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Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 80626
Country Egypt
Category Research & Experimental Medicine
Manuscript Type Observational Study
Article Title Hepatobiliary manifestations following two-stages elective laparoscopic restorative proctocolectomy for patients with ulcerative colitis: A prospective observational study
Manuscript Source Unsolicited Manuscript
All Author List Tamer A A M Habeeb, Abdulzahra Hussain, Mauro Podda, Pasquale Cianci, Bruce Ramshaw, Khaled Safwat, Wesam M Amr, Tamer Wasefy, Alaa A Fiad, Mohamed Ibrahim Mansour, Adel Mahmoud Moursi, Gamal Osman, Anass Qasem, Mohamed Fawzy, Mohamed Ibrahim Abo Alsaad, Abd-Elfattah Kalmoush, Mohammed Shaaban Nassar, Fawzy M Mustafa, Mahmoud Hassib Morsi Badawy, Ahmed Hamdy, Eman Eltokhy, Hamdi Elbelkasi, Bassam Mousa, Abd-Elrahman M Metwalli, Walid A Mawla, Mostafa M Elaidy, Muhammad Ali Baghdadi and Ahmed Raafat
Funding Agency and Grant Number
Corresponding Author Tamer A A M Habeeb, MD, Assistant Professor, Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig 44759, Sharkia, Egypt. tameralnaimy@hotmail.com
Key Words Courses; Hepatobiliary manifestations; Primary sclerosing cholangitis; Restorative proctocolectomy
Core Tip There has been little research on the efficacy of proctocolectomy in ulcerative colitis patients with hepatobiliary manifestations. The course of hepatobiliary symptoms after proctocolectomy is being evaluated prospectively in our study. The main finding of this study was that two-thirds of patients had an unchanged course following surgery, whereas 16.8% had a progressive or regressive course. The mortality rate was 6%, and 15% of patients required surgery due to recurrence or worsening symptoms. Most primary sclerosing cholangitis patients (87.5%) had an unchanged course, with only 12.5% progressing. Two-thirds (64.3%) of fatty liver patients progressed, whereas one-third (35.7%) remained stationary. At 12, 24, 36, and 48 mo, the survival rates were 98.8%, 97%, 95.8%, and 94%, respectively.
Citation Habeeb TAAM, Hussain A, Podda M, Cianci P, Ramshaw B, Safwat K, Amr WM, Wasefy T, Fiad AA, Mansour MI, Moursi AM, Osman G, Qasem A, Fawzy M, Alsaad MIA, Kalmoush A, Nassar MS, Mustafa FM, Badawy MHM, Hamdy A, Elbelkasi H, Mousa B, Metwalli AEM, Mawla WA, Elaidy MM, Baghdadi MA, Raafat A. Hepatobiliary manifestations following two-stages elective laparoscopic restorative proctocolectomy for patients with ulcerative colitis: A prospective observational study. World J Gastrointest Surg 2023; 15(2): 234-248
Received
2022-10-07 00:08
Peer-Review Started
2022-10-07 00:10
To Make the First Decision
Return for Revision
2023-01-03 23:31
Revised
2023-01-05 01:01
Second Decision
2023-02-03 06:38
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief
2023-02-03 09:19
Articles in Press
2023-02-03 09:19
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
2023-02-20 06:56
ISSN 1948-9366 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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