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M Bernat

Publications and source records attributed to M Bernat.

At least 19 recordsLinked to original sources

Surgical treatment of cardiospasm and megaoesophagus.

Long-term results of operative treatment of cardiospasm and megaoesophagus in 111 patients are presented. There were 67 women and 44 men treated, age 4 to 65. The authors have for several years used their own, in this Department developed method of operation for cardiospasm, which joins Heller's operation with the reconstruction of the cardia to prevent reflux. In very advanced stages of the disease as megaoesophagus they use an original surgical procedure, which consists in connecting the thoracic segment of the oesophagus with the prepyloric part of the stomach by means of a pedicle jejunal graft. Clinical follow-up supported by x-ray examination and endoscopy has shown very good results of such treatment.

Adolescent

[Late results of esophageal prostheses created from intestinal grafts].

During the last 30 years, 280 retrosternal esophageal replacements from stem intestinal grafts were performed at GIT Surgery Clinic AM in Wroclav. Both clinical and auxiliary investigations showed the small intestine grafts have been of the best function as to the food passage. In esophagi made from the large intestine, the following and mostly frequent changes occur: the dilatations of their lumina, the stop of food passage and inflammatory changes varying in both the degree and extent. Inflammatory changes as well as ulcers are rather difficult to detect by radiology. Through the last years, the Second Clinic of General Surgery AM in Wroclav provides endoscopy of artificial esophagi. Being sophisticated, this approach is of benefit in early determining pathologic changes in the esophageal wall, the collection of contents for biochemical tests, tissue biopsies for histology and the initiation of appropriate therapy.

Adolescent

[Malignant lymphoma of the stomach].

The authors present their own experience with the diagnosis and therapy of six primary malignant gastric lymphomas. They draw attention to the pitfalls of preoperative and peroperative diagnosis. From six patients treated in the department in 1978-1985 the correct diagnosis was established before operation only in one patient. In three patients an urgent operation had to be performed on account of signs of perforation of the lymphoma. The authors discuss the possibilities of surgical treatment and supplementary postoperative radio- and chemotherapy.

Aged