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Tytuł:
Perforation Of the peptic ulcer localized IN the proximal jejunum – case report
Autorzy:
Żyluk, Andrzej
Szlosser, Zbigniew
Powiązania:
https://bibliotekanauki.pl/articles/1393894.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
small bowel perforation
small bowel ulceration
peritonitis
Opis:
Non-traumatic perforation of the digestive tract occurs most often in the duodenum and stomach (peptic ulcer), as well as the colon (diverticulitis, cancer or ischemic lesions). Perforation of the small bowel is very rare. The Authors of the study presented a case of proximal jejunum perforation, which occurred in a patient with a history of duodenal peptic ulcer disease. Diagnosis posed no difficulties, and treatment included the excision of the ulceration and suturing of the bowel. The patient recovered without complications and the histological examination failed to reveal the nature of the ulcer. However, based on the medical history, one may suppose that it might be of peptic etiology, which makes this case exceptional.
Źródło:
Polish Journal of Surgery; 2016, 88, 4; 215-217
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Gastrointestinal obstruction in patients previously treated for ma
Autorzy:
Budzyński, Piotr
Pędziwiatr, Michał
Kenig, Jakub
Lasek, Anna
Winiarski, Marek
Major, Piotr
Wałęga, Piotr
Natkaniec, Michał
Rubinkiewicz, Mateusz
Rogala, Joanna
Budzyński, Andrzej
Powiązania:
https://bibliotekanauki.pl/articles/1393965.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
gastrointestinal obstruction
adhesive bowel obstruction
malignant bowel obstruction
Opis:
Bowel obstruction is a common condition in acute surgery. Among the patients, those with a history of cancer consist a particular group. Difficulties in preoperative diagnosis – whether obstruction is benign or malignant and limited treatment options in patients with reoccurrence or dissemination of the cancer are typical for this group. The aim of the study was to analyze causes of bowel obstruction in patients with history of radical treatment due to malignancy. Material and methods. Patients with symptoms of bowel obstruction and history of radical treatment for malignancy who were operated in 2nd and 3rd Department of General Surgery JUCM between 2000 and 2014 were included into the study. The patients were divided into 2 groups based on type of mechanical bowel obstruction (group 1 – adhesions, group 2 – malignant process). Results. 128 patients were included into the study – group 1: 67 (52.3%) and group 2: 61 (47.7%). In the second group bowel obstruction was caused by reoccurrence in 25 patients (40.98%) and dissemination in 36 (59.02%). The mean time between onset of the symptoms of bowel obstruction and the end of treatment for the cancer was 3.7 and 4.4 years, respectively in group 1 and 2 (p>0.05). Median time between onset of the symptoms and admission to Emergency Department was significantly longer in patients with malignant bowel obstruction compared to those with adhesions (11.6 ±17.8 days vs 5.1 ± 6.9 days, p=0.01). Considering type of surgery due to bowel obstruction, in first group in most patients (69.2%) bowel resection was not necessary and in the second group creation of jejuno-, ileo- or colostomy was the most common procedure. Morbidity was significantly higher in second group (45.9% vs 28.26%, p<0.05) but there was no difference in mortality (26% vs 24%, p>0.05). In both groups the most common localization of primary malignancy was colon. Conclusions. In analyzed group of patients frequency of bowel obstruction caused by adhesions and malignancy was similar. However, in patients with bowel obstruction caused by malignancy morbidity was significantly higher and duration of symptoms was longer. There was no diagnostic procedure which would allow to differentiate the cause of bowel obstruction preoperatively and the diagnosis was made during the operation.
Źródło:
Polish Journal of Surgery; 2016, 88, 2; 93-98
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Peritoneal Adhesions as a Cause of Mechanical Small Bowel Obstruction Based on Own Experience
Autorzy:
Morawski, Bartłomiej
Nawrot, Ireneusz
Klonowski, Włodzimierz
Mądrecki, Marek
Tarnowski, Wiesław
Powiązania:
https://bibliotekanauki.pl/articles/1395985.pdf
Data publikacji:
2015-02-03
Wydawca:
Index Copernicus International
Tematy:
peritoneal adhesions
mechanical small bowel obstruction
adhesive small bowel obstruction
Opis:
Bowel obstruction is a condition which has been known for many years. As time goes by, the problem is still often encountered at surgical emergency rooms. More than 20% of emergency surgical interventions are performed because of symptoms of digestive tract obstruction with the disease mostly situated in the small bowel. Rates of causative factors of the disease have changed over recent years and there have been increasingly more cases of small bowel obstruction caused by peritoneal adhesions, i.e., adhesive small bowel obstruction (ASBO). The aim of the study to analyse the reasons and incidence of adhesive small bowel obstruction during two periods of time (1990-1995 and 2005-2010). Material and methods. We performed a retrospective analysis of medical records of patients hospitalized at the 1st Department of General Surgery and Surgical Oncology of the Provincial Polyclinic Hospital in Płock between 1990 and 1995. The outcomes were compared with another period of 2005-2010. Results. We found that the incidence of adhesive small bowel obstruction increased from 58 cases in the first period to 215 cases in the second one, and the outcomes improved. The proportion of patients who underwent surgery diminished from 38% to 13%. The mean hospitalization time shortened and was 11.3 days and 6.95 days during 1990-1995 and 2005-2010 periods of time, respectively. In the first group, patients who had a surgery were hospitalized for 17.8 days and those who were treated conservatively for 8.08 days. In the second group, the mean hospital stay decreased to 15.6 days and 5.7 days in the case of surgical and conservative treatment, respectively. The age of onset declined from 56.63 years in the first period to 52.54 years in the other one. Conclusions. Analysed data show an increasing number of patients with adhesive small bowel obstruction. The highest risk of the disease was associated with operations on the large bowel and gynaecological procedures.
Źródło:
Polish Journal of Surgery; 2014, 86, 11; 523-531
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation Of Irritable Bowel Syndrome Symptoms Amongst Warsaw University Students
Autorzy:
Niemyjska, Sylwia
Ukleja, Anna
Ławiński, Michał
Powiązania:
https://bibliotekanauki.pl/articles/1395637.pdf
Data publikacji:
2015-05-01
Wydawca:
Index Copernicus International
Tematy:
irritable bowel syndrome
IBS
Opis:
Irritable bowel syndrome (IBS) belongs to functional gastrointestinal disorders and is characterized by abdominal pain and change in stool consistency and/or bowel habits. Etiological factors include gastrointestinal peristalsis disturbances, visceral hypersensitivity, chronic inflammation of the mucous membrane, dysbacteremia, intestinal infections, psychosomatic and nutritional factors. Gastrointestinal motility disturbances in case of IBS are manifested by the inhibition of the intestinal passage, which favors the development of constipation or occurrence of diarrhea. The aim of the study was to evaluate IBS symptoms and demonstrate the relationship between physical activity and place of residence amongst Warsaw University students. Material and methods. The study was conducted in march, 2014 using a specific questionnaire, amongst Warsaw University students. The study group comprised 120 female patients, aged between 19 and 27 years (M=23.43; SD=1.29). The chi-square test was used for analysis, p<0.05 was considered as statistically significant. Results. The BMI of investigated patients ranged between 16.30-31.22 kg/m2 (M=21.27; SD=2.71). The majority of respondents (76.6%) weighed within the normal limits. Abdominal pain or discomfort occurred more frequently in the group of students who considered their physical activity as low. In case of respondents with a low physical activity bowel movement disorders and stool continence changes occurred more often, as compared to those with moderate physical activity. The most common symptom was rectal tenesmus, the least common-presence of mucous in the stool. Analysis showed that students with low physical activity were more frequently absent from school/work, due to abdominal symptoms. The respondents with moderate activity more often considered their abdominal symptoms, being associated with stress. Conclusions. IBS symptoms are common amongst Warsaw University students. In case of respondents with low physical activity, abdominal pain or discomfort occurred more often. It has been demonstrated that diet and stress might contribute to the occurrence of abdominal symptoms, being evidence of IBS.
Źródło:
Polish Journal of Surgery; 2015, 87, 5; 252-259
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Calcifying Fibrous Tumor of the Small Bowel Mesentery in a 27-Year Old Male Patient - Case Report
Autorzy:
Wesecki, Mariusz
Radziuk, DaGmara
Niemiec, Szymon
Waniczek, Dariusz
Lorenc, Zbigniew
Powiązania:
https://bibliotekanauki.pl/articles/1395834.pdf
Data publikacji:
2014-12-18
Wydawca:
Index Copernicus International
Tematy:
small bowel mesentery tumor
CFT
Opis:
Calcifying fibrous tumor is a rare disease entity, usually concerning the soft tissues of the limbs, neck, trunk, or scrotum. Cases of the above-mentioned pathology have also been reported considering the pleural and peritoneal cavity, and small bowel mesentery. The essence of the disease, whose etiology and pathogenesis remains unclear, is the fibrous tissue infiltration and diffuse inflammation with focal calcifications. The study presented a case of a 27-year old male patient subjected to surgical intervention, due to an abdominal cavity tumor. The tumor was radically removed, and its character and definitive diagnosis were established postoperatively. After a seven-year follow-up period, recurrence was not observed.
Źródło:
Polish Journal of Surgery; 2014, 86, 9; 436-439
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ocena częstości powikłań śródoperacyjnych i okołooperacyjnych związanych z resekcją jelita w trakcie operacji cytoredukcyjnych u chorych leczonych z powodu raka jajnika w stopniu III-IV wg FIGO
The evaluation of intra- and postoperative complications related to debulking surgery with bowel resection in patients with FIGO stage III-IV ovarian cancer
Autorzy:
Bidziński, Mariusz
Derlatka, Paweł
Ziółkowska-Seta, Izabela
Kubik, Paweł
Gmyrek, Leszek
Sobiczewski, Piotr
Dańska-Bidzińska, Anna
Panek, Grzegorz
Powiązania:
https://bibliotekanauki.pl/articles/908167.pdf
Data publikacji:
2006
Wydawca:
Medical Communications
Tematy:
complications related to bowel surgery
Opis:
Introduction: The surgical treatment of advanced ovarian cancer patients is based on the maximal debulking. In a lot of patients, the necessity of widening operation range to the infiltrated organs takes place. These procedures may be connected with higher risk of intraoperative and early postoperative complications. Sometimes, the exteriorization of ileostomy is necessary, what leads to the quality of life deterioration. Aims of the study: 1) The assessment of the quantity and quality of intra- and postoperative complications in ovarian cancer patients with FIGO stage III-IV in which, to achieve the optimal debulking, partial bowel resection was performed. 2) The evaluation of intra- and postoperative complications, related to surgery with bowel resection, compared to Hartmann surgery in examined group of patients. Material and method: The analysis of 39 debulking surgical procedures with partial intestinal resection and postoperative period in ovarian cancer patients, FIGO stage III-IV, was performed. The following factors were analyzed: the size of excised tumor, the intestinal resection range, method of anastomosis or stoma exteriorization, size of lesions left, blood loss, hemoglobin concentration before and after surgery, quantity and reasons for reoperations, postoperative complications, the length of hospitalizations, time to start with chemotherapy treatment. Results: During 39 operations, the most frequent type of intestinal resection was the sigmoidectomy or proctosigmoidectomy. This kind of surgery was performed in 29 patients. In the remaining patients, left- and right-side hemicolectomy or partial enterectomy was done. There were 24 enteroenterostomies performed, and 15 Hartmann procedures. In 32 patients, the diameter of left tumor lesions was less than 10 mm. Among complications forcing the reoperations were: bleeding in 3 (7.6%) patients, the separation of anastomosis in 3 (7.6%) patients, bowel obstruction in 1 (2.5%) patient, stomach perforation in 1 (2.5%) patient. There were no deaths during postoperative period. There were not noted any differences between surgery with anastomosis and Hartmann surgery in aspect of quantity of complications, blood loss, and the time of surgery. Conclusions: Intestinal resection, during debulking surgery in advanced ovarian cancer patients, brings good results, and complications related to surgery are to be accepted. The quantity of perioperative complications, related to surgery with anastomosis, and to Hartmann surgery is similar. If it is possible, the surgery with enteroenterostomosis should be performed.
Wstęp: Leczenie operacyjne chorych na zaawansowanego raka jajnika oparte jest na dążeniu do maksymalnej cytoredukcji. U wielu pacjentek zachodzi potrzeba rozszerzenia zakresu operacji o narządy, w których stwierdzono naciek nowotworowy. Operacje takie mogą się wiązać z większym ryzykiem powikłań śródoperacyjnych i wczesnych pooperacyjnych. Niekiedy konieczne jest wyłonienie stomii jelitowej, co prowadzi do pogorszenia jakości życia chorych. Cele pracy: 1) Ocena liczby i jakości powikłań śród- i pooperacyjnych u chorych leczonych z powodu raka jajnika w stopniu III-IV wg FIGO, u których w celu uzyskania optymalnej cytoredukcji wycięto część jelita. 2) Ocena powikłań śród- i pooperacyjnych związanych z operacjami z zespoleniem jelitowym w porównaniu z zabiegami typu Hartmanna w badanej grupie chorych. Materiał i metoda: Analizowano 39 operacji cytoredukcyjnych z resekcją fragmentu jelita oraz okres pooperacyjny u chorych na raka jajnika w stopniu III-IV wg FIGO. W opisowej analizie wyników wzięto pod uwagę: wielkość usuniętego guza, zakres resekcji jelita, sposób zespolenia lub wyłonienie stomii, wielkość pozostawionych resztek, utratę krwi i stężenie hemoglobiny przed i po zabiegu, ilość i powody wykonanych reoperacji, powikłania pooperacyjne, długość hospitalizacji oraz czas do rozpoczęcia chemioterapii. Wyniki: Podczas 39 operacji najczęstszym rodzajem resekcji jelitowej było wycięcie esicy lub esicy i odbytnicy. Zabieg taki przeprowadzono u 29 pacjentek. U pozostałych chorych wykonano lewo- i prawostronne hemikolektomie lub resekcję fragmentu jelita cienkiego. Wykonano 24 zespolenia i 15 operacji Hartmanna. U 32 chorych średnica pozostawionych ognisk nie przekraczała 10 mm. Wśród powikłań zmuszających do reoperacji zanotowano: krwawienie u 3 (7,6%) chorych, rozejście się zespolenia u 3 (7,6%) chorych, niedrożność u 1 (2,5%) pacjentki, perforację żołądka u 1 (2,5%) chorej. Nie było zgonów w okresie pooperacyjnym. Nie stwierdzono zasadniczych różnic między zabiegami z zespoleniem a operacjami Hartmanna pod względem ilości powikłań, utraty krwi i czasu operacji. Wnioski: Resekcja jelitowa w trakcie operacji cytoredukcyjnej u chorych na zaawansowanego raka jajnika przynosi dobre efekty, a towarzyszące zabiegowi powikłania są do zaakceptowania. Liczba powikłań okołooperacyjnych związanych z operacjami z zespoleniem i operacjami Hartmanna jest podobna. O ile to możliwe, należy dążyć do wykonywania zespoleń.
Źródło:
Ginekologia Onkologiczna; 2006, 4, 1; 14-22
1731-5379
Pojawia się w:
Ginekologia Onkologiczna
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
FECAL MICROBIOTA TRANSPLANTATION IN ADULTS AS A MODERN FORM OF PAST “COPROTHERAPY”: HOPE OR HYPE?
Autorzy:
Ksiądzyna, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/895703.pdf
Data publikacji:
2020-06-29
Wydawca:
Polskie Towarzystwo Farmaceutyczne
Tematy:
irritable bowel syndrome
dysbiosis
Clostridium difficile
fecal microbiota transplantation
intestinal microbiota
inflammatory bowel disorders
Opis:
The influence of intestinal microbiota on the human health and disease is of great importance. Fecal microbiota transplantation (FMT) defined as the transfer of the stool-derived microbiota of the distal gastrointestinal (GI) tract from a healthy donor to a patient with a disease attributable to intestinal dysbiosis is, in addition to the use of probiotics, prebiotics, synbiotics and eubiotics, one of the methods to restore eubiosis. Thorough medical history and physical examination followed by a set of blood and stool laboratory tests should be performed in a potential stool donor. Stool-derived microbiota may be administered through the upper and/or lower GI tract. FMT is believed to be a well-tolerated and, in general, safe procedure. The emergence of stool banks of frozen feces-derived material containing intestinal microbiota and the availability of convenient oral capsules with selected components of feces would definitely facilitate the use of this method in both research and the clinics. An inflammation caused by Clostridium difficile is the most often indication for FMT. Other conditions include inflammatory bowel disease, irritable bowel syndrome or the eradication of multi-drug resistant microorganisms. However, the list of potential indications rapidly increases. Further randomized double-blind studies in humans are needed to confirm a real benefit-risk ratio and clinical value of FMT, especially in extraintestinal disorders like obesity, diabetes mellitus, metabolic syndrome, fatty liver disease, hepatic encephalopathy, allergy, autism, depression or dementia.
Źródło:
Acta Poloniae Pharmaceutica - Drug Research; 2020, 77, 3; 391-401
0001-6837
2353-5288
Pojawia się w:
Acta Poloniae Pharmaceutica - Drug Research
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A Case of Portomesenteric Venous Gas Detected on Computed Tomography
Autorzy:
Sierocka, Anita
Kalbarczyk, Katarzyna
Pawlus, Jan
Sulikowski, Tadeusz
Ostrowski, Marek
Powiązania:
https://bibliotekanauki.pl/articles/1396387.pdf
Data publikacji:
2013-09-01
Wydawca:
Index Copernicus International
Tematy:
portomesenteric vein gas
pneumobilia
bowel pneumatosis
Opis:
Portomesenteric vein gas is a rare condition, which patogenesis is not completly understood. One of causes is e.g. mesenteric ischemia. Patogenesis of this condition are: intraabdominal sepsis, interventional procedures, liver transplantation, Crohn disease and trauma. In 15% of causes its idiopatic. Hepatic portal venous gas predict high risk of mortality (>50%). An advanced radiology techniques such as computed tomography can be helpfull in recognizing of this pathology stage. We want to report a case of 83-year-old man with acute abdominal pain after cardiovascular procedure, with portomesenteric vein gas and bowel pneumatosis detected on computed tomography.
Źródło:
Polish Journal of Surgery; 2013, 85, 9; 517-519
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Fecal lactoferrin, a marker of intestinal inflammation in children with inflammatory bowel disease
Autorzy:
Borkowska, Anna
Liberek, Anna
Łuczak, Grażyna
Jankowska, Agnieszka
Plata-Nazar, Katarzyna
Korzon, Maria
Kamińska, Barbara
Powiązania:
https://bibliotekanauki.pl/articles/1039002.pdf
Data publikacji:
2015
Wydawca:
Polskie Towarzystwo Biochemiczne
Tematy:
fecal lactoferrin
inflammatory bowel disease
children
Opis:
The aim of this study was to analyze the usefulness of fecal lactoferrin in the diagnosis and monitoring of inflammatory bowel disease (IBD) in children. The study included 52 children with IBD (24 with Crohn's disease and 28 with ulcerative colitis) aged between 0.92 and 18 years, and 41 IBD-free controls of similar age. Fecal concentration of lactoferrin was determined with a quantitative immunoenzymatic test. Fecal concentration of lactoferrin in children with IBD was significantly higher than in the controls. The cut-off value of fecal lactoferrin concentration optimally distinguishing between the children with IBD and the controls was identified as 13 μg/g. The sensitivity and specificity of this cut-off value equaled 80.7% and 92.7%, respectively, and its positive and negative prognostic values were 96.8% and 63.3%, respectively. Patients diagnosed with moderate Crohn's disease had significantly higher fecal concentrations of lactoferrin than children with the mild or inactive disease. Similarly, children with moderate ulcerative colitis showed significantly higher fecal concentrations of lactoferrin than individuals with the mild condition. No significant relationship was found between the fecal concentration of lactoferrin and the severity of endoscopic lesions. Patients with IBD and a positive result of fecal occult blood test were characterized by significantly higher concentrations of lactoferrin than the individuals with IBD and a negative result of this test. In conclusion, fecal concentration of lactoferrin seems to be a useful parameter for diagnosis and monitoring of IBD in children.
Źródło:
Acta Biochimica Polonica; 2015, 62, 3; 541-545
0001-527X
Pojawia się w:
Acta Biochimica Polonica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Diagnosis and treatment of obscure small bowel bleedings - analysis of double balloon enteroscopy role in diagnosing and treatment algorythm on basis of own material
Autorzy:
Wojtkiewicz, Paweł
Nowak, Tomasz
Jankowski, Kamil
Łaski, Dariusz
Powiązania:
https://bibliotekanauki.pl/articles/1392659.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
double ballon enteroscopy
small bowel bleeding
Opis:
Introduction: Obscure gastrointestinal bleeding (OGIB) is defined as recurrent bleeding to gastrointestinal tract without evaluated origin, despite detailed endoscopic and image diagnostics. The most common reason of OGIB is small bowel bleeding (SBB). Methodology: Retrospective analysis of patients hospitalized in the Gastroenterology Department of VII Navy Hospital in Gdańsk with suspicion of OIGB. Results: Double balloon enteroscopy was performed in 31 cases. Origin of bleeding was founded in the small bowel in 87% of cases and in 64 % successful simultaneous therapeutic procedure was performed. No clinically relevant complications were noticed. Conclusion: According to actual diagnostic algorithms of OGIB, double balloon enteroscopy is highly effective also in the Polish medical care system. This technique is a safe and effective tool in diagnostics and treatment of SBB, but its availability is still limited in Poland.
Źródło:
Polish Journal of Surgery; 2018, 90, 3; 25-30
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Inflammatory bowel disease: the function of metalloproteinases
Autorzy:
Pasternak, Grzegorz
Aebisher, David
Filip, Rafał
Bartusik-Aebisher, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/454718.pdf
Data publikacji:
2018
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
inflammatory bowel disease
matrix metalloproteinases extracellular matrix
Opis:
Introduction. Inflammatory bowel disease (IBD) is a group of inflammatory conditions of the colon and small intestine. Aim. The aim of this work was to review the current literature regarding matrix metalloproteinases. The databases such as PubMed, ScienceDirect and Springer were utilized to search the literature for relevant articles. Materials and methods. An analysis of literature. We collected information, data, and examples of the function of metalloproteinases. Results. Herein we show that metalloproteinases play a role in such processes as the immune response, angiogenesis, the epithelial barrier function, fibrosis induced by the inflammatory process, and in the process of carcinogenesis. Conclusions. Further studies on the role of metalloproteinases in the process of carcinogenesis associated with inflammatory bowel diseases are required.
Źródło:
European Journal of Clinical and Experimental Medicine; 2018, 4; 346-349
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ulcerative colitis accompanied by aseptic abscesses syndrome and small-vessel vasculitis
Autorzy:
Wawrzycki, Bartłomiej
Chodorowska, Grażyna
Pietrzak, Aldona
Prystupa, Andrzej
Krupski, Witold
Mosiewicz, Jerzy
Krasowska, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/972404.pdf
Data publikacji:
2016
Wydawca:
Instytut Medycyny Wsi
Tematy:
leukocytoclastic vasculitis
aseptic absecesses
inflammatory bowel disease
Opis:
Introduction. Cutaneous small-vessel vasculitis and aseptic abscesses syndrome are among the rarest extraintestinal manifestations of bowel inflammatory diseases. Materials and methods. The study describes the case of a 19-year-old female admitted to the Department of Dermatology due to cutaneous small-vessel vasculitis. In order to reach the final diagnosis, a wide spectrum of laboratory and diagnostic tests were performed. Three subsequent abdominal CT scans confirmed the presence of hypodense foci, initially in the spleen, and subsequently in the liver. The aseptic abscesses syndrome was diagnosed based on the radiological picture and the exclusion of infectious causes of the above-described foci. Objective. Presentation of a case of concomitance of cutaneous small vessel vasculitis and septic absecess, accompanied by inflammatory bowel disease. Results. During the hospitalisation, the patient developed symptoms of paralytic ileus. The results of colonoscopy and biopsy of intestinal mucous membrane were typical of ulcerative colitis. Conclusions. To the best of the authors’ knowledge, this is the first presentation of ulcerative colitis accompanied by aseptic abscesses syndrome concomitant with cutaneous small vessel vasculitis.
Źródło:
Journal of Pre-Clinical and Clinical Research; 2016, 10, 2; 140-143
1898-2395
Pojawia się w:
Journal of Pre-Clinical and Clinical Research
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The influence of bowel preparation on postoperative complications in surgical treatment of colorectal cancer
Autorzy:
Małek, Zbigniew
Małek, Piotr
Dziki, Łukasz
Powiązania:
https://bibliotekanauki.pl/articles/1391936.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
mechanical bowel preparation
colorectal cancer
postoperative complications
Opis:
Introduction Colorectal cancer is the most common gastrointestinal cancer treated by departments and surgical clinics in Poland. Currently, the biggest challenge of surgery is to reduce the number of leaks in the bowel anastomoses and postoperative wound infections to a minimum. Objective Whether bowel preparation before surgery affects the early results of treatment? Methods The study was retrospective and included patients operated electively on one surgical center due to colorectal and rectal cancer in years 2013-2018. Patients who underwent surgery were divided into two groups in the study. The first was 109 patients with mechanical bowel irrigation. The second group of 118 patients, in addition to mechanical bowel preparation, received an oral antibiotic. Results The studied groups did not differ significantly in terms of traits that could affect the results of treatment within 30 days of surgery. Postoperative mortality was 0,9% and 0,85%. Complications: leakage of the bowel anastomosis 1,8% and 1,7%, postoperative obstruction 3,7% and 5,0%, wound dehiscence 2,75% and 0,85%, infection of the surgical site 13,8% and 3,4% respectively in the first and second group of patients. Conclusion 1. Mechanical bowel preparation in combination with the oral supply of antibiotic significantly reduces the frequency of surgical site infection compared to the mechanical rinsing itself. 2. Type of preparation of the intestine before the surgery does not significantly affect postoperative mortality and other complications, including anastomotic leak, but may be important for the frequency of postoperative wound dehiscence.
Źródło:
Polish Journal of Surgery; 2019, 91, 3; 10-14
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation of effect CAT -262C/T, SOD + 35A/C, GPx1 Pro197Leu polymorphisms in patients with ibd in the polish population
Autorzy:
Mrowicki, Jerzy
Mrowicka, Małgorzata
Majsterek, Ireneusz
Mik, Michał
Dziki, Adam
Dziki, Łukasz
Powiązania:
https://bibliotekanauki.pl/articles/1393718.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
genetic polymorphism
antioxidant enzyme
inflammatory bowel disease
Opis:
Inflammatory bowel disease (IBD) are a heterogeneous group of disorders in the course dominated by chronic, recurrent gastrointestinal inflammation. It is believed that the activation of IBD occurs in patients with a genetic predisposition to their development. Chronic inflammation develops as a result of an excessive reaction of the immune system principally under the influence of environmental risk factors. Among them, it has been shown that the mechanism of oxidative stress is associated with the pathophysiology of inflammatory bowel disease, responsible for the commencement and progress of these diseases. The aim of the study was the relationship between single nucleotide polymorphisms (SNPs) of individual antioxidant enzymes, and the prevalence of inflammatory bowel disease that may be associated with increased levels of oxidative stress. Material and methods. A total of 111 IBD patients, including 65 patients with ulcerative colitis (UC) and 46 with Crohn’s disease (CD) and 125 healthy controls recruited from the Polish population, were genotyped for CAT -262C / T (rs1001179), SOD + 35A / C (rs2234694), GPx Pro 197 Leu polymorphisms. Genotyping of CAT, SOD, GPx gene polymorphism was performed by a RFLP-PCR. Results. The performed analysis of genetic polymorphisms of antioxidant enzymes showed that polymorphic variant of the CAT -262 C / T may have protective effects in patients with ulcerative colitis in the range of genotype C / T; OR = 0.49 (0.25-0.99), p = 0.044. Trend protective, but statistically unrelated, it was also observed for genotype T / T and T allele of the same polymorphism and genotypes and alleles + 35A / C SOD1 in UC as well as polymorphic variants CAT -262 C / T, Pro197Leu of GPx1, + 35A / C SOD1 in CD. The results were compared with a control group of potentially healthy individuals without such diseases. Conclusions. It has been shown that the polymorphism of antioxidant enzymes CAT gene -262 C / T may have protective effects in patients who are carriers of a genotype C / T at the UC. The potential protective effect without statistical relationships were also observed for other genotypes and alleles studied polymorphic variants of antioxidant enzymes in CD and CAT- 262C / T and + 35 A / C SOD1 in UC. Conducted our audit should be extended to more group of patients in order to assess whether or not to confirm the observed during analysis, the protective effect of CAT-262 C / T in ulcerative colitis and other trends observed for other polymorphic variants tested genes.
Źródło:
Polish Journal of Surgery; 2016, 88, 6; 565-575
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ultrasound findings in extragenital endometriosis
Wyniki badań ultrasonograficznych u pacjentek z endometriozą zlokalizowaną poza narządami rozrodczymi
Autorzy:
Dong, Yi
Braden, Barbara
Klinger, Christoph
Ripolles, Tomás
Dietrich, Christoph F.
Powiązania:
https://bibliotekanauki.pl/articles/1032342.pdf
Data publikacji:
2018
Wydawca:
Medical Communications
Tematy:
Crohn disease
colitis
diarrhea
guideline
inflammatory bowel disease
Opis:
We present a report on ultrasound findings in extragenital endometriosis and a literature review accompanied by illustrations. Intestinal endometriosis should be considered in female patients of reproductive age who present with constipation, gastrointestinal bleeding, nausea, vomiting, cramp-like abdominal pain, diarrhoea and pelvic pain. Although definitive preoperative diagnosis of endometriosis is difficult, clinical suspicion and appropriate imaging might prevent extensive surgical procedures with higher morbidity. Contrast-enhanced ultrasound is an efficient non-invasive imaging method without any radiation exposure that supports the early diagnosis of intestinal endometriosis and may help assess the vascularization of endometriotic lesions within the distinct layers of the intestinal wall.
Autorzy przedstawiają sprawozdanie dotyczące badań ultrasonograficznych przeprowadzonych u pacjentek z endometriozą zlokalizowaną poza narządami rozrodczymi wraz z przeglądem piśmiennictwa poparte przykładami klinicznymi. U pacjentek w wieku rozrodczym, u których występują zaparcia, krwawienie z przewodu pokarmowego, nudności, wymioty, bolesne skurcze brzucha, biegunka i ból w obrębie miednicy mniejszej należy rozważyć endometriozę jelitową. Choć postawienie ostacznego rozpoznania przedoperacyjnego jest trudne, wysunięcie klinicznego podejrzenia oraz odpowiednie badania obrazowe mogą pozwolić na uniknięcie rozległego zabiegu chirurgicznego obarczonego wyższą częstością powikłań. Badanie ultrasonograficzne z użyciem środka kontrastującego to skuteczna i nieinwazyjna metoda obrazowania, która nie wiąże się z narażeniem pacjentki na promieniowanie oraz która może zasugerować wczesne rozpoznanie endometriozy jelitowej i pomóc w ocenie unaczynienia zmian endometrialnych w obrębie poszczególnych warstw ściany jelita.
Źródło:
Journal of Ultrasonography; 2018, 18, 74; 247-254
2451-070X
Pojawia się w:
Journal of Ultrasonography
Dostawca treści:
Biblioteka Nauki
Artykuł
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