Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

English (EN)·Polski (PL)·Yкраїнський (UK)
Przejdź do strony domowej biblioteki Centralna Biblioteka Wojskowa Link otwiera się w nowym oknie Logo biblioteki Prolib Integro - strona głównaCentralna Biblioteka Wojskowa

Wyszukujesz frazę "endoscopic" wg kryterium: Temat

  Lista filtrów
Wyrównaj
Wyświetlanie 1-25 z 64
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:
A periampullary duodenal diverticula in patient with choledocholithiasis – single endoscopic center experience
Autorzy:
Major, Piotr
Dembiński, Marcin
Winiarski, Marek
Pędziwiatr, Michał
Rubinkiewicz, Mateusz
Stanek, Maciej
Dworak, Jadwiga
Pisarska, Magdalena
Rembiasz, Kazimierz
Budzyński, Andrzej
Powiązania:
https://bibliotekanauki.pl/articles/1393717.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
choledocholithiasis
digestive system endoscopic surgery
diverticulum
endoscopic retrograde cholangiopancreatography
prevalence
Opis:
The reported prevalence of periampullary duodenal diverticula varies between 9 and 32.8%. The aim of the study was to evaluate the prevalence of periampullary diverticula in the studied population and establish whether their presence influence the risk of choledocholithiasis and the risk of Endoscopic Retrograde Cholangio Pancreatography (ERCP) related complications. Material and methods. The study group of 3788 patients who underwent ERCP between 1996 and 2016at the 2nd Department of General Surgery Jagiellonian University Medical College in Kraków were analyzed. The group comprised of 2464 women (mean age 61.7 years) and 1324 men (mean age 61.8 years). The patients were divided into two groups. Group A included patients in whom there were no periampullary diverticula detected. Group B included patients in whom the opening of the bile duct was in the vicinity of a duodenal diverticulum. Results. There were 3332 patients included in group A (2154 women and 1178 men) and 456 patients in group B (310 women and 146 men). The prevalence of periampullary duodenal diverticula in the analyzed group was 12.8%. The presence of stones or biliary sludge was diagnosed in 1542 patients (47.6%) in group A and 290 patients (68.1%) in group B. Recurrence of choledocholithiasis occurred in 4.5% of patients (70/1542) in group A and 10.3% of patients (30/290) in group B. Complications occurred in a total of 76 patients in group A (2.3%) and 22 patients in group B (4.8%). Conclusions. The presence of choledocholithiasis and the risk of ERCP related complications are significantly higher in the group with duodenal diverticula.
Źródło:
Polish Journal of Surgery; 2016, 88, 6; 576-586
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
New endoscopic treatment methods for PPI-resistant GERD
Autorzy:
Sosna, Barbara
Bartusik-Aebisher, Dorota
Cieślar, Grzegorz
Kawczyk-Krupka, Aleksandra
Latos, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/2040513.pdf
Data publikacji:
2021-12-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
diagnostics
endoscopic treatment
gastrology
Opis:
Introduction. Gastroesophageal reflux disease (GERD) is a common disease with the highest prevalence in North America. Up to 40% of patients report persistent gastroesophageal reflux disease (GERD) symptoms despite proton pump inhibitor (PPI) therapy. Aim. The aim of this article is to complete discuss the GERD characterized by heartburn and/or regurgitation symptoms. Material and methods. We discuss here the evidence for medical therapy for PPI nonresponsive GERD. Analysis of the literature. GERD may present with a variety of other symptoms, including water brash, chest pain or discomfort, dysphagia, belching, epigastric pain, nausea, and bloating. In addition, patients may experience extraesophageal symptoms like cough, hoarseness, throat clearing, throat pain or burning, wheezing, and sleep disturbances. Conclusion. There has been an increase in GERD prevalence. GERD is one of the most common gastrointestinal disorders managed by gastroenterologists and primary care physicians.
Źródło:
European Journal of Clinical and Experimental Medicine; 2021, 4; 322-325
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Endoscopic treatment of extensive walled-off pancreatic necrosis with the use of single transluminal gateway transcystic multiple drainage (SGTMD)
Autorzy:
Jagielski, Mateusz
Smoczyński, Marian
Adrych, Krystian
Powiązania:
https://bibliotekanauki.pl/articles/1392734.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
acute necrotizing pancreatitis
walled-off pancreatic necrosis
endoscopic drainage
endoscopic necrosectomy
Opis:
The paper presents a description of the course of severe acute necrotizing pancreatitis as well as endoscopic treatment of an extensive infected walled-off pancreatic necrosis (WOPN), being the consequence of acute pancreatitis. The basic strategy of interventional treatment was to extend access to necrotic areas with use of single transluminal gateway transcystic multiple drainage (SGTMD). Endoscopic transmural access (transgastric) was applied. Endoscopic necrosectomy under fluoroscopic guidance was repeated nine times during active transluminal drainage. Endotherapy with use of SGTMD, as well as endoscopic necrosectomy became a successful and safe technique of treatment. Moreover, the paper proved the efficiency of endotherapy in the treatment of complete pancreatic duct disruption in the course of acute necrotizing pancreatitis.
Źródło:
Polish Journal of Surgery; 2018, 90, 2; 54-59
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Description of minimally invasive methods of treatment of walled-off pancreatic necrosis (WOPN)- the use of „step up approach” in patient with pancreatic n
Autorzy:
Jagielski, Mateusz
Smoczyński, Marian
Studniarek, Michał
Adrych, Krystian
Powiązania:
https://bibliotekanauki.pl/articles/1394354.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
acute pancreatitis
walled-off pancreatic necrosis
endoscopic drainage
percutaneous drainage
endoscopic necrosectomy
Opis:
The study presents description of treatment of patients with walled-off pancreatic necrosis (WOPN). The strategy of treatment was to extend access to necrotic areas (“step-up approach”). Applied endoscopic transmural access (transgastric) and percutaneous access (transperitoneal). The endoscopic necrosectomy under fluoroscopic guidance was repeated four times during active transluminal drainage. Endoscopic treatment with percutaneous drainage gave very beneficial clinical effects.
Źródło:
Polish Journal of Surgery; 2015, 87, 8; 409-412
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Assessment of pharmacological prophylaxis for acute pancreatitis following ERCP in patients with choledoholithi
Autorzy:
Łubowska-Pająk, Ewa
Kołomecki, Krzysztof
Powiązania:
https://bibliotekanauki.pl/articles/1394242.pdf
Data publikacji:
2015
Wydawca:
Index Copernicus International
Tematy:
acute pancreatitis
endoscopic retrograde cholangiopancreatography
Opis:
Endoscopic retrograde cholangiopancreatography (ERCP) is an effective tool in the diagnostics and treatment of bile duct diseases. Although minimally invasive, the procedure is associated with a risk of complications, with acute pancreatitis being the most serious. In recent years, high hopes have been placed on pharmacological prevention of acute pancreatitis after ERCP. The aim of the study was assessment of the efficacy of low-molecular-weight heparin and somatostatin in combination with diclofenac in the prevention of acute pancreatitis after ERCP. Material and methods. The study enrolled three groups of 30 patients diagnosed with cholelithiasis; group I: patients who received low-molecular-weight heparin prior to ERCP, group II: patients who received somatostatin and diclofenac, group III: control group. The study assessed the incidence of acute pancreatitis, hyperamylasemia and increased CRP levels. Results. Acute pancreatitis was observed in 13.3% of group I patients, 10% of group II patients and 16.7% of group III patients (no statistical significance). Hyperamylasemia was observed in 16.7% of group I patients, 16.7% of group II patients and 43.3% of group III patients. These differences were statistically significant. No significant differences were found in the occurrence of increased CRP levels among the study groups. Conclusions. No significant reduction in the occurrence of acute pancreatitis after ERCP was observed in patients who received pharmacological prophylaxis. A significant reduction in the occurrence of hyperamylasemia was found in drug-treated patients
Źródło:
Polish Journal of Surgery; 2015, 87, 12; 620-625
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Mucocele of the sphenoid sinus: a rare entity to keep in mind
Autorzy:
Jjihene, Marrakchi
Maha, Mejbri
Mahfoudhi, Sana
Ghazi, Besbes
Powiązania:
https://bibliotekanauki.pl/articles/1399648.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
endoscopic
imaging
mucocele
sphenoid sinus
Opis:
Isolated sphenoid sinus mucocele (SSM) is a rare entity that can result in serious sequelae if diagnosis and treatment are inappropriately delayed. Typically, mucoceles are asymptomatic, and they are accidentally identified after computed tomography scan or magnetic resonance imaging of the maxillofacial area performed for other pathological issues. We report a case of isolated SSM that presented only with a headache for over a year, and also review the literature regarding surgical management of such an entity.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2019, 8, 3; 31-34
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Frontal sinus mucocele with advanced orbital involvement – a case series
Autorzy:
Monga, Seema
Malik, Junaid
Priya, Ratna
Rasool, Shahid
Naseeruddin, Khaja
Powiązania:
https://bibliotekanauki.pl/articles/1399058.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
endoscopic approach
frontal sinus
mucocele
Opis:
Introduction: Mucoceles of the paranasal sinuses are more common in the frontal sinus than other sinuses due to multifactorial causes. Their close proximity to the orbit can lead to complications like diplopia, severe proptosis or even vision diminution. CT being the modality of choice, clearly demonstrates bony walls of paranasal sinuses and the extension of a mucocele into the surrounding structures. Mucoceles can either be excised endoscopically or by external approach. Case report: We describe our experience of three frontal mucocele cases all of which showed advanced orbital involvement and were managed successfully by endoscopic approach with no complications or recurrence. All symptoms including diplopia and proptosis significantly improved in every case. Hence, we reiterate the management of paranasal sinus mucocele via endoscopic approach as the preferred surgical modality having advantage of shorter recovery time, easy access, lower morbidity and incidence of potential complications.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2020, 9, 2; 66-70
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Endoskopowa ultrasonografia czy endoskopowa cholangiopankreatografia w diagnostyce kamicy żółciowej przewodowej?
Choledocholithiasis diagnostics – endoscopic ultrasound or endoscopic retrograde cholangiopancreatography?
Autorzy:
Leszczyszyn, Jarosław
Powiązania:
https://bibliotekanauki.pl/articles/1057974.pdf
Data publikacji:
2014
Wydawca:
Medical Communications
Tematy:
choledocholithiasis
endoscopic ascending retrograde cholangio- pancreatography
endoscopic ultrasound
endoskopowa cholangiopankreatografia wstępująca
endoskopowa ultrasonografia
kamica przewodowa
Opis:
It is estimated that 3.4% of patients qualified for cholecystectomy due to cholelithiasis have a coexisting choledocholithiasis. For decades, endoscopic ascending retrograde cholangiopancreatography has been the golden diagnostic standard in cases of suspected choledocholithiasis. The method is associated with a relatively high rate of complications, including acute pancreatitis, the incidence of which is estimated to range between 0.74% and 1.86%. The mechanism of this ERCP-induced complication is not fully understood, although factors increasing the risk of acute pancreatitis, such as sphincter of Oddi dysfunction, previous acute pancreatitis, narrow bile ducts or difficult catheterization of Vater’s ampulla are known. It has been suggested to discontinue the diagnostic endoscopic retrograde ascending cholangiopancreatography and replace it with endoscopic ultrasonography due to possible and potentially dangerous complications. Endoscopic ultrasonography has sensitivity of 94% and specificity of 95% regardless of gallstone diameter, as opposed to magnetic resonance cholangiography. However, both of these parameters depend on the experience of the performing physician. The use of endoscopic ultrasonography allows to limit the number of performed endoscopic retrograde cholangiopancreatography procedures by more than 2/3. Ascending endoscopic retrograde cholangiopancreatography combined with an endoscopic incision into the Vater’s ampulla followed by a mechanical evacuation of stone deposits from the ducts still remains a golden standard in the treatment of choledocholithiasis. Despite some limitations such as potentially increased treatment costs as well as the necessity of the procedure to be performed by a surgeon experienced in both endoscopic retrograde cholangiopancreatography as well as endoscopic ultrasonography, the diagnostic endoscopic ultrasonography followed by a simultaneous endoscopic retrograde cholangiopancreatography aimed at gallstone removal is the most efficient diagnostic and therapeutic management scheme in cases of suspected choledocholithiasis.
Kamica przewodu żółciowego u pacjentów zakwalifikowanych do cholecystektomii współistnieje z kamicą pęcherzyka żółciowego u 3,4% chorych. Od kilkudziesięciu lat standardem diagnostycznym w podejrzeniu kamicy żółciowej przewodowej była endoskopowa cholangiopankreatografia wstępująca. Metoda ta obarczona jest relatywnie wysokim odsetkiem powikłań w postaci ostrego zapalenia trzustki, którego częstość ocenia się na 0,74% do 1,86%. Mechanizm tego powikłania po diagnostycznym ERCP nie jest do końca zrozumiały, choć znane są czynniki zwiększające prawdopodobieństwo ostrego zapalenia trzustki, takie jak: zaburzenia motoryki zwieracza Oddiego, przebyte wcześniej ostre zapalenie trzustki, wąskie przewody żółciowe czy trudna kaniulacja brodawki Vatera. Z powodu możliwych, potencjalnie groźnych dla życia powikłań postuluje się całkowite zaniechanie wykonywania diagnostycznej endoskopowej cholangiopankreatografii wstępującej i zastąpienie jej endoskopową ultrasonografią. Endoskopowa ultrasonografia cechuje się czułością 94% i specyficznością 95%. Cechy te są niezależne od średnicy złogów, w przeciwieństwie do cholangiografii w rezonansie magnetycznym, natomiast związane są z doświadczeniem lekarza wykonującego badanie. Zastosowanie endoskopowej ultrasonografii pozwala ograniczyć liczbę wykonywanych endoskopowych cholangiopankreatografii o ponad 2/3. Endoskopowa cholangiopankreatografia wstępująca połączona z endoskopowym nacięciem zwieracza brodawki Vatera i mechaniczną ewakuacją złogów z przewodu nadal pozostaje złotym standardem w leczeniu kamicy przewodowej. Pomimo pewnych wad, takich jak potencjalnie zwiększony koszt leczenia, konieczność wykonywania zabiegu przez lekarza doświadczonego zarówno w endoskopowej cholangiopankreatografii, jak i endoskopowej ultrasonografii, najbardziej efektywnym schematem postępowania diagnostyczno-terapeutycznego w przypadku podejrzenia kamicy przewodowej, jest wykonanie diagnostycznej endoskopowej ultrasonografii, z następową, jednoczasową endoskopową cholangiopankreatografią celem usunięcia złogów.
Źródło:
Journal of Ultrasonography; 2014, 14, 57; 125-129
2451-070X
Pojawia się w:
Journal of Ultrasonography
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The role of endoscopic ultrasound in diagnosing pancreatic neuroendocrine tumours
Autorzy:
Dyrla, Przemysław
Chmielewska, Magdalena
Mazur, Marta
Witek, Przemysław
Powiązania:
https://bibliotekanauki.pl/articles/1035844.pdf
Data publikacji:
2018
Wydawca:
Medical Education
Tematy:
endoscopic ultrasound
pancreatic neuroendocrine tumour
ultrasonography
Opis:
Pancreatic tumour imaging poses one of the greatest challenges in gastroenteropancreatic tumour diagnostics. Though much less common than adenocarcinomas, tumours deriving from pancreatic islets are the second most common group of pancreatic tumours. The manifestations and growth rate of neuroendocrine tumours (NETs) differ from adenocarcinomas; thus, these tumour types require different diagnostic and therapeutic approaches. With its high sensitivity and specificity, endoscopic ultrasound (EUS) seems to be indispensable in pancreatic NET diagnostics. A negative EUS practically excludes the presence of a pancreatic tumour, while in definitive tumour cases, EUS is helpful in tumour staging, and in determining its precise anatomical location. One especially important benefit of EUS is the option of performing a biopsy for subsequent cytological and histopathological examinations. The use of contrast and additional computerized image analysis increases the diagnostic accuracy of EUS. This article presents current views on the use of EUS in pancreatic tumour diagnostics, with a particular emphasis on diagnosing NETs.
Źródło:
OncoReview; 2018, 8, 1; 19-23
2450-6125
Pojawia się w:
OncoReview
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Risk factors of pancreatitis after endoscopic sphincterotomy. Review of literature and practical remarks based on approximately 10,000 ERCPs
Autorzy:
Jamry, Andrzej
Powiązania:
https://bibliotekanauki.pl/articles/1393325.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
ERCP
pancreatitis
endoscopic sphincterotomy
risk factors
Opis:
Post-endoscopic pancreatitis (PEP) is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). Depending on the presence of risk factors, PEP can occur in 4,1% to about 43% of patients. According to the European Society of Gastrointestinal Endoscopy (ESGE) guidelines, only three to patient-associated risk factors have been identified: suspected sphincter of Oddi dysfunction (SOD) (OR 4.09), female gender (OR 2.23), and previous pancreatitis (OR 2.46). Another three procedure-associated factors include cannulation attempt duration > 10 minutes (OR 1.76), more than one pancreatic guidewire passage (OR 2.77, CI: 1.79 – 4.30), and pancreatic injection (OR 2.2, CI: 1.60 – 3.01). Importantly, analyses of cumulative risk due to coexistence of several factors emphasize the importance of female sex, difficult cannulation, CBD diameter <5 mm, young age, and many other factors. Unfortunately, studies performed to date have included only small numbers of patients with several co-existing risk factors. Therefore, further analysis of other risk factors and the cumulative risk related to their co-occurrence is necessary. Based on current evidence, special care must be given to patients with several risk factors. Also, care should be given to proper qualification of patients, use of guidewires, early pre-cut incision, protective Wirsung’s duct stenting, and rectal NSAID administration.
Źródło:
Polish Journal of Surgery; 2017, 89, 5; 29-33
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Risk factors of pancreatitis after endoscopic retrograde cholangiopancreatography – a retrospective cohort study
Autorzy:
Głuszek, Stanisław
Matykiewicz, Jarosław
Kozieł, Dorota
Klimer, Dariusz
Wawrzycka, Iwona
Ogonowska, Aleksandra
Powiązania:
https://bibliotekanauki.pl/articles/1394275.pdf
Data publikacji:
2015
Wydawca:
Index Copernicus International
Tematy:
endoscopic retrograde cholangiopancreatography
acute pancreatitis
complication
Opis:
Endoscopic retrograde cholangiopancreatography (ERCP) is the most important non-surgical procedure in serious pancreatic and biliary diseases, still burdened with the risk of severe complications. The objective of the study was to distinguish factors which could increase the risk of occurrence of ERCP complication in the form of pancreatitis. Material and methods. The study included 452 patients who had undergone ERCP. Patients’ records were retrospectively analyzed from the aspect of demographic data, indications for the procedure, type and course of the procedure, type and severity of complications, width of the common bile duct (CBD), concomitant diseases and administered medicines which might increase the risk of complications. Results. In 35 patients (7.7%) a complication occurred in the form of pancreatitis (AP). A severe course was confirmed in 11 patients (31%). Cholelithiasis constituted approximately 2/3 of indications for ERCP. AP after ERCP was significantly more often observed in the group of patients aged under 40 (22.9% vs 8.6%; p<0.05). Narrow biliary ducts (3-8 mm) were the factor increasing the frequency of development of AP (25.9% vs 45%; p<0.05). Death occurred in 5 patients (1.1%), including 4 patients (0.96%) in the group without complications, and in 1 patient (2.85%) with complicated AP. Conclusions. ERCP is a very valuable procedure in clinical treatment; however, it is burdened with the risk of complications, such as AP, bleeding, or duodenal perforation. A group especially exposed to the risk of complications in the form of AP are young patients aged under 40 with a narrow CBD.
Źródło:
Polish Journal of Surgery; 2015, 87, 10; 499-505
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Diagnosis and treatment of nasal and paranasal inverted papillomas – epidemiology and own experience
Autorzy:
Nowosielska-Grygiel, Joanna
Pietkiewicz, Piotr
Owczarek, Kalina
Olszewski, Jurek
Miłoński, Jarosław
Powiązania:
https://bibliotekanauki.pl/articles/1398495.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
inverted papilloma
endoscopic surgery
paranasal sinuses
Opis:
Introduction. The aim of this study was to analyse the occurrence of inverted papillomas of the nose and paranasal sinuses in patients that underwent endoscopic sinus surgery in our department. Material and methods. Between 2006 and 2016, 3,574 patients underwent surgery due to paranasal sinus diseases. Patients were qualified for surgery based on medical history, computed tomography, and laboratory tests. Data were gathered from medical files, and they included age, sex, and histopathological diagnosis. Results. Among 3,574 patients that underwent surgery due to chronic inflammatory changes, on histopathology, inverted papillomas were diagnosed in 80 patients, including 31 women (38.75%) and 49 men (61.25%). Most patients were aged 60-70 years (women, 12.5%; men, 15%) or 50-60 years (women, 5%; men, 21.25%). Between 2006 and 2016, the number of surgeries ranged from 264 (7.38%) in 2013 to 355 (9.93%) in 2016, and the number of inverted papillomas ranged from 4 in 2007 and 2015 (1.23%) to 12 in 2014 (3.87%). Over the last 4 years of the study period, the incidence of inverted papillomas increased. Conclusions. Among 3,574 patients operated on due to chronic inflammatory changes, on histopathology, inverted papillomas were diagnosed in 80 cases (2.23%); thus, all patients qualified for endoscopic surgery due to inflammatory or hypertrophic changes should undergo rhino-fiberoscopy. Recurrence of inverted papillomas was observed in 17.50%, typically in patients with nasal polyps that co-occurred with inverted papillomas. We regard rhino-fiberoscopy as the most valuable method for detecting tumour recurrence in patients after surgery for inverted papillomas ranged from 4 in 2007 and 2015 (1.23%) to 12 in 2014 (3.87%). Over the last 4 years of the study period, the incidence of inverted papillomas increased. Conclusions. Among 3,574 patients operated on due to chronic inflammatory changes, on histopathology, inverted papillomas were diagnosed in 80 cases (2.23%); thus, all patients qualified for endoscopic surgery due to inflammatory or hypertrophic changes should undergo rhino-fiberoscopy. Recurrence of inverted papillomas was observed in 17.50%, typically in patients with nasal polyps that co-occurred with inverted papillomas. We regard rhino-fiberoscopy as the most valuable method for detecting tumour recurrence in patients after surgery for inverted papillomas.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 6; 27-32
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Analysing the potential for application of the phase shift method in endoscopic examination of marine engines
Autorzy:
Korczewski, Z.
Powiązania:
https://bibliotekanauki.pl/articles/260516.pdf
Data publikacji:
2013
Wydawca:
Politechnika Gdańska. Wydział Inżynierii Mechanicznej i Okrętownictwa
Tematy:
endoscopic diagnostics
phase shift method
marine engines
Opis:
The article presents theoretical principles of image processing in digital endoscopy which makes use of a miniaturised spectral scanner “PhaseProbe” designed by General Inspection Technologies LP, the producer of the measuring videoendoscope Everest XLG3. The technology of optoelectronic 3D mapping of the examined surface, which consists in measuring the phase shift between the emitted and reflected light waves, is briefly described. The efficiency of the “PhaseProbe” based method of endoscope measurements is compared with the earlier developed methods, such as “ShadowProbe” and “LaserDots”, which were used by the author in real conditions of diagnostic investigations of engines in operation in marine power plants. The processed results of the endoscope analysis of the broken gas turbine engine rotor blades which were earlier dimensioned using the inspection probes of “StereoProbe”, “ShadowProbe” and “LaserDots” type and now are examined by the author with the aid of the phase shift method make a valuable complement and synthesis of the discussion presented in the article.
Źródło:
Polish Maritime Research; 2013, 1; 23-30
1233-2585
Pojawia się w:
Polish Maritime Research
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Technical Description of the Peroral Endoscopic Diverticulostomy for the Treatment of Zenker’s Diverticulum
Opis techniczny przezustnej endoskopowej resekcji uchyłka Zenkera
Autorzy:
Potapov, Olexii
Kosiukhno, Sergii
Kalashnikov, Oleksandr
Todurov, Ivan
Powiązania:
https://bibliotekanauki.pl/articles/1623663.pdf
Data publikacji:
2020
Wydawca:
Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
Tematy:
Zenker’s diverticulum
endoscopic diverticulostomy
peroral surgery
endoscopic surgery
uchyłek Zenkera
endoskopowa resekcja uchyłku
chirurgia przezustna
chirurgia endoskopowa
Opis:
Introduction: Endoscopic treatment of Zenker’s diverticulum (ZD) is one of the oldest endoscopic procedures, but has still not become the treatment of choice. Although ZD is a benign disease, it can severely impact patients’ quality of life and can have serious adverse effects, such as aspiration pneumonia. Material and Methods: Between November 2018 and February 2020 three patients (2 female, 1 male) with ZD underwent peroral endoscopic diverticulo-esophagostomy. Blood tests, ECG and tests required for general anesthesia was performed. The patients took gastrografin orally both before the procedure and 2 months afterwards. Results: The average age of the patients was 66 years (range 54–75 years). There were no alterations in CBC, ECG and other routine tests. Upper GI endoscopy and the gastrografin test confirmed the diagnosis. All patients had stage IV ZD according to the Brombart classification. The mean operation time was 55+/-15 min. (range 40–70 min.). Blood loss was less than 20 cc. This paper gives a precise technical description of the procedure. Complete recovery was observed at the 1- and 2-month follow-ups. No complications or mortality were observed. Conclusions: Peroral endoscopic stapled diverticulostomy is feasible and safe, even at the beginning of the learning curve. We found that the use of regular laparoscopic instrumentation along with diverticuloscope is suitable for most purposes. However, we suggest starting the endoscopic peroral program by treating carefully selected patients in centers with a developed advanced minimally invasive program
Wprowadzenie: Endoskopowe leczenie uchyłka Zenkera (ZD) jest jedną z najstarszych procedur endoskopowych, jednak nadal nie jest leczeniem z wyboru. Chociaż ZD jest chorobą łagodną, może istotnie wpływać na jakość życia pacjentów i mieć poważne skutki uboczne, takie jak zachłystowe zapalenie płuc. Materiał i metody: W okresie od listopada 2018 do lutego 2020 roku operowano 3 chorych (2 kobiety i 1 mężczyznę) z powodu uchyłku Zenkera z zastosowaniem techniki przezustnej resekcji endoskopowej. Wykonano badania krwi, EKG i testy wymagane do znieczulenia ogólnego. Pacjenci przyjmowali gastrografinę doustnie zarówno przed zabiegiem, jak i 2 miesiące po zabiegu. Wyniki: Wiek chorych wynosił średnio 66 lat (54–75). Nie stwierdzono odchyleń w badaniach laboratoryjnych. Potwierdzenie rozpoznania opierało się na badaniu endoskopowym oraz teście z doustnym podaniem gastrografiny. U wszystkich chorych stwierdzono uchyłek Zenkera w stopniu IV wg. klasyfikacji Brombarta. Zabiegi operacyjne trwały średnio 55 (+/-15) minut (40–70 minut). Śródoperacyjna oceniana utrata krwi wynosiła poniżej 20ml. U wszystkich chorych stwierdzono pełny powrót do zdrowia po 1 do 2 miesięcy od zabiegu. Nie stwierdzono powikłań pooperacyjnych. Wnioski: Przezustna endoskopowa resekcja uchyłku Zenkera jest bezpiecznym i skutecznym zabiegiem także w rękach chirurgów z ograniczonym doświadczeniem w tego typu resekcji. Wykazano, że użycie zwykłego oprzyrządowania laparoskopowego z diwertikuloskopem jest odpowiednie do większości zastosowań. Niemniej zalecane jest, aby zabiegi przeprowadzane były u starannie wyselekcjonowanych chorych w ośrodkach posiadających doświadczenie w chirurgii minimalnie inwazyjnej.
Źródło:
Państwo i Społeczeństwo; 2020, 4; 49-60
1643-8299
2451-0858
Pojawia się w:
Państwo i Społeczeństwo
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Endoscopic transnasal resection of tuberculum sellae meningioma – case report
Endoskopowa przeznosowa resekcja oponiaka guzka siodła tureckiego – opis przypadku
Autorzy:
Kozok-Paździor, Monika
Dobosz, Paweł
Sobolewska, Aleksandra
Sobański, Dawid
Powiązania:
https://bibliotekanauki.pl/articles/1399685.pdf
Data publikacji:
2019-10-02
Wydawca:
Index Copernicus International
Tematy:
endoscopic approach
endoscopic endonasal approach
meningioma
transcranial
tuberculum sellae
dostęp endoskopowy
endoskopowy dostęp przeznosowy
guzek siodła tureckiego
oponiak
Opis:
Introduction: Tuberculum sellae meningiomas (TSM) represent 5-10% of all intracranial meningiomas. Tumours are located on tuberculum sellae or chiasmatic sulcus of the sphenoid bone. These suprasellar lesions often displace the optic nerves causing visual impairment that is commonly the presenting symptom. Tuberculum sellae meningiomas are traditionally operated by transcranial approach. There is an alternative method to remove tumours of anterior skull base by using endoscopic transnasal surgery. Methods: In this article we describe a case of the patient with tuberculum sellae meningioma. Results: 63-year old women was diagnosed due to a headache, facial sensation defects on the right and peripheral vision loss. Ophthalmology examination showed bitemporal vision loss up to 10-15%. Using magnetic resonance imaging scan the tumour of diameter 8.1x8.0mm was located in tuberculum sellae. The endoscopic transsphenoidal operation was made confirming diagnosis of meningioma. In postoperative period the symptoms was almost completely minimalized. Conclusion: The treatment of choice for tuberculum sellae meningiomas is a surgery. Neurosurgeons have two options to remove the tumour: by transcranial approaches or via endoscopic transsphenoidal surgery with rhinologist. The decision of the optimal surgical technique should be individually made. Knowing possible complications during endoscopic approach, the benefits prevail. Cerebrospinal fluid leak is still challenging but using nasoseptal flap (Hadad’s flap) makes reconstruction easier. Recovery is quicker and postoperative results are promising.
Wstęp: Oponiaki guzka siodła tureckiego stanowią ok. 5-10% wszystkich wewnątrzczaszkowych oponiaków. Zmiany wywodzą się z guzka siodła lub bruzdy skrzyżowania wzrokowego kości klinowej. Guzy nadsiodłowe często przemieszczają skrzyżowanie wzrokowe lub nerwy wzrokowe powodując zaburzenia widzenia, które są dominującym objawem zgłaszanym przez chorych. Tradycyjnie guzki siodła tureckiego są usuwane przezczaszkowo. Jako alternatywa dla dostępów przezczaszkowych w operacjach usunięcia zmian w zakresie przedniego dołu czaszki rosnącą popularność zyskały przeznosowe operacje endoskopowe. Materiał i metody: W pracy przedstawiono przypadek pacjentki z oponiakiem guzka siodła tureckiego. Wyniki: 63-letnia pacjentka diagnozowana z powodu bólu głowy, zaburzeń czucia twarzy po stronie prawej oraz ubytku pola widzenia. W badaniu okulistycznym stwierdzono dwuskroniowy ubytek pola widzenia do 10-15%. W wykonanych badaniach obrazowych stwierdzono guz wielkości 8,1x8,0mm zlokalizowany w okolicy guzka siodła tureckiego. Wykonano endoskopową operację z dostępu przezklinowego potwierdzając rozpoznanie oponiaka. W okresie pooperacyjnym zaobserwowano prawie całkowite zniesienie dolegliwości. Wnioski i dyskusja: Oponiaki guzka siodła tureckiego z wyboru leczone są chirurgicznie. Neurochirurdzy stosują dostępy przezczaszkowe, jak również poprzez współpracę z rynologiem endoskopowe operacje przezklinowe. Wybór sposobu leczenia zawsze powinien być rozpatrywany indywidualnie. Zaopatrywanie płynotoku nadal jest wyzwaniem chirurgicznym, jednak wykorzystanie naczyniowych płatów nosowo-przegrodowych (płat Hadada) znacznie zmniejszyło częstość ich występowania. Rekonwalescencja po zabiegach endoskopowych jest znacznie szybsza, a wyniki pooperacyjne zadowalające.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2019, 8, 4; 24-29
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Successful Endoscopic Treatment of a Postoperative Tracheomediastinal Fistula Caused by Anastomotic Insufficiency after Esophageal Resection with Fibrin Glue
Autorzy:
Weiss, Guenter
Wex, Cora
Lippert, Hans
Schreiber, Jens
Meyer, Frank
Powiązania:
https://bibliotekanauki.pl/articles/1395989.pdf
Data publikacji:
2015-02-03
Wydawca:
Index Copernicus International
Tematy:
tracheomediastinal fistula
esophageal resection
fibrin glue
endoscopic approach
Opis:
Fistula development after esophageal resection is considered as one of the most serious postoperative complications. The authors reported a case on clinical experiences in the postoperative diagnostic and successful therapeutic management of a tracheomediastinal fistula after esophageal resection, using endoscopic application of fibrin glue. The early approach of an anastomotic insufficiency after esophageal resection because of a squamous cell carcinoma (pT3pN0M0G2) below the tracheal bifurcation including transposition of a re-modelled gastric tube and end-to-side anastomosis 24 hours postoperatively in a 55-year old patient combined i) surgical re-intervention from the periesophageal site (reanastomosis, gastroplication, lavage, local and mediastinal drainage) and, later on, ii) extensive rinsing with consecutive endoscopic fibrin glue application into the tracheal mouth of the subsequently developed tracheomediastinal fistula as a consequence of the inflammatory changes within the surrounding tissue. In conclusion, this approach was successful and beneficial for the patient's further postoperative course, which was associated with other complications such as pneumonia and acute myocardial infarction. The fistula closed sufficiently and permanently with no further surgical intervention at the tracheal as well as mediastinal site and allowed patient's later discharge with no further complaints or problems.
Źródło:
Polish Journal of Surgery; 2014, 86, 11; 537-539
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Endoscopic necrosectomy under fluoroscopic guidance during transmural drainage of walled-off pancreatic necrosis (WOPN)
Autorzy:
Jagielski, Mateusz
Smoczyński, Marian
Adrych, Krystian
Sztuczka, Ewa
Jackowski, Marek
Powiązania:
https://bibliotekanauki.pl/articles/1391856.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
acute pancreatitis
endoscopic necrosectomy
walled-off pancreatic necrosis
Opis:
Introduction: The endoscopic treatment of walled-off pancreatic necrosis (WOPN) as well as other minimally invasive methods have been evolving since last years. Aim: The aim of this study is evaluation of efficiency and safety of endoscopic necrosectomy under fluoroscopy done during the transmural drainage in patients with symptomatic WOPN. Material and methods: The retrospective analysis 114 consecutive patients with symptomatic WOPN were treated endoscopically in our medical center between 2011 and 2016. Material and methods: The retrospective analysis 114 consecutive patients with symptomatic WOPN were treated endoscopically in our medical center between 2011 and 2016. Results: Endoscopic necrosectomy was performed under fluoroscopic guidance during transmural drainage in 24/114 (21.05%) patients. The mean amount of endoscopic procedures in each patient was 8.88 (3–27). The active drainage was continued averagely for 40.1 (11–96) days. The avarage number of necrosectomy procedures during continued drainage was 6.54 (1–24) per patient. Additional percutaneous drainage was applied in just two patients. The complications of endotherapy were present in 9/24 (37.5%) patients. The therapeutic success was reached in 23/24 (95.83%) patients. The mean time of observation was 35 [18–78] months. The recurrence of pancreatic fluid collection was stated in 4 patients during the observation time. The mean time between the end of endotherapy and recurrence of fluid collection was 19 [16–22] months. In three patients recurrent fluid collections were treated endoscopically and in one patient were treated surgically. Long-term success of endoscopic treatment of WOPN was reached in 22/24 (91.67%) patients. Conclusions: Endoscopic necrosectomy under fluoroscopic guidance during transmural drainage is successful and safe method of minimally invasive treatment in selected patients with walled-off pancreatic necrosis.
Źródło:
Polish Journal of Surgery; 2020, 92, 1; 12-17
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Sclerotherapy of esophageal varices in hemophilia patients with liver cirrhosis – a prospective, controlled clinical study
Autorzy:
Szczepanik, Andrzej B
Pielaciński, Konrad
Oses-Szczepanik, Anna M
Huszcza, Sławomir
Misiak, Andrzej
Dąbrowski, Wojciech P
Gajda, Sławomir
Powiązania:
https://bibliotekanauki.pl/articles/1392541.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
hemophilia
esophageal varices
bleeding
endoscopic sclerotherapy
liver cirrhosis
Opis:
Introduction: Bleeding from esophageal varices is a serious clinical condition in hemophilia patients due to congenital deficiency or lack of clotting factors VIII (in hemophilia A) and IX (in hemophilia B), decreased clotting factor II, VII, IX, X synthesis in the course of chronic liver disease and hipersplenic thrombocytopenia. The aim of this study was to assess the efficacy and safety of endoscopic sclerotherapy in acute esophageal variceal bleeding and in secondary prophylaxis of hemorrhage. The aim was also to investigate the optimal activity of deficiency factors VIII or IX and duration of replacement therapy required to ensure proper hemostasis after sclerotherapy procedures. Material and methods: 22 hemophilia patients (A-19, B-4) with coexistent liver cirrhosis and active esophageal variceal bleeding treated with endoscopic sclerotherapy were subjected to prospective analysis. The patients who survived were qualified to repeated sclerotherapy procedures every 3 weeks within secondary prophylaxis of bleeding (investigated group). A 3-day substitution therapy enhanced the infusion of the deficient or lacking factor in doses allowing to reach 80-100% of normal value activity of factor VIII on the 1st day and 60-80% in the next two days. The desired activity of factor IX was 60-80% and 40-60% respectively. The control group consisted of 20 non-hemophiliac patients with liver cirrhosis comparable in terms of age, sex, stage of advancement of liver cirrhosis, who underwent the same medical proceedings as the investigated group. Results: Active esophageal bleeding was stopped in 21 of 22 (95%) hemophilia patients. Complications were observed in 3 patients; 2 patients died. The rate of hemostasis, complications and deaths in the control group were comparable and no statistical differences were found. In hemophilia patients subjected to secondary prophylaxis of hemorrhage, in 18 of 20 (80%), complete eradication of esophageal varices was achieved after 4 to 7 sclerotherapy procedures in 1 patient (average 5.4). Recurrent bleeding was observed in 15% of patients, complication in 20%; 1 patient died. Time lapse from bleeding to eradication was 12-21 weeks (average 15.2). In the control group the rate of variceal eradication, complication and deaths was comparable and no statistical differences were found. The usage of factor VIII concentrates was as follows: in hemophilia A, in a severe form - 80.9 U/kg b.w./day, in hemophilia A in a severe form with an inhibitor <5 BU – 95.2 U/kg b.w./day, in mild form – 64.2 U/kg b.w./day and in severe hemophilia B – 91.6 U/kg b.w./day. Conclusions: Sclerotherapy is an effective method in the management of esophageal variceal bleeding in hemophilia patients. It is also effective for total eradication of varices when applied as a secondary prophylaxis of hemorrhage. In our opinion, a 3-day replacement therapy at the applied doses is sufficient to ensure hemostasis and avoid bleeding complications.
Źródło:
Polish Journal of Surgery; 2018, 90, 1; 29-34
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The impact of intraoperative antiseptic nasal irrigation during endoscopic sinus surgery on early postoperative results
Autorzy:
Rot, Piotr
Szczygielski, Kornel
Skrzypiec, Łukasz
Jurkiewicz, Dariusz
Powiązania:
https://bibliotekanauki.pl/articles/1397287.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
anti-infective agents
endoscopic sinus surgery
sinusitis
treatment
Opis:
The main objective of the study was to determine the validity of intraoperative antiseptic treatment during endoscopic sinus surgery and the impact of such a treatment on the postoperative outcomes. Fifty-five patients with chronic sinusitis, qualified for surgical treatment were enrolled into the trial. It was designed as a prospective, randomized, blinded study. The surgical procedures were performed on both sides, in the same scope. In the next stage, after opening, one side was flushed with saline solution, and the other side with octenidine solution. The analysis showed a statistically significant reduction in postoperative crusting measured using the Lund-Kennedy scale between the test and the control group. Intraoperative lavage of the paranasal sinuses in both control and study group showed an effect on decreasing the total number of positive postoperative cultures relative to preoperative ones. Study showed a beneficial effect of the intervention consisting in rinsing with Octenisept on the reduction of crusting in the postoperative assessment.
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 4; 27-32
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Preliminary information on prevention of infections caused by SARS-COV-2 virus in endoscopic laboratories
Autorzy:
Gruszecka, J.
Filip, R.
Powiązania:
https://bibliotekanauki.pl/articles/2085690.pdf
Data publikacji:
2020
Wydawca:
Instytut Medycyny Wsi
Tematy:
COVID-19
endoscopic laboratory
SARS-CoV-2 infection
Opis:
Introduction. On 11 March 2020, the Director-General of the World Health Organization (WHO) announced COVID-19 (Coronavirus Disease 2019) as a global pandemic Currently, no vaccines are available and there is little evidence of the efficacy of potential therapeutic agents. Furthermore, there is presumably no pre-existing immunity in the population to the new coronavirus, and it is as-sumed that everyone in the population is susceptible. Objective. The aim of the procedures described in the article is to minimize the risk of human-to-human transmission of the SARS-CoV-2 (Severe acute respiratory syndrome – coronavirus 2) virus during procedures carried out in endoscopic laboratories. Brief description of the state of the art. SARS-CoV-2 infection can be asymptomatic, cause severe pneumonia, or lead to death. Symptoms of COVID-19 range from none (asymptomatic) to severe pneumonia and it can be fatal. Case studies to-date indicate that this infection causes a mild illness (i.e. pneumonia or mild pneumonia) in approximately 80% of cases, and most cases recove; 14% have a more severe illness, 6% experience a critical illness. The vast majority of the most serious illnesses and deaths have occurred among the elderly and people with other chronic underlying diseases. Average progression times include: • in mild cases: from the onset of symptoms to recovery in almost 2 weeks; • in severe cases: from the onset of symptoms to recovery in 3–6 weeks, and from symptoms to death in 2–8 weeks. Conclusions. Special precautions should be taken and procedures followed when performing invasive medical procedures in endoscopic laboratories in patients with specific or clinically probable SARS-CoV-2 infection. This article contains up-to-date information as at 04/04/2020.
Źródło:
Annals of Agricultural and Environmental Medicine; 2020, 27, 2; 171-174
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
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:
A case of isolated subperiosteal orbital abscess in the course of acute rhinitis without sinal symptoms
Autorzy:
Gierlotka, Agata
Michow, Marin
Macionczyk, Bartosz
Powiązania:
https://bibliotekanauki.pl/articles/1399461.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
functional endoscopic sinus surgery
orbital abscess
subperiosteal orbital abscess
Opis:
Orbital infection occurs when pathogens pass from an infected sinus into the orbit. The inflammation is spreading onto the orbital structures from the surrounding tissues mainly from ethmoidal sinuses due to its specific anatomical conditions. The orbital complications are: preseptal cellulitis, orbital cellulitis, subperiosteal abscess, orbital abscess and intracranial infections. The diagnosis of subperiosteal orbital abscess is based mainly on clinical presentation. The symptoms depend on which sinus is affected. Orbital symptoms include periorbital swelling, proptosis, ophthalmoplegia, chemosis, and optic nerve compression. Computer tomography is mandatory. Early diagnosis and appropriate treatment can prevent from permanent vision loss and intracranial complication. The study discusses the course of the disease of 25-year-old woman who was admitted to Emergency Department due to inflammatory eyelid oedema and proptosis for 3 days. No symptoms of sinusitis were noted. The CT scans established diagnosis – subperiosteal orbital abscess. The patient was treated with broad spectrum antibiotics and functional endoscopic sinus surgery. Her treatment and recovery were uneventful. In follow-up nighter ophthalmological nor otorhinolaryngological complains were noted.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2019, 8, 2; 57-60
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Perioperative care of patients undergoing Functional Endoscopic Sinus Surgery
Autorzy:
Zieliński, Maciej
Miśkiewicz-Orczyk, Katarzyna
Waligóra, Aleksandra
Ura-Sabat, Katarzyna
Misiołek, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1401690.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
perioperative care
FESS
Endoscopic sinus surgery (FESS)
nasal irrigation
Opis:
The final success and outcomes of patients treatment undergoing Functional Endoscopic Sinus Surgery depends on the correct preparation for surgery, perioperative and postoperative care. Proceedings before FESS in case of chronic rhinosinusitis arise from „European position paper on rhinosinusitis and nasal polyps 2012” and includes pretreatment with local nasal and systemic steroids, sinus irrigation, as well as in some cases antibiotic therapy. Reduction of intra- and post-operative bleeding is possible by intraoperative use of gauze local vasoconstricting inserts, reverse Trendelenburg position, reduction of blood pressure and application of tranexamic acid. After the surgery the use of nasal packing is often recommended. Moreover postoperative care has been largely transferred to the patient and therefore we are highlighting how important is education of patient, providing accurate information and training in the appropriate use of prescribed preparations for na-posal irrigation and nasal steroids. The use of steroids was proved to reduce the risk of recurrence of the disease and it is reasonable when we are sure that they have an opportunity to reach physically to whole mucous membrane of the nose. The effectiveness of nasal irrigation can be enhanced by use of the containers enabling the appropriate application (the exact adherence to the nasal vestibule , at an angle 45° ) and generating sufficient pressure ( rinse of the entire nasal cavity –120 mbar) and the use of appropriate fluid composition accelerates healing and reduce pain. Use of in vitro studies and computational fluid dynamics simulations allow to predict the effectiveness of rinsing different paranasal sinuses.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2016, 5, 3; 55-59
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Clinical outcomes of treatment of sinonasal inverted papillomas (IPs) depending on the surgical technique and learning curve.
Autorzy:
Zydroń, Roland
Wierzbicka, Małgorzata
Greczka, Grażyna
Powiązania:
https://bibliotekanauki.pl/articles/1398628.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
inverted papilloma
sinonasal tumors
endoscopic surgery
rhinology
learning curve
Opis:
INTRODUCTION: Sinonasal inverted papillomas (IPs) are a major challenge for ENT specialists. In the last decades, the number of endoscopic procedures has increased, while the percentage of external or double approach procedures has decreased. The aim of this study was to evaluate long-term IP treatment outcomes according to the applied surgical method. MATERIAL AND METHODS: the retrospective study included 69 patients (28 women and 41 men) treated during 2002–2012 in the Department of Otolaryngology and Laryngological Oncology of Poznań University of Medical Sciences. Of these patients, 47 were operated endoscopically, 16 received a double procedure and six received an external procedure. RESULTS: The recurrence rate in patients treated endoscopically was 32%, while patients treated by the external/double approach showed 64% (p = 0.03306). The recurrence rate after endoscopic surgery was 75% during 2002–2006, but was 28% during 2007–2012. There was no correlation between recurrence rate and age (p = 0.087686), gender (p = 0.42810), type of symptoms (p = 0.20955), or Krouse staging (p = 0.23658). A significant impact on relapses was the position to Ohngren’s plane (p = 0.004768) and tumor location in the anterior ethmoid (p = 0.00416). DISCUSSION: Endoscopic procedures are an effective method of IP treatment, however reasonable indications and surgeon experience should be taken into consideration.
Źródło:
Polish Journal of Otolaryngology; 2016, 70, 6; 1-5
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-25 z 64

Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies