ElEtreby assumed his current position in September 2024. By the first quarter of 2025, NBE had led 10 syndicated loan transactions worth $5.5 billion, supporting mega-projects in energy, infrastructure, and transport. In 2024, NBE managed 32 syndicated deals worth over $6.5 billion. In July 2025, NBE signed a $50 million financing agreement with The Arab Fund for Economic and Social Development to support micro, small, and medium-sized enterprises, alongside larger regional facilities with an aim to expand credit in underserved markets. ElEtreby is also the Chairman of the Federation of Egyptian Banks and the Union of Arab Banks.