Biomedical subjects

J Lata

Publications and source records attributed to J Lata.

41 records · Page 3Linked to original sources

PubMed1994

[A metabolic and gastroenterologic intensive care unit].

The authors analyzed the work of the metabolic intensive care unit which due to the gastroenterological orientation of the clinic deals increasingly with treatment of patients with serious gastroenterological conditions. Since 1989 995 patients were hospitalized and the ratio of gastroenterological patients increased from 15% in 1990 to 35% in 1993. The most serious course and prognosis is in patients with hepatic failure who accounted for 42% of the total number of gastroenterological patients. Another large group was formed by a total of 46 patients with acute pancreatitis and 40 patients with severe forms of non-specific inflammations of the gut. The metabolic intensive care unit possesses also two artificial kidneys. During the mentioned period a total of 2195 haemodialyses were made, incl. 613 on account of acute renal failure, 53 on account of intoxications and the remainder in chronic renal failure. Forty haemoperfusions were made on account of intoxications. The remainder of the patients suffered as a rule from serious impairment of the milieu intérieur. The authors' experience and data in the literature indicate that care of these patients concentrated in specialized departments with skilled staff and satisfactory technical equipment enhances their hope of survival and improvement of the condition. It is increasingly apparent that the development of specialized intensive care units of the non-coronary type is important.

Gastrointestinal Diseases↗

PubMedDate not supplied

Sturge Weber syndrome with intraoral manifestations. A case report.

A 15 Year old female patient with Sturge Weber Syndrome is presented. This neurocutaneous syndrome consists of angiomatosis of the skin and mucosa as well as the leptomeninges. This case report describes the classic presentation of the syndrome, emphasizing the oral manifestations. The radiographic and CT scan show the typical "tram line" intracranial calcifications. This case report presents a typical case of Sturge Weber Syndrome. It gives the radiological and CT scan findings and the important role played by them in the diagnosis of this syndrome. Emphasis is given to the differentiation of diphenylhydantoin induced gingival hyperplasia from the angiomatous enlargement of the gingiva before any treatment is planned.

Adolescent↗

PubMedDate not supplied

Double-blind randomized, comparative multicenter study of the effect of terlipressin in the treatment of acute esophageal variceal and/or hypertensive gastropathy bleeding.

BACKGROUND/AIMS: 1) To compare the effect of 2-day application of 0.2 mg terlipressin i.v. every 4 hours (group I) with that of 5-day application of 1 mg i.v. every 4 hours (group II) in the treatment of bleeding esophageal varices and portal gastropathy. 2) To assess the incidence of adverse events. METHODOLOGY: Eighty-six patients with liver cirrhosis (54 men and 32 women, average age 51 years) were randomized over a period of 2 years into 2 groups. Acute bleeding was diagnosed endoscopically within 24 hours of its onset. The two groups fully comparable; treatment failure rated according to "Baveno II". RESULTS: Success rate in group I was 78% at day 2 and 75% at day 5; in group II 89% and 79%, respectively (no statistical significance). Rebleeding had occurred by day 5 in 15% in group I, and in 16.3% in group II. Transfusion needs by day 2 were significantly lower in group II (2.4 units compare to 3.4 units in I). The 30-day mortality was 17.1% in group I and 20% in group II. No statistical difference between I and II in the occurrence of adverse events. CONCLUSIONS: At a dosage of 1 mg i.v. every 4 hours, the success rate at day 2 was as much as 90% while blood consumption was significantly lower compared with the lower dosage. Rebleeding during first 48 hours occurred almost exclusively at lower dosage. There was no increase in the rate of adverse events relative to the higher dosage.

Acute Disease↗

PubMedDate not supplied

Unusual Bochdalek hernia in puerperium.

The authors present an unusual case of a true left-sided posterolateral (Bochdalek) hernia containing stomach, transverse colon and spleen within a hernial sac in a 25-year-old female patient. They presume this voluminous herniation took place due to a rupture of congenitally preformed hernial ostium on account of increased intraabdominal pressure during repeated pregnancy. They describe an effective surgical transabdominal laparoscopic treatment.

Adult↗

PubMedDate not supplied

Bacterial infection and acute bleeding from upper gastrointestinal tract in patients with liver cirrhosis.

BACKGROUND/AIMS: Acute bleeding from the upper gastrointestinal tract is a common and serious complication of liver cirrhosis. It is believed that bacterial infection may be the immediate cause of the bleeding and the latest meta-analyses show that bacterial infection is an independent predictive factor of the failure to stop bleeding. METHODOLOGY: The authors evaluated the presence of bacterial infection (blood, urine, throat and ascitic fluid) in 35 consecutive patients with liver cirrhosis and acute bleeding with portal hypertension and compared these results with a group of 35 patients with liver cirrhosis with portal hypertension without acute bleeding. RESULTS: According to the results obtained, there is a statistically higher incidence of bacterial infection among patients with acute bleeding with portal hypertension (25 of 35 patients, 71%) than among patients with liver cirrhosis and portal hypertension without acute bleeding (14 of 35 patients, 40%, p < 0.01). The incidence of bacteriological findings in blood and throat samples is statistically higher in patients with acute bleeding as opposed to the control group (p < 0.05). CONCLUSIONS: These results confirm the necessity of administering antibiotic prophylaxis to all cirrhotic patients with variceal bleeding, not just to those with confirmed infection or symptoms thereof.

Adult↗