Network


Latest external collaboration on country level. Dive into details by clicking on the dots.

Hotspot


Dive into the research topics where I. Fetni is active.

Publication


Featured researches published by I. Fetni.


Archives De Pediatrie | 2004

Corticothérapie à forte dose dans le traitement des œsophagites caustiques sévères chez l’enfant

S. Boukthir; I. Fetni; S. Mazigh Mrad; M. A. Mongalgi; Ali Debbabi; S. Barsaoui

UNLABELLED Esophageal burns are frequent in some countries. Esophageal stricture is a severe complication after caustic ingestion. Its frequency is estimated to 5% and reaches 47% in severe esophagitis. AIM OF THE STUDY To study the influence of management of severe esophageal burns with high doses of steroids in the occurrence of esophageal stricture through the experience of an endoscopic unit. PATIENTS AND METHODS Twenty-six children with a mean age of 3.5 years (15 months-8 years) with a second b- (N =22) or a third-degree (N =4) esophageal burns due to accidental ingestion of a caustic substance were included between 1993 and 1999. Corrosive substances ingested were sodium hydroxide (N =17), bleach (N =4), alkali (N =3), others (N =2). Upper GI endoscopy was performed in 17 children within the 24 hours of caustic ingestion and within the first 48 hours in all cases. All patients received methylprednisolone (1 g/1.73 m2/day) plus cimetidine and ampicillin plus early oral feeding resumption. RESULTS Three children (2 grade II et one grade I) were not controlled on day 30 of the protocol and have then been excluded. The remaining 23 children were divided in two groups depending on the upper GI endoscopic results: group I of 12 patients completely or partially healed and group II of 11 patients who developed an esophageal stricture. No difference was observed between the two groups with regard to the delay between caustic ingestion and the start of treatment and the number of shots of methylprednisolone. Second b- degree esophagitis complicated with an esophageal stricture underwent a median of five esophageal dilations (1-12). After a median follow-up of three years, four of them have a normal esophagus. All children with a third-degree esophagitis developed an esophageal stricture. One had a surgical replacement of the esophagus with a segment of colon with good outcome. The three others underwent a median of seven esophageal dilations (5-10). One of them has a normal esophagus after a follow-up of five years while the two others were lost to follow-up. CONCLUSION High dose of corticosteroids seems to improve second b-degree esophagitis prognosis and may prevent from esophageal stricture.


Archives De Pediatrie | 2003

Hétérotopies de la substance grise. À propos de quatre observations pédiatriques

S. Mazigh Mrad; N Aloui; A.Ben Jeddou; I. Fetni; F. Oubich; S. Boukthir; A. Hammou; S. Barsaoui

Resume L’epilepsie severe de l’enfant pose un probleme de diagnostic etiologique. Les heterotopies de la substance grise constituent une cause rare. Les auteurs rapportent quatre observations concernant des filles âgees de trois ans, six ans, sept ans et neuf ans sans antecedents particuliers. Il n’a pas ete retrouve de consanguinite. L’âge de debut de l’epilepsie est situe entre neuf mois et quatre ans. Le retard psychomoteur a ete retrouve chez trois patientes et la regression psychomotrice chez une patiente. Trois malades avaient presente un etat de mal convulsif. L’IRM a visualise une forme sous ependymaire dans un cas et une forme corticale diffuse dans trois cas associee a une agenesie partielle du corps calleux dans un cas et une pachygyrie dans deux cas.


Archives De Pediatrie | 2004

Corticothérapie à forte dose dans le traitement des œsophagites caustiques sévères chez l'enfantHigh doses of steroids in the management of caustic esophageal burns in children

S. Boukthir; I. Fetni; S. Mazigh Mrad; M. A. Mongalgi; Ali Debbabi; Siham Barsaoui


Tunisie médicale | 2002

Apport des paramètres cliniques biologiques et radiologiques dans le diagnostic de localisation de l'infection urinaire

Sonia Mazigh Mrad; I. Fetni; Olfa Rabeh; F. Oubich; S. Boukthir; Sihem Barsaoui


Tunisie médicale | 2007

LES GASTRITES CHRONIQUES CHEZ L'ENFANT

S. Boukthir; Faten Aouididi; Sonia Mazigh Mrad; I. Fetni; O. Bouyahya; Lamia Gharsallah; A. Sammoud


Tunisie médicale | 2007

L'INFECTION A HELICOBACTER PYLORI CHEZ L'ENFANT REVELEE PAR UNE HEMORRAGIE DIGESTIVE : ASPECTS ENDOSCOPIQUES ET HISTOLOGIQUES

Sonia Mazigh Mrad; S. Boukthir; Lamia Gharsallah; Olfa Bouyahia; Fdhila Faten; I. Fetni; Sihem Barsaoui; Bechir Zouari; Azza Samoud


Tunisie médicale | 2007

Les oesophagites caustiques severes. Les doses elevees de solumedrol sont-elles efficaces pour prevenir les stenoses caustiques ?

S. Mazigh Mrad; S. Boukthir; I. Fetni; L. Sfaihi; A. Dabbabi; S. Barsaoui


Tunisie médicale | 2004

Analyse des modalites therapeutiques et evolutives des oesophagites caustiques severes chez l'enfant traites par les bolus de methyl prednis0lone experience d'une unite d'endoscopie digestive

Sonia Mazigh Mrad; S. Boukthir; L. Sfaihi; I. Fetni; Ali Dabbabi; Bechir Zouari; Sihem Baraoui


Journal of Pediatric Gastroenterology and Nutrition | 2004

P0531 SEVERITY OF UPPER ACUTE GASTROINTESTINAL BLEEDING: ROLE OF HELICOBACTER PYLORI INFECTION AND NON STEROIDAL ANTI-INFLAMMATORY DRUGS

S. Mazigh Mrad; S. Boukthir; F. Oubich; S. Ben Slima; Lamia Gharsallah; I. Fetni; S. Barsaoui


Archives De Pediatrie | 2003

Htrotopies de la substance grise. propos de quatre observations pdiatriques

S. Mazigh Mrad; N Aloui; A.Ben Jeddou; I. Fetni; F. Oubich; S. Boukthir; A. Hammou; Siham Barsaoui

Collaboration


Dive into the I. Fetni's collaboration.

Top Co-Authors

Avatar

S. Boukthir

Boston Children's Hospital

View shared research outputs
Top Co-Authors

Avatar

Sonia Mazigh Mrad

Boston Children's Hospital

View shared research outputs
Top Co-Authors

Avatar

Lamia Gharsallah

Boston Children's Hospital

View shared research outputs
Top Co-Authors

Avatar

A. Hammou

Boston Children's Hospital

View shared research outputs
Top Co-Authors

Avatar

Sihem Barsaoui

Boston Children's Hospital

View shared research outputs
Top Co-Authors

Avatar

A. Sammoud

Boston Children's Hospital

View shared research outputs
Top Co-Authors

Avatar

Olfa Bouyahia

Boston Children's Hospital

View shared research outputs
Researchain Logo
Decentralizing Knowledge