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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (5): 739-744
em Inglês | IMEMR | ID: emr-192587

RESUMO

Background: Heavy alcohol consumption is an inevitable cause of alcoholic liver disease with a high chance to progress to Alcoholic Liver Cirrhosis. Alcohol could damage the function of body organs and could cause cancer. Liver damage due to excessive alcohol consumption is usually presented as fatty liver [build-up of fats in the liver], steatohepatitis, fibrosis, alcoholic cirrhosis, and hepatocellular carcinoma. When liver fibrosis progresses, it will ultimately end up as alcoholic cirrhosis


Objective of the Study: This article was intended to explore and investigate the possible optimal diagnosis and management of Alcoholic liver cirrhosis


Methods: We searched the medical literatures to retrieve studies for the review till 30 November 2017. Electronic search in the scientific database from 1965 to 2017- [Medline, Embase. The Cochrane Library websites were searched for English Publications [both reprint requests and by searching the database]. Data extracted included authors, country, year of publication, characteristics of patients, pathophysiology, risk factors, clinical manifestations, different diagnostic approaches and treatment modalities


Conclusion: Absolute abstinence remains the foundation for any treatment of any acute or chronic Alcoholic Liver Disease. It's also important to understand that no treatment will cure cirrhosis or repair scarring in the liver that has already occurred and the only resort would be liver transplantation which is also debatable provided the complications it carries along. Nevertheless, timely diagnosis of alcoholic cirrhosis in people with alcoholic liver disease is the cornerstone for evaluation of prognosis or choosing treatment strategies such as nutritional and medical support and lifestyle change

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (7): 1083-1089
em Inglês | IMEMR | ID: emr-192643

RESUMO

Background: Heavy alcohol consumption is an inevitable cause of alcoholic liver disease with a high chance to progress to Alcoholic Liver Cirrhosis. Alcohol could damage the function of body organs and could cause cancer. Liver damage due to excessive alcohol consumption is usually presented as fatty liver [build-up of fats in the liver], steatohepatitis, fibrosis, alcoholic cirrhosis, and hepatocellular carcinoma. When liver fibrosis progresses, it will ultimately end up as alcoholic cirrhosis


Objective of the Study: This article was intended to explore and investigate the possible optimal diagnosis and management of Alcoholic liver cirrhosis


Methods: We searched the medical literatures to retrieve studies for the review till 30 November 2017. Electronic search in the scientific database from 1965 to 2017- [Medline, Embase. The Cochrane Library websites were searched for English Publications [both reprint requests and by searching the database] .Data extracted included authors, country, year of publication, characteristics of patients, pathophysiology, risk factors, clinical manifestations, different diagnostic approaches and treatment modalities


Conclusion: Absolute abstinence remains the foundation for any treatment of any acute or chronic Alcoholic Liver Disease. It's also important to understand that no treatment will cure cirrhosis or repair scarring in the liver that has already occurred and the only resort would be liver transplantation which is also debatable provided the complications it carries along. Nevertheless, timely diagnosis of alcoholic cirrhosis in people with alcoholic liver disease is the cornerstone for evaluation of prognosis or choosing treatment strategies such as nutritional and medical support and lifestyle change

3.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (7): 1137-1139
em Inglês | IMEMR | ID: emr-192652

RESUMO

Background: Benign prostatic hyperplasia [BPH] is a common disorder amongst older men, and is accountable for significant disability. Objective: The aim of the study is to determine the prevalence of benign prostatic hyperplasia in urology department of Prince Mutaib hospital in Sakaka, Aljouf


Methods: Via recoding, 345 patients attended the urology department. They were asked about their ages, if they are smokers and if they have chronic diseases


Results: The total number of patients diagnosed as having benign prostatic hyperplasia [BPH] was 82. This showed a prevalence rate of 23%. The age distribution of the patients was found to be above 60 years old. While regarding the symptoms: 23 [28%] of the patients showed mild BPH, 39 [48%] with moderate BPH, and 20 [24%] with severe BPH


Conclusion and recommendation: BPH seemed to be a problem of elderly patients, as within the studied patients, those with BPH were above 60 years. Chronic diseases such as diabetes mellitus, hypertension may be acting as risk factors for BPH. Further studies are recommended to study the prevalence of prostatic carcinoma in elderly patients

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