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Your search keyword '"Ali H. HALLAL"' showing total 7 results
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7 results on '"Ali H. HALLAL"'

1. Pancreaticoduodenectomy (Whipple Procedure) research output: A 30-year bibliometric analysis

Author

Hussein H. Khachfe, Joseph R. Habib, Mohamad A. Chahrour, Salem Al Harthi, Amal Suhool, Ali H. Hallal, and Faek J. Jamali

Subjects
Pancreaticoduodenectomy, Whipple, General Surgery, Bibliometric, Surgery, RD1-811
Abstract

Background: Pancreaticoduodenectomy (PD) is the most common procedure performed for pancreatic and periampullary tumors. The aim of this study is to describe and characterize global PD research activity between 1989 and 2019.Methods: The PubMed database was used to collect publications on PD from 1989 to 2019. Research output was analyzed with respect to the total biomedical articles produced, GDP, population size of each global geographic region, publication venues, authorship, language, institution and funding.Results: 10,700 articles were included. Eastern Asia was the most productive in crude number of publications (3,787), percentage of total biomedical publications (0.1%) and per GDP (0.34). Postoperative outcomes were the most studied theme, and post-operative pancreatic fistula was the primary endpoint in 1,002 articles. There was a significant increase in PD articles from 1989 to 2019. Johns Hopkins School of Medicine produced the highest number of publications with 437, and the National Cancer Institute funded the highest number of projects with 210.Conclusion: PD is a heavily studied surgical procedure worldwide with a significantly increasing annual trend. Recognizing barriers facing PD research such as funding, socioeconomic issues and lack of proper academic infrastructure is needed to improve research output and advance surgical outcomes associated with PD.

Published
2022
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2. Perforated Duodenal Diverticulum Treated Conservatively: Another Two Successful Cases

Author

Jad A. Degheili, Mohammed H. Abdallah, Ali A. Haydar, Ahmad Moukalled, and Ali H. Hallal

Subjects
Surgery, RD1-811
Abstract

Diverticula of the duodenum proceed those of the colon in respect to frequency of location. Incidence at times of autopsy ranges from 15 to 23%. Despite the fact that more than 90% of duodenal diverticulum cases are asymptomatic, complications if they do occur can be calamitous. Perforation is one of these rare complications. Surgical intervention has always been the mainstay for symptomatic/complicated duodenal diverticula, but with the advancement of imaging, medical treatment, and proper intensive observation, conservative treatment came forth. We hereby present two cases of duodenal diverticula, complicated by perforation and fistulization into the retroperitoneal cavity, both treated conservatively by Taylor’s approach of upper gastrointestinal tract perforation. Review of other cases of duodenal diverticulum perforation has also been presented.

Published
2017
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6. Distribution of international medical graduates across USA surgical training programs: a descriptive cross-sectional study

Author

Hussein H, Khachfe, Nazih A, Bizri, Hussein A, Baydoun, Rudy, El-Asmar, Salem, Al Harthi, Amal, Suhool, Ali H, Hallal, and Faek R, Jamali

Subjects
Cross-Sectional Studies, Humans, Internship and Residency, Surgery, Clinical Competence, Educational Measurement, Foreign Medical Graduates
Abstract

International medical graduates (IMGs) have been a critical part of the USA healthcare in the past 30 years, especially in small rural and poor counties. However, little to no publications are present on the distribution of these IMGs across general surgery residency programs.All freely accessible information on current residents in accredited general surgery residency programs within the USA with at least a 5-year history was explored for IMGs in the current roster using the AMA residency and fellowship database in 2020. Demographic and geographic data were summarized.A total of 230 general surgery residency program were included. Programs were distributed among 46 (92%) states. Of a total 6304 categorical general surgery residents, 573 (9%) were IMGs. Florida (USA) had the highest total number of current IMG general surgery residents with 64. The highest percentage of current IMG residents was found in Maryland (USA) with 31%. IMGs obtained their medical degrees from 76 different countries worldwide. Grenada was the country with the highest origin of IMGs with 77 residents. Central/North America had the highest origin of IMGs with 217 (38%).IMGs make up a small portion of current general surgery residents in USA programs. Some states host more IMGs than others. Particular countries have contributed more IMGs than others. More research is needed to the challenges facing IMGs and come up with novel solutions for them.

Published
2022
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7. Preoperative MELD score predicts adverse outcomes following gastrectomy: An ACS NSQIP analysis

Author

Hussein H. Khachfe, Tarek Z. Araji, Hasan Nassereldine, Rudy El-Asmar, Hussein A. Baydoun, Ali H. Hallal, and Faek R. Jamali

Subjects
End Stage Liver Disease, Postoperative Complications, Elective Surgical Procedures, Gastrectomy, Humans, Surgery, General Medicine, Morbidity, Retrospective Studies
Abstract

The Model End-Stage Liver Disease (MELD) has been widely used to predict the mortality and morbidity of various surgical procedures. We aimed to assess the impact of preoperative MELD score on adverse 30-day postoperative outcomes following gastrectomy.Patients who underwent elective, non-emergent gastrectomy were identified from the ACS NSQIP 2014-2019 database. Patients were categorized according to a calculated MELD score. The primary outcomes of this study were the 30-day overall complications and major complication rates following gastrectomy.Compared to MELD11, patients with MELD ≥11 had significantly higher rates of mortality, any complication, and major complication. MELD score ≥11 was significantly associated with any complication (OR 1.73, p = 0.011) and major complications (1.85, p = 0.014) on multivariate analysis.MELD score ≥11 was associated with poorer outcomes in patients undergoing gastrectomy compared to lower MELD scores.

Published
2021

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