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    Wyświetlanie 1-4 z 4
    Tytuł:
    The Risk of Surgical Treatment in Patients Aged 85+, with Special Consideration of Colorectal Cancer
    Autorzy:
    Stępień, Renata
    Głuszek, Stanisław
    Kozieł, Dorota
    Kaczmarczyk, Małgorzata
    Powiązania:
    https://bibliotekanauki.pl/articles/1395734.pdf
    Data publikacji:
    2014-03-01
    Wydawca:
    Index Copernicus International
    Tematy:
    operative risk
    age 85+
    colorectal cancer
    Opis:
    The increase in prevalence of chronic diseases in old age is concomitant with increasing risk of neoplasms requiring surgical treatment. The aim of the study was to assess the indications, treatment outcomes, complications and mortality associated with surgical treatment of patients aged 85 or more, with special consideration of colorectal cancer. Material and methods. The retrospective analysis involved a group of 94 patents (x = 88.9) aged 85 or more and treated surgically in the years 2006-2011. The results were compared with a randomly selected control group of 91 patients aged 45-75 (x = 56,4) and treated surgically in the same period. Results. Neoplastic diseases in the study group (85 ≥), compared with the control group (< 75), were a significantly more frequent indication for surgical treatment (p < 0.01). In the group of patients aged 85 or more, the most frequent indications for elective surgery were neoplasms of the skin and subcutaneous tissue (26.4%) and gastrointestinal neoplasms, mainly colorectal cancer (23.5%). Postoperative complications were significantly more frequent (p < 0.01) among patients aged 85 or more (n = 27; 34.8%) than in the younger group (n = 17; 18.7%). Postoperative mortality among patients undergoing emergency surgery was significantly higher (p < 0.05) in the senior group than in the group of younger patients. Conclusions. Surgical procedures in patients aged 85 or more are most frequently performed in the emergency setting, and their most common cause are neoplastic diseases. Emergency surgical treatment in patients aged 85 or more is associated with a significantly higher risk, compared with younger age groups, of developing multi-organ postoperative complications, usually leading to death. Elective surgical treatment in patients aged 85+ after appropriate preoperative preparation and in the group of younger patients shows similar early outcomes.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 3; 132-140
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Zaburzenia poznawcze u osób w podeszłym wieku z uwzględnieniem poziomu hemoglobiny i witaminy B12 – doniesienie wstępne
    Autorzy:
    Walkiewicz, Katarzyna
    Dziegielewska-Gęsiak, Sylwia
    Fatyga, Edyta
    Giętek, Monika
    Kozieł, Paweł
    Muc-Wierzgoń, Małgorzata
    Kokot, Teresa
    Nowakowska-Zajdel, Ewa
    Powiązania:
    https://bibliotekanauki.pl/articles/552747.pdf
    Data publikacji:
    2015
    Wydawca:
    Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
    Tematy:
    wiek podeszły
    niedobór witaminy B12
    zaburzenia poznawcze
    anemia
    Źródło:
    Family Medicine & Primary Care Review; 2015, 3; 225-228
    1734-3402
    Pojawia się w:
    Family Medicine & Primary Care Review
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    1000 Liver Transplantations at the Department of General, Transplant and Liver Surgery, Medical University of Warsaw - Analysis of Indications and Results
    Autorzy:
    Krawczyk, Marek
    Grąt, Michał
    Barski, Krzysztof
    Ligocka, Joanna
    Antczak, Arkadiusz
    Kornasiewicz, Oskar
    Skalski, Michał
    Patkowski, Waldemar
    Nyckowski, Paweł
    Zieniewicz, Krzysztof
    Grzelak, Ireneusz
    Pawlak, Jacek
    Alsharabi, Abdulsalam
    Wróblewski, Tadeusz
    Paluszkiewicz, Rafał
    Najnigier, Bogusław
    Dudek, Krzysztof
    Remiszewski, Piotr
    Smoter, Piotr
    Grodzicki, Mariusz
    Korba, Michał
    Kotulski, Marcin
    Cieślak, Bartosz
    Kalinowski, Piotr
    Gierej, Piotr
    Frączek, Mariusz
    Rdzanek, Łukasz
    Stankiewicz, Rafał
    Kobryń, Konrad
    Nazarewski, Łukasz
    Leonowicz, Dorota
    Urban-Lechowicz, Magdalena
    Skwarek, Anna
    Giercuszkiewicz, Dorota
    Paczkowska, Agata
    Piwowarska, Jolanta
    Gelo, Remigiusz
    Andruszkiewicz, Paweł
    Brudkowska, Anna
    Andrzejewska, Renata
    Niewiński, Grzegorz
    Kilińska, Beata
    Zarzycka, Aleksandra
    Nowak, Robert
    Kosiński, Cezary
    Korta, Teresa
    Ołdakowska-Jedynak, Urszula
    Sańko-Resmer, Joanna
    Foroncewicz, Bartosz
    Ziółkowski, Jacek
    Mucha, Krzysztof
    Senatorski, Grzegorz
    Pączek, Leszek
    Habior, Andrzej
    Lechowicz, Robert
    Polański, Sławomir
    Leowska, Elżbieta
    Pacho, Ryszard
    Andrzejewska, Małgorzata
    Rowiński, Olgierd
    Kozieł, Sławomir
    Żurakowski, Jerzy
    Ziarkiewicz-Wróblewska, Bogna
    Górnicka, Barbara
    Hevelke, Piotr
    Michałowicz, Bogdan
    Karwowski, Andrzej
    Szczerbań, Jerzy
    Powiązania:
    https://bibliotekanauki.pl/articles/1396689.pdf
    Data publikacji:
    2012-06-01
    Wydawca:
    Index Copernicus International
    Tematy:
    liver transplantation
    indications
    results
    mortality
    Opis:
    The aim of the study was to analyze indications and results of the first one thousand liver transplantations at Chair and Clinic of General, Transplantation and Liver Surgery, Medical University of Warsaw.Material and methods. Data from 1000 transplantations (944 patients) performed at Chair and Clinic of General, Transplantation and Liver Surgery between 1994 and 2011 were analyzed retrospectively. These included 943 first transplantations and 55 retransplantations and 2 re-retransplantations. Frequency of particular indications for first transplantation and retransplantations was established. Perioperative mortality was defined as death within 30 days after the transplantation. Kaplan-Meier survival analysis was used to estimate 5-year patient and graft survival.Results. The most common indications for first transplantation included: liver failure caused by hepatitis C infection (27.8%) and hepatitis B infection (18%) and alcoholic liver disease (17.7%). Early (< 6 months) and late (> 6 months) retransplantations were dominated by hepatic artery thrombosis (54.3%) and recurrence of the underlying disease (45%). Perioperative mortality rate was 8.9% for first transplantations and 34.5% for retransplantations. Five-year patient and graft survival rate was 74.3% and 71%, respectively, after first transplantations and 54.7% and 52.9%, respectively, after retransplantations.Conclusions. Development of liver transplantation program provided more than 1000 transplantations and excellent long-term results. Liver failure caused by hepatitis C and B infections remains the most common cause of liver transplantation and structure of other indications is consistent with European data.
    Źródło:
    Polish Journal of Surgery; 2012, 84, 6; 304-312
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-4 z 4

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