% infected for 100 hospitalized by trimester. Operative site infections are the most frequent (60%), operative site infection (9.1%), inferior respiratory ways infections (2.2%). Incriminated germs are represented essentially by negative gram Bacillus (77.3%) with predominance of enterobacterias (59%). Invasive technique usage, surgery types and contamination classes have been identified as risk factors of nosocomial infection occurrence. The supplementary stay duration estimated by simple comparison between infected group and no-infected one is 9.3% days, responsible of an over cost of 336 TD by infected patient and 273 TD by infectious episode. The curative antibiotic costs have been estimated at 70 TD by infected patient being equivalent to two hospitalization days and to 57 TD by infectious episode.
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Affiliation(s)
- S Ennigrou
- Faculté de Médecine, Hôpital Charles Nicolle, Tunis
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Ennigrou S, Aounallah-Skhiri H, Dziri C, Najah N, Ben Ammar R, Zouari B. [Utility of the Rhame and Sudderth model in nosocomial infection surveillance]. Tunis Med 1999; 77:272-5. [PMID: 10516812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Affiliation(s)
- S Ennigrou
- Hôpital Charles Nicolle, Service de chirurgie générale B, Tunis
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Boussen H, Kallel N, Khomsi F, Jerbi G, Dhouib R, Ben Safta Z, Ben Abdesselem M, el May M, Gammoudi A, Benna F, Hamza H, Dziri C, Najah N, Zaouche A, Rahal K, Ben Ayed F. [Adjuvant chemotherapy after curative surgery for non-metastatic colorectal carcinomas (2-year results of 52 cases)]. Tunis Med 1999; 77:61-7. [PMID: 10333701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Affiliation(s)
- H Boussen
- Institut Salah Azaiz, Services de chirurgie générale des Hôpitaux de la, Tunis
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Nouira Y, Hani MA, Zoghlami A, Ben Osman S, Khaddar MK, Daghfous M, Cherif A, Dziri C, Najah N. [Management of an external pancreatic fistula after pancreatitis: a case report]. Tunis Med 1998; 76:99-102. [PMID: 9739200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- Y Nouira
- Service de chirurgie générale B, Hôpital Charles Nicolle, Tunis
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Daghfous M, Nafaa N, Abderrahim N, Ghazouani S, Cherif A, Atyaoui F, Daoud A, Najah N. [Analgesia in thoracic injuries: a comparative study of 2 techniques of loco-regional analgesia]. Tunis Med 1998; 76:1047-51. [PMID: 9844540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Affiliation(s)
- M Daghfous
- Service d'Anesthésie-Réanimation, hôpital Charles Nicolle, Tunis
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8
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Chérif A, Daghfous M, Ghedira S, Dziri C, Najah N. [Inspiratory aid with facial masks during acute respiratory failure without hypercapnia]. Ann Fr Anesth Reanim 1996; 15:223-5. [PMID: 8734248 DOI: 10.1016/0750-7658(96)85050-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
This prospective study assessed, in 10 conscious patients without a history of chronic respiratory disease, the feasibility of mechanical pressure support ventilation with PEEP by face mask for the treatment of acute respiratory failure without hypercapnia. Pressure support level was determined to obtain a VT of 5 to 10 mL.kg-1 and a decrease of respiratory rate of more than 20%. FIO2 and PEEP levels were determined to obtain a SpO2 > 92% and a PaO2 > 70 mmHg. The efficiency of the technique was assessed through the time course of respiratory rate, PaO2, PaCO2 and SaO2. The technique was efficient in all patients and tracheal intubation was not required. During face mask ventilation, a significant decrease in respiratory rate and an increase in PaO2 and SaO2 were observed. Pressure support ventilation with PEEP by face mask is an efficient technique for the treatment of acute non hypercapnic respiratory failure in conscious and cooperative patients.
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Affiliation(s)
- A Chérif
- Service de chirurgie Beau-Séjour, hôpital Charles-Nicolle, Tunis, Tunisie
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9
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Khaddar K, Khalfallah T, Chendoul N, Dziri C, Ben-Jilani S, Najah N. [Gastroduodenal intussusception on gastric tumor]. Ann Chir 1994; 48:576-579. [PMID: 7847708] [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: 05/22/2023]
Abstract
Gastroduodenal intussusception is a rarely documented condition. A distinction has to be made between complete gastroduodenal intussusception (CGDI) and either prolapse of a pedunculated tumor through the pylorus or mucosal prolapse through the pylorus. CGDI usually occurs secondary to a pedunculated benign gastric tumor. More rarely the tumor is malignant. We report a case of CGDI associated with gastric adenocarcinoma. We emphasize diagnostic difficulties that can be generated by CGDI.
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Affiliation(s)
- K Khaddar
- Service de Chirurgie B, Hôpital Charles-Nicolle, TUNIS, Tunisie
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10
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Ben Slimane T, Khalfallah T, Largueche S, Najah N, Mzabi R. [Cancer of the hilus of the liver apropos of 8 cases]. Tunis Med 1990; 68:659-62. [PMID: 2082517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- T Ben Slimane
- Service de Chirurgie, Hôpital Charles Nicolle, Tunis
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Ben Slimane T, Kort B, Najjar T, Fourati K, Najah N, Mzabi R. [Lipoma of the colon: apropos of a surgically treated case]. Tunis Med 1990; 68:309-11. [PMID: 2353372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- T Ben Slimane
- Service de Chirurgie B, Hôpital Charles Nicolle, Tunis
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12
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Dziri C, Slim K, Najah N, Zlitni M, Mzabi R. Crohn's disease revealed by a pelvic femoral osteomyelitis: a case report. Tunis Med 1990; 68:151-3. [PMID: 2330619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- C Dziri
- Department B of General Surgery, Charles Nicolle's-Hospital, Tunisia
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Dziri C, Ben Slimen T, Najah N, Mzabi R. [Sigmoid volvulus associated with volvulus of the small intestine. Apropos of 2 cases and a review of the literature]. Tunis Med 1986; 64:625-9. [PMID: 3538583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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14
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Letaief A, Najah N, Chelli K, Khodjet El Khil A, Zaouche A, Mzabi R, Ennabli E. [Surgical forms of amebic colitis]. Tunis Med 1982; 60:21-5. [PMID: 7147369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Chelly K, Zaouche A, Letaief A, Najah N, Mzabi R, Ennabli E. [82 cases of acute pancreatitis]. Tunis Med 1981; 59:183-6. [PMID: 7256907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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16
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Najah N, Chelli K, Largueche S, M'Zabi R. [Early reinterventions following appendectomies]. Tunis Med 1981; 59:870-2. [PMID: 7245371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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