Biomedical subjects

Jerzy Arendt

Publications and source records attributed to Jerzy Arendt.

7 recordsLinked to original sources

PubMed2005

[Diagnostic difficulties in rare causes of gastrointestinal bleeding].

Peptic and duodenal ulcer and haemorrhagic gastritis are the most common causes of gastrointestinal bleeding. Pathologic changes of the small intestine are rare and difficult to diagnose. The aim of the study is to evaluate the diagnostic strategy regarding patients with gastrointestinal bleeding of obscure origin. From 1996 to 1999, 626 patients were treated for gastrointestinal bleeding. There were difficulties in finding the source of bleeding in three out of 626 patients. Endoscopy of the upper and the lower gastrointestinal tract, hydrosonography of the large intestine and gastrointestinal passage were performed in these three patients. The site of bleeding was not determined after the above mentioned medical examinations. Three patients underwent exploratory laparotomy, and two of them also intraoperative endoscopy of the small intestine. One patient had tumor of the small intestine, and pathologic examination revealed leiomyoma. One patient had Meckel's diverticulum with presence of ectopic gastric mucosa diagnosed. One patient had inflammatory infiltration in the distal ileum. The presence of chronic, non-specific inflammation was proved by histologic examination. In case of patients for whom it was difficult to determine the source of gastrointestinal bleeding the very reason for such a bleeding is often found in the small intestine. It frequently happens that laparotomy and intraoperative endoscopy of the small intestine allows making the diagnosis.

Adult↗

PubMed2004

[Glomus tumor of the thumb].

The article presents a case of 42-year-old patient with Recklinghausen disease treated in the outpatient clinic for 5 years for hyperaesthesia of a thumb. On physical examination the thumb was painful but smooth, soft with no features of infection. Neuralgia and Raynaud syndrome were suspected. Additional investigations did not show significant abnormalities, however, successive forms of conservative treatment (including denervation of the thumb) were not successful. Instant, persistent pain caused by even a slight touch or thermal changes suggested glomus tumor of the thumb. Physical examination did not confirm a lump typical in this disease. Finally partial resection of the digital pulp was performed, which led to complete recovery. Histopathological examination confirmed glomus tumor of the thumb.

Adult↗

PubMed2004

[Primary suture following the bile duct exploration in cholelithiasis].

Classical performance of bile duct exploration is always strictly connected with the problem of an incised bile duct closure. In majority of surgical centers an external T-tube drainage was carried out in last century. But is an external drainage the best method to be used? The aim of the paper was to establish criteria for including (or excluding) patients to groups undergoing primary suture of bile duct. The comparison of the patients in whom bile duct exploration was followed by primary suture with the group in which T-tube was left in bile duct lumen was performed. Recently in our Department a classical method has been used to operate on 65 patients with cholelithiasis. In 42 patients a preoperatively planned bile duct exploration has been performed. In 14 patients a T-tube was left after the exploration, in 24 patients bile duct was closed with a primary suture. In other 18 patients with residual and recurrent bile duct stones T-tube was left in bile duct only in two patients. Based on literature analysis, our observations, and surgical experience criteria for including and excluding patients for primary suture of bile duct have been established. Groups of patients with and without T-tube were compared, considering complications and economic aspects of hospitalization. Our opinion is that whenever in specialized surgical centers detailed criteria are established and followed precisely, primary bile duct closure is a simple and safe procedure, responsible for few complications. The cost of hospitalization in the case of primary suture is half as much as the price of the hospitalization in the case of T-tube.

Adult↗

PubMed2004

[Abdominal Spigelian hernia].

Hernia in Spigel's semilunar line is a rare, diagnostic difficult type of abdominal external hernia at all. Case report of female patient aged 50-years treated surgically because of untypical situated (upon the navel) Spigelian hernia was described. The woman complained of painful left epigastrium with periodically revealed orange-like-tumor. Spigelian hernia was operated in general anaesthesia. Postoperative period was uncomplemented.

Abdominal Muscles↗

PubMed2003

[Prognostic difficulties in pseudomyxoma peritonei].

Pseudomyxoma peritonei is a rare disease leading to the accumulation of gelatinous masses in peritoneal cavity, usually secondary to neoplasmatic process of appendix or ovary. The authors describe a case report of 50 years old man with pseudomyxoma peritonei. Literature based discussion on prognostic difficulties and operative therapy perspectives in patients with this disease is presented.

Abdomen, Acute↗

PubMed2003

[Analysis of causes of mechanical jaundice and treatment methods in a group of 103 hospitalized patients].

103 consecutive hospitalized patients at the age from 23 to 87 years with mechanical jaundice are presented in this study. In 58 patients, a cause of the jaundice was ductal calculosis, in four, a damage to bile duct after cholecystectomy. In 43 patients (74%), a calculus was removed through endoscopy, in 2 patients (4%) through Kehr's drain, 13 patients required an operation, in 41 patients, jaundice resulted from a neoplasm including 22 patients with a tumor of the head of pancreas, in 9 neoplasm of gall bladder, in 4 tumor of liver invagination, in 4 tumor of distal part of bile duct, in 2 neoplasm of Vater's papilla. 8 patients out of 28 with neoplastic tumor of pancreatoduodenal field had proximal pancreatoduodenectomy performed (29%). 1 patient out of 4 with a tumor of liver invagination had a tumor removed together with II and III segment of liver with the following right side hepatoenterostomy. No perioperational deaths were noted. In two patients after pancreatoduodenectomy (25%), a fistula in pancreatoenterostomy occurred. Due to the advanced stage of the neoplastic disease, resections in tumors of pancreatoduodenal fields and of liver invagination were only possible respectively in 29 and 25%. In most case of ductal calculosis or residual ductal calculosis, a removal of calculi was possible through endoscopy.

Adult↗

PubMed2003

[Simultaneous operation on the tumor of the pancreas head and abdominal aortic aneurysm-case study].

A case of 73 years old patient qualified for operative treatment due to the escalation of jaundice in the course of the tumor of the pancreas head was presented. During laparotomy, apart from resectable tumor of the pancreas head, abdominal aortic aneurysm of the size 45 x 55 mm was found in a section below renal arteries, not involving iliac arteries. The resection of the abdominal aortic aneurysm and pancreatoduodenectomy were performed simultaneously. The patient was able to leave the hospital on the 12th day after the operation in a good general condition.

Aged↗