[3] Department of Gastroenterology, University of Balamand, Beirut, Lebanon. Email: Karamek7@gmail.com

[4] Department of Internal Medicine, University of Balamand, Beirut, Lebanon. Email: Sarah.saleh@std.balamand.edu.lb

[5] Department of Internal Medicine, University of Balamand, Beirut, Lebanon. Email: Houssein.chebbo@std.balamand.edu.lb

[6] Associate professor, University of Balamand, Department of Gastroenterology, Dekweneh, Lebanon. Email: elias.fiani@hotmail.com *CORRESPONDING AUTHOR