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    Wyświetlanie 1-6 z 6
    Tytuł:
    Laparoscopic adjustable gastric band (LAGB) migration – endoscopic treatment modalities
    Autorzy:
    Klimczak, Tomasz
    Szewczyk, Tomasz
    Janczak, Przemysław
    Jurałowicz, Piotr
    Powiązania:
    https://bibliotekanauki.pl/articles/1393748.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    LAGB
    gastric band erosion
    endoscopic removal of gastric band
    Opis:
    Laparoscopic adjustible gastric binding (LAGB) is one of most common surgical methods of treating obesity. Gastric band migration (erosion) is a typical LAGB complication, with a frequency of about 1-4%. The aim of the study was to present the possibilities of endoscopic diagnosis and treatment of this complication. Material and methods. The study was carried out in the Department of Gastroenterological, Oncological and General Surgery in Łódź. Between 2008 and 2015, 450 gastric bands were implanted using the laparoscopic technique in 318 (71%) women and 132 (29%) men. In this period 7 cases of band migration were diagnosed – 3 cases in men (2.3%) and 4 cases in women (1.3%), what presents 1.56% of general number of complications. Five out of 7 eroded bands were qualified for endoscopic removal. Four out of 5 qualified eroded bands were removed using the gastric band cutting technique. In one case we used the musculo-mucosal incision technique. In order to diagnose early perforations all patients underwent control passage examinations with oral contrast (gastrografin) 3-6 hours after the procedure. Results. All 5 out of 5 qualified eroded gastric bands were successfully removed with the endoscopic method, which gives 100% success rate in own material. Two endoscopic methods were used: 1) endoscopic gastric band cutting, 2) endoscopic musculo-mucosal incision. Conclusions. Endoscopy gives a possibility of instant diagnosis of gastric band migration and early minimally invasive treatment. One of our endoscopic methods of removing the bands by making several incisions of the musculo-mucosal plicae has not yet been described in professional medical literature.
    Źródło:
    Polish Journal of Surgery; 2016, 88, 6; 530-539
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Endoscopic Treatment of the Choledocholithiasis - Effectiveness, Safety and Limitations of the Method
    Autorzy:
    Peterlejtner, Tadeusz
    Szewczyk, Tomasz
    Firkowski, Piotr
    Zdrojewski, Michał
    Powiązania:
    https://bibliotekanauki.pl/articles/1396654.pdf
    Data publikacji:
    2012-07-01
    Wydawca:
    Index Copernicus International
    Tematy:
    choledocholithiasis
    endoscopic retrograde cholangio-pancreatography
    endoscopic sphincterotomy
    Opis:
    Endoscopic Retrograde Cholangio-Pancreatography (ERCP) is accepted referred method of treatment of the choledocholithiasisThe aim of the study. Evaluation of efficacy and safety of the endoscopic treatment of the biliary tract stones.Material and methods. Results of 3309 Endoscopic Retrograde Cholangio-Pancreatography (ERCP) carried out in Division of Endoscopy of the General Surgery Department in the period 2000 - 2010. The retrospective analysis of the indications, process, findings and final results of 1698 ERCP and Endoscopic Sphincterotomy (ES) was performed with intention to treat of the biliary tract stones.Results. The 883 (52%)patients with coexisted gall-bladder and biliary tract stones were the principal group. The second group included 580 (34.2%) patients with residual choledocholithiasis after cholecystectomy and biliary tract surgery. Moreover ERCP, ES and endoscopic evacuation of biliary stones have been urgently carried out in 159 (9.4%) cases with acute biliary pancreatitis. Lastly ERCP with re-sphincterotomy and removal of the stones was performed in 75 (4.4%) patients with recurrent choledocholithiasis. The procedure was effective in 1561 (92%) patients. When removal of the stones was not possible, decompression of the biliary tract by implantation of the plastic stent was done in 63 (3.7%) cases. Ineffective procedure was noted in 74 (4.3%) patients. The most commonly observed complication was acute pancreatitis. Because of: post ES bleeding, acute haemmorhagic and necrotic pancreatitis, impacted Dormia basket and peripapillary duodenal perforation 10 patients (0.5%) had to be operated. Two patients (0.1%) died.Conclusions. 1. Endoscopic treatment of choledocholithiasis is highly effective but risk factors of complications with urgency an intensive conservative management and surgical intervention have to be considered. 2. After ES, if surgical evacuation of the stones have to be carry out, post operative biliary tract drainage (by T tube) is not necessary.
    Źródło:
    Polish Journal of Surgery; 2012, 84, 7; 333-340
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Comparison of Microaspiration Around Taperguard Tube Cuffs and Standard Tracheal Tubes in Obese Patients Subjected to Surgery Under General Anesthesia
    Autorzy:
    Gaszyńska, Ewelina
    Ratajczyk, Paweł
    Wieczorek, Andrzej
    Szewczyk, Tomasz
    Gaszyński, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/1395728.pdf
    Data publikacji:
    2014-03-01
    Wydawca:
    Index Copernicus International
    Tematy:
    endotracheal intubation
    general anesthesia
    tracheal tubes
    cuff tightness
    microaspirations
    ventilator-associated pneumonia
    Opis:
    Tracheal secretion leakage might lead to ventilator-associated pneumonia. Standard tracheal tube cuffs are cylindrical in shape. Bronchial tree aspiration is observed in the presence of leakage past tracheal tube cuffs. The new TaperGuard tracheal tube has a cuff in the shape of a cone, preventing from the development of microtubules and microaspiration. The aim of the study was to compare standard tracheal tube cuffs with TaperGuard tubes, in terms of protection from microaspiration under general anesthesia. Material and methods. The observational study evaluated incidents of leakage during general anesthesia with intubation and mechanical ventilation in patients with significant obesity. The study group comprised 20 patients with the BMI >40 kg/m2 subjected to elective surgery under general anesthesia with intubation and mechanical ventilation, randomly divided into two subgroups: standard tracheal tube and TaperGuard tube. Results. In 4 of 10 patients with standard tracheal tubes we observed leakage around the cuff. In case of TaperGuard tubes no such leakage was observed. Conclusion. TaperGuard tubes protect against microaspirations, while standard tracheal tubes have no such properties.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 3; 107-110
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Purine metabolism in the light of aerobic and anaerobic capacity of female boxers
    Autorzy:
    Domaszewska, Katarzyna
    Szewczyk, Piotr
    Kryściak, Jakub
    Michalak, Edyta
    Podgórski, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/1030895.pdf
    Data publikacji:
    2020
    Wydawca:
    Uniwersytet Szczeciński. Wydawnictwo Naukowe Uniwersytetu Szczecińskiego
    Tematy:
    Acid-Base Balance (ABB)
    Wingate anaerobic test
    anaerobic threshold (AT)
    maximal oxygen uptake
    purine nucleotides
    uric acid
    Opis:
    The aim of the work was to assess the intensity of purine nucleotide degradation during maximum physical exercise. 5 elite female boxers were the subject of the study. Each of them underwent two exercise stress tests in order to evaluate the level of V̊O2peak and the level of anaerobic capacity during a Wingate test. The study involved collecting capillary and venous blood samples at rest and after the exercise test to determine the Acid-Base Balance (ABB), concentration of lactic acid (LA) and purine metabolism nucleotides. The average value of V̊O2peak was 40.92 (SD = 4.087) ml/kg/min, the average anaerobic capacity Ppeak was 7.57 (SD = 0.380) Watt/kg. The workload resulted in significant changes in the level of ABB and LA after both of the exercise stress tests (p < 0.001). Concentrations of hypoxanthine (Hx), xanthine (X) and uric acid (UA) in the blood increased significantly after the Wingate test (p < 0.05). The level of plasma purine nucleotides at rest and after standard exercise may be a useful tool for monitoring the adaptation of energetic processes in different training phases and support the overload diagnosis.
    Źródło:
    Central European Journal of Sport Sciences and Medicine; 2020, 30, 2; 97-106
    2300-9705
    2353-2807
    Pojawia się w:
    Central European Journal of Sport Sciences and Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Waste as substrates for agricultural biogas plants : A case study from Poland
    Autorzy:
    Czekała, Wojciech
    Pulka, Jakub
    Jasiński, Tomasz
    Szewczyk, Piotr
    Bojarski, Wiktor
    Jasiński, Jan
    Powiązania:
    https://bibliotekanauki.pl/articles/2203541.pdf
    Data publikacji:
    2023
    Wydawca:
    Instytut Technologiczno-Przyrodniczy
    Tematy:
    biofuels
    biogas plant
    circular economy
    renewable energy
    waste management
    waste to energy
    Opis:
    Energy production from renewable sources is one of the main ways to fight against global warming. Anaerobic digestion process can be used to produce biogas containing methane. In the light of the growing demand for substrates, a variety of raw materials are required. These substrates should be suitable for anaerobic digestion, and processing them need to provide the desired amount of energy. This paper aims to discuss the agricultural biogas market in Poland, its current state, and the possibility of development during energy transformation, in particular in terms of using waste as a substrate for energy production. In February 2022, there were 130 agricultural biogas plants registered in Poland. On the other hand, in 2020, 4,409,054.898 Mg of raw materials were used to produce agricultural biogas in Poland. Among all the substrates used, waste played a special role. With the right amount of raw materials and proper management of a biogas plant, it is possible to produce electricity and provide stable and predictable heat supply. Bearing in mind the development of the Polish and European biogas markets, attention should be paid to ensure access to raw materials from which chemical energy in the form of biogas can be generated. Due to limited access to farmland and the increasing demand for food production, one should expect that waste will be increasingly often used for biogas production, especially that with high energy potential, such as waste related to animal production and the meat industry.
    Źródło:
    Journal of Water and Land Development; 2023, 56; 45--50
    1429-7426
    2083-4535
    Pojawia się w:
    Journal of Water and Land Development
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Guidelines of the Association of Polish Surgeons and the Polish Society of Surgical Oncology on the accreditation of healthcare centers providing cytoreductive surgery and HIPEC for primary and secondary peritoneal cancers
    Autorzy:
    Jastrzębski, Tomasz
    Richter, Piotr
    Zegarski, Wojciech
    Dziki, Adam
    Wallner, Grzegorz
    Jeziorski, Arkadiusz
    Wysocki, Wojciech
    Jackowski, Marek
    Bębenek, Marek
    Olesiński, Tomasz
    Polkowski, Wojciech
    Wyrwicz, Lucjan
    Wydra, Dariusz
    Biernat, Wojciech
    Czauderna, Piotr
    Studniarek, Michał
    Polec, Tomasz
    Owczuk, Radosław
    Sommer, Anna
    Szewczyk, Krzysztof
    Mielko, Jerzy
    Powiązania:
    https://bibliotekanauki.pl/articles/1391728.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    accreditation
    cytoreduction
    HIPEC
    peritoneal cancer
    quality of treatment
    Opis:
    Surgical interventions in patients with peritoneal metastases combined with hyperthermic intraperitoneal chemotherapy (HIPEC) and systemic treatment are becoming more common and, when applied to selected patient groups, they reach 5-year survival rates of 32–52%. Good clinical outcomes require experienced and well-equipped healthcare centers, experienced surgical team and adequate patient qualification process. As a result of the discussion on the need for evaluation of quality of care and treatment outcomes and at the request of the Peritoneal Cancer Section of the Polish Society of Surgical Oncology, accreditation standards have been developed and the Accreditation Committee has been established for healthcare centers providing cytoreductive surgery and HIPEC for the management of primary and secondary peritoneal cancers.
    Źródło:
    Polish Journal of Surgery; 2020, 92, 4; 47-53
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-6 z 6

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