Hepatogastroenterology Department

About Department

Since the beginning in 1983, we are committed to providing a distinguished level of diverse medical services to all patients regardless of their financial ability. The institute always seeks to provide safe and distinguished medical services to patients through the latest treatment methods and technologies and the latest scientific findings for patients with liver, and digestive system through a distinguished and advanced medical staff.
1. The strategic research plan of the department is concerned with the management and treatment of:
- Chronic liver diseases that are mostly caused by hepatitis viruses, fatty liver, and non-alcoholic steatohepatitis (NASH) in addition to other infectious agents, which affect the liver and biliary system as schistosomiasis, fascioliasis, hydatid disease, amebiasis, etc…). This runs in parallel with the management of their complications including portal hypertension, ascites, fibrosis, encephalopathy, and hepatocellular carcinoma.
- Gastrointestinal diseases include organic and functional diseases of the gastrointestinal tract. The main brunt of research is related to ultrasonography, endoscopy, ERCP, endo-sonography as well as motility studies
Third-space endoscopies:
- POEM (Per-oral Endoscopic Myotomy)
- EMR (Endoscopic Mucosal Resection)
- ESD (Endoscopic Submucosal Dissection)
- Endoscopic ultrasound interventions:
- Upper & lower endoscopic biopsies for various GI-related lesions
- Management of pancreatic pseudocysts.
- Biliary drainage.
- Inflammatory bowel disease.
2. The field of research includes:
- Epidemiological research involves field studies to know the incidence and prevalence of different illnesses and their impact on the community together with the different control and preventive measures.
- Clinical research that is concerned with studying different aspects of diseases including morbidity, diagnosis, and different lines of management as follows:
- Early detection and screening for GIT malignancy.
- New advances in GIT endoscopy.
- Gastrointestinal motility disorders.
- Gastric and esophageal diseases.
- Pancreatic and biliary diseases.

Mission

To provide a high standard of medical service and conduct innovative research based on evidence-based medicine and ethical standards in the management, prevention, and treatment of hepato-gastrointestinal diseases affecting Egyptian patients.
We aim to adhere to the basic values and principles of professional and technological distinction. Continuous education, research, and development to reach the highest level of integrity through confidentiality, honesty, transparency, and respect.

Vision

To focus on screening and early treatment of hepato-gastrointestinal diseases as well as gastrointestinal cancers.

Techniques

Diagnostic and therapeutic upper endoscopy: the performed techniques include biopsy, injection sclerotherapy, band ligation of oesophageal varices, injection of gastric varices, oesophageal dilatation, oesophageal stent application and extraction of foreign body.
Endoscopic Retrograde Cholangiopancreatography (ERCP).
Diagnostic and therapeutic Colonoscopy: the performed techniques include biopsies, dilation, stenting, polypectomy and haemostasis.
Enteroscopy.
Diagnostic and intervention sonography including radiofrequency and Ethanol injection of HCC, percutaenous drainage of liver or abdominal abscesses, cysts, PAIR and liver biopsy
GIT motility study.

Third-space endoscopies:

- POEM (Per-oral Endoscopic Myotomy)

- EMR (Endoscopic Mucosal Resection)

- ESD (Endoscopic Submucosal Dissection)

Endoscopic ultrasound interventions:

- Upper & lower endoscopic biopsies for various GI related lesions

- Management of pancreatic pseudocysts

- Biliary drainage

Services

Scope of Services:

1. Clinical assessment, diagnosis, and management of hepato-gastrointestinal and infectious diseases.

2. Intensive care for critical liver diseases (hematemesis and hepatic coma).

3. Diagnostic and therapeutic upper and lower gastrointestinal endoscopies.

4. Endoscopic retrograde cholangiopancreatography ( ERCP).

5. Third-space endoscopies:

POEM (Per-oral Endoscopic Myotomy)
EMR (Endoscopic Mucosal Resection)
ESD (Endoscopic Submucosal Dissection)

6. Endoscopic ultrasound interventions:

Upper & lower endoscopic biopsies for various GI-related lesions
Management of pancreatic pseudocysts.
Biliary drainage.

7. Motility and pH-metry

8. Diagnostic and intervention ultrasound.

9. Fibroscan.

Training

1. Upper endoscopy ( diagnostic and therapeutic ).

2. Lower endoscopy ( diagnostic and therapeutic ).

3. ERCP (Endoscopic retrograde cholangiopancreatography)

4. Endoscopic ultrasound interventions:

Upper & lower endoscopic biopsies for various GI-related lesions
Management of pancreatic pseudocysts
Biliary drainage

5. Third-space endoscopies:

POEM (Per-oral Endoscopic Myotomy)
EMR (Endoscopic Mucosal Resection)
ESD (Endoscopic Submucosal Dissection)

6. Ultrasonography and interventional ultrasonograpghy

Manometry
Fibroscan
Gastroenterology and hepatology workshops

Achievements

A. A signed agreement between TBRI and Beaujon hospital, France in 2007, whichwas renewed twice in 2012 and 2017. The agreement has opened a new scope for the cooperation between The Hepatogastroenterology department of TBRI and the departments of Hepatology and Gastroenterology in Beaujon Hospital:

- TheHepatogastroenterology department organized 10 scientific meetings with Beaujon hospital on annual basis since 2007- 2018. This was done in cooperation with different TBRI departments. The meetings were animated by professors from Beaujon hospital in addition to professors from Hepatogastrenterology, Pathology, Anesthesia and Microbiology TBRI departments.
- The 10th meeting was animated by a workshop on Endosonography
- The agreement resulted in a collaborative research project with the Hepatology department (Beaujon Hospital) through the Egyptian French program Imhotep in 2007. The project was successfully accomplished and presented as an abstract in the European Congress ( European Association for the study of the Liver – EASL) and published in the European Journal of Gastroenterology and Hepatology EJGH
- The agreement also offered young TBRI researchers training in Beaujon Hospital

B. The department succeeded to be a “Reference Centre for Training” at the level of local and international institutions especially from the Arab and African Countries (Sudan, Libya, Ethiopia, Nigeria, Kenya, Palestine, Morocco, Cameron).

C. The department was the seat of an annual international workshop for therapeutic endoscopy from the period 1999- 2010. This was in collaboration with the “American Society of Endoscopy” and the “European Society of Endoscopy”

D. The department organized training courses in endoscopic management of portal hypertension, ultrasonoraphy in liver and GIT diseases and in colonscopy. This was in collaboration with the Cairo Training Center (CTC) that gathers the Egyptian experts in all branches of hepatogastroenterology and trainees from other Arabian and African countries.

E. Received awards :

- Prof. Ibrahim Mostafa received the State appreciation Award for his work in the field of Hepatogastroenterology, Master at ASGE.
- Prof. Alaa Awad received an award for his submitted article at APASL single topic conference on Hepatitis C Virus, December 2010, Chiba, Japan.

Medical services

Routine out and in patient services :

The Hepatogastroenterology department has an outpatient clinic, which is daily supervised by a professor
the clinic is linked to the endoscopy unit and to the ultrasound unit to facilitate management of the patients.
The admission of cases occurs in the inpatient section which is equipped by three intensive care units (ICU), two of these ICU’s are concerned with cases of Hematemesis
upper and lower endoscopy ( diagnostic and therapeutic )
Endoscopic retrograde cholangiopancreatography ( ERCP).
Third-space endoscopies:

-POEM (Per-oral Endoscopic Myotomy)

-EMR (Endoscopic Mucosal Resection)

-ESD (Endoscopic Submucosal Dissection)
Endoscopic ultrasound interventions:

-Upper & lower endoscopic biopsies for various GI related lesions

-Management of pancreatic pseudocysts.

-Biliary drainage.
Manometry.
Diagnostic and intervent ultrasound.
Fibroscan.

Endoscopy unit

The Endoscopy unit consists of four procedure rooms, a recovery area, and administrative office. The unit is self-contained offering pre, intra, and post-procedure care for patients undergoing endoscopy procedures. The unit is a fast-paced episodic unit caring for both outpatients and inpatients.

1. The unit provides a high level of teamwork environment that comprises:
- Highly regarded team can diagnose and treat a wide variety of gastrointestinal disorders from esophageal, pancreatic, and early colon cancers, to gallstones and gastroesophageal reflux disease.

- Trained nurses and technicians who assist physicians in diagnostic and therapeutic procedures. The nurses also offer one-on-one patient contact that provides patients with support and guidance about procedures as well as disease progression.

2. Scheduling is flexible, with on-call evening, weekend, and holiday coverage requirements, especially in cases of emergencies e.g. hematemesis.

3. The interventional endoscopists are sparing patients from unnecessary, major surgical procedures by diagnosing and treating conditions with minimally invasive endoscopic techniques. In a gastrointestinal interventional endoscopy procedure, physicians use thin, flexible tubes equipped with miniaturized cameras and devices to diagnose and treat conditions such as complex pancreatic and biliary problems and gastrointestinal cancers.

Services:

1. Upper endoscopy ( diagnostic and therapeutic ).

2. Lower endoscopy ( diagnostic and therapeutic ).

3. ERCP (Endoscopic retrograde cholangiopancreatography)

4. Endoscopic ultrasound interventions:

Upper & lower endoscopic biopsies for various GI related lesions
Management of pancreatic pseudocysts
Biliary drainage

5. Third-space endoscopies:

POEM (Per-oral Endoscopic Myotomy)
EMR (Endoscopic Mucosal Resection)
ESD (Endoscopic Submucosal Dissection)

IBD Clinic

Follows the most updated evidence-based management and therapies for IBD patients.

Provides state-funded medical treatment.

Manometry Unit

Evaluating swallowing disorders and assessing and diagnosing esophageal motility disorders such as achalasia.

Publications

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Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,

Projects

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Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,

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