PubMed Health⌕ Search

Biomedical subjects

I Jablonský

Publications and source records attributed to I Jablonský.

8 recordsLinked to original sources
PubMed1992

[Angiodysplasia--a cause of severe hemorrhage in the gastrointestinal tract].

The authors describe a case of relapsing severe haemorrhage from angiodysplasias localized in the small intestine in an eighty-year-old female patient diagnosed only after probatory laparotomy. They discuss the diagnostic possibilities in angiodysplasia of the gastrointestinal tract and how it can be influenced by therapy. Even after resection of the affected portion of the intestine the formation of new angiodysplasias must be foreseen in previously intact areas and those can be the source of further severe haemorrhage.

Aged↗
PubMed1989

[Cystic changes in the liver in our 5-year ultrasonographic study].

The authors examined during 1983-1987 by ultrasonography the liver in a group of 13,672 patients with an average age of 54.8 +/- 4.1 years. The group comprised 7830 women (57.27%) and 5842 men (42.73%). Cystic changes were detected in 39 patients (0.28%). During subsequent examinations they revealed that in four patients metastases of tumours were involved. The correctness of the ultrasonographic diagnosis was confirmed in 35 patients (89.7%). Non-inflammatory and non-parasitic cysts were present in 31 patients (0.23%), incl. 20 women (0.26%) and 11 men (0.19%) with a sex ratio of 1.4:1. Concurrent cystic changes on the kidneys were found in 22.6% and on the pancreas in 12.9%. The spleen was not affected by cystic changes in any of the patients. The diagnosis of cysts was supplemented by laboratory, laparoscopic, scintigraphic, computed tomographic peroperative and aimed bioptic examinations, depending on the character of changes. An inflammatory cyst (tuberculous cavity) as well as three cases of echinococcal cysts were treated by operation. In the conclusion the authors discuss contemporary diagnostic and therapeutic methods in cystic liver diseases.

Adolescent↗
PubMed1989

[Non-cystic diseases of the liver in a 5-year ultrasonographic study].

The authors evaluate five-year ultrasonographic material (13,672 examinations) focused on non-cystic liver disease. 8212 examinations (60.1%) were made as part of examinations of the gallbladder, 4919 (36%) as part of examination of the right sub-costal area or other organs and only 541 examinations (3.96%) were focused in the first place on the liver. The total number of examined patients included 7830 women (57.3%) and 5842 men (42.7%). Most frequently the ultrasonographic picture of steatosis was found--in 747 patients (5.46%), cirrhosis of the liver in 45 patients (0.33%), primary carcinoma of the liver was present in 7 patients (0.05%) and tumour metastases in 63 patients (0.46%). The group of women with steatosis comprised 42 diabetic women (32.06%), 78 overweight women (59.5%) and 18 with excessive alcohol intake for several years (13.7%). In the group of men with steatosis there were 48 diabetics (7.79%), 92 overweight (14.9%) and 479 with excessive alcohol intake extending over several years (77.7%). In the group of 34 men with cirrhosis excessive alcohol intake for years was found in 31 (91.2%), in the group of eight women with cirrhosis in five instances (62.5%). In abdominal ultrasonography liver disease must be actively searched for, in particular in patients with long-term alcohol intake, overweight, diabetes and long-term use of various hepatotropic drugs.

Adolescent↗
PubMed1989

[Initial experience with thin-needle biopsy under ultrasonic control in diffuse liver diseases].

The authors used thin-needle biopsy (Westcott needle) under ultrasonographic control for the morphological determination of ultrasonographic pictures of steatosis in 37 patients. In the case history they reported alcohol consumption of more than 5 years above 60 g of absolute alcohol per day; mostly abuse of beer was involved (32.4%) and beer with liquor (43.3%). A sufficient amount of material for histological examination was taken in all 37 patients, incl. 8 during the second insertion. Histological examination revealed mainly large-droplet steatosis of the mild and medium grade (40.5%) and severe grade (21.6%). Of 37 ultrasonographic pictures of steatosis the latter was confirmed by histological examination in 34 patients (91.2%). The biopsies were made without algic reactions of the patients and no complications were observed. With regard to the non-pretentious, simple and safe character and the high yield of the procedure the authors consider thin-needle biopsy under ultrasonographic control a foremost operation which makes morphological assessment even of diffuse liver diseases possible.

Adult↗
PubMed1989

[Results of treatment of peptic ulcers using Gastrozepine and antacids in the endoscopic picture].

The authors investigated the therapeutic results in gastroduodenal ulcers in 96 patients treated with Gastrozepin (Slovakofarma), using daily doses of 75 mg combined with antacids. The examinations were made by means of a videogastroscope of Welch-Allyn Co. with subsequent control after four weeks, and if the ulcer was not healed, after two-week intervals. During the first examination they recorded the size of the ulcer and during check-up examinations the stage of healing. In a group of 51 men with a mean age of 44.4 years the incidence of duodenal ulcers was 29 cases (59.6%) and gastric ulcers 22 cases (43.1%). In a group of 45 women with a mean age of 51.4 years duodenal ulcers were detected in 24 (53.3%) and gastric ulcers in 21 (46.7%). After one-month treatment of 53 duodenal ulcers 44 (83%) healed by a scars. Healing of small and medium sized defects was excellent, they healed in 93.6%, while large defects only in 33.3%. Of 43 gastric ulcers after one month treatment 31 healed (72.1%) by a scar. Small and medium-sized defects healed in 80.5% and large ones only in 28.6%. With the exception of one case all were in an advanced stage of healing with a tendency of complete healing with scare formation.

Adult↗