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Biomedical subjects

B Czenkár

Publications and source records attributed to B Czenkár.

14 recordsLinked to original sources

[Treatment of pancreatic pseudocysts with ultrasound-guided percutaneous puncture and drainage].

The authors have treated 37 pancreatic pseudocysts in 36 patients by ultrasonically guided percutaneous puncture and drainage. The indication for intervention was rapid enlargement or threatening rupture of the acute (younger than 6-8 weeks) pseudocysts with recurring fever in 5 cases and chronic pseudocysts causing abdominal symptoms in 32 cases. After puncture six of seven patients were recuperated, but later in three of them the pseudocysts recurred. In one case as a complication of the puncture the pancreatitis exacerbated and led to death of the patient. The outcome of percutaneous drainage was successful in 26 of 32 pseudocysts. During the follow-up (6-54 months) recurrence were observed without symptoms in three cases. In four patients the treatment was ineffective, therefore cystogastrostomy was performed. During the time of the percutaneous drainage two pseudocysts had been infected and abscesses developed, which were treated by oncotomy. On the basis of their favourable experiences the authors recommend the US-guided percutaneous durable drainage as primer intervention for treatment of the pancreatic pseudocysts causing symptoms.

Aged↗

[Typhlitis as a complication of acute leukemia].

The authors describe the clinical history of two adult patients with acute myeloid leukemia, who had severe neutropenia and thrombocytopenia. After chemotherapy in both patients had developed typhlitis with fatal outcome caused by sepsis. They discuss the etiopathogenesis and clinical features of necrotizing typhlitis as a complication of treated acute leukemia and point out the difficulty of the differential diagnosis and management.

Adult↗

[Reconstruction possibilities in obliterative arterial diseases in diabetics].

Authors treated 144 diabetic patients with arterial angiopathy localised to the lower extremities. 114 cases belonged to III. and IV. stages. There was a possibility in 55 (38.2 per cent) for reconstructive surgery, 80 per cent of the reconstructive procedures localised to the femoro-popliteal region. In 20 cases a so-called "high", in 61 a "low" (minor) amputation was performed, 14 patients died. In 113 cases (78.47 per cent) an improvement or a cure could have been achieved, of whom 52 with the complete preservation of the extremity, and in the others after necrectomy or minor amputation. Authors emphasize that, in more than a half of the cases the obstruction localised to the femoropopliteal and iliacal region, so the possibilities of the vascular surgery are given in a considerable number of diabetic patients.

Amputation, Surgical↗

[Experience with the surgical treatment of superficial thrombophlebitis (varicophlebitis)].

107 patients with acute varicophlebitis of the lower limbs have been treated. In 101 cases operation were performed. These patients were treated by surgical excision of the thrombosed segments, with excision or stripping of the remaining varicosities and high saphena ligature. There were no postoperative deaths. One male patient experienced nonfatal minor pulmonary embolism. Wound-healing disturbances were observed in only 11 patients. Attention is drawn to the advantage of the surgical management. Regarding the good experiences, the authors recommend the performance of the "acute" varicectomy.

Humans↗

[Management of malignant pleural effusion by tetracycline pleurodesis].

Eleven patients were treated with chest tube drainage and intrapleural instillation of tetracycline for malignant pleural effusion. In ten cases this procedure for 6-10 days achieved complete resolution of pleural fluid and produced pleurodesis. Only one patient needed longer treatment, but it was also successful. Fluid recurrence was not recognised during the follow-up period. This method is very effective and simple, so the authors recommend the tetracycline pleurodesis for the palliative management of malignant pleural effusions.

Breast Neoplasms↗

[Mesenteric cysts].

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Child, Preschool↗

[Haemobilia].

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Biliary Tract↗