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Biomedical subjects

M Duda

Publications and source records attributed to M Duda.

At least 109 records · Page 6Linked to original sources
PubMed1983

[Surgical treatment of functional disorders of the esophagus in the aged].

From 1948 to 1980, 747 patients with functional disorders of the esophagus were operated on at the First Department of Surgery of the Medical Faculty, Palacky University in Olomouc. In 177 (24%) of them, the intervention was performed at an older age. The gerontosurgical problem was especially evident in patients with esophageal diverticula of whom 40 to 51.1% were older than 60 years. In patients with paraesophageal and mixed hiatal hernias, it was 45%. However, in very complicated cases of achalasia and reflux diseases, it was also often necessary to operate older patients. The applicability of some surgical techniques and tactics in older patients has been discussed.

Aged↗
PubMed1982

[Therapeutic procedures in hemorrhage into the gastro-intestinal tract in reflux-esophagitis (author's transl)].

From 1976 and 1978, 158 patients with hematemesis and melaena from the upper gastro-intestinal tract were hospitalized at the Surgical clinic of the University Hospital in Olomouc. In 8.3%, reflux-esophagitis (ROe) and hiatal hernias (HH) were the cause of the hemorrhage. As a rule, the acute attack could be controlled by conservative treatment, and the operation was performed after the situation had calmed down. Only in exceptional cases an urgent operation was necessary. In the years from 1948 to 1979, 344 patients were operated on for reflux-esophagitis -- hemorrhage occurred only in 11.3%. In 32 patients the cause of the hemorrhage was a severe esophagitis and in 7 of them an esophageal ulcus. In reflux-esophagitis, hemorrhage is controlled by antireflex operations -- mostly by application of the fundoplicatio according to Nissen-Rossetti. When a duodenal ulcer or hyperacidity occur simultaneously, we combine fundoplicatio with superselective vagotomy.

Aged↗
PubMed1981

[Dracunculus medinensis infestation following holidays in West Africa. Epidemiological implications (author's transl)].

All 50 patients with dracunculiasis admitted to a Paris hospital during a 3-year period were West African immigrant workers, 70% of whom came from a very limited geographical area. Only 6 of the workers were "first arrival"; the others had contracted filariasis during holidays in their home country. The mean duration of stay in hospital was 40 days. In 40 of the patients who had spent 6 months or less in their home country, the exact dates of first arrival in France, departure to, and return from, Africa and emergence of adult worms were available, so that the duration of the Dracunculus medinensis cycle (mean: 12 +/- 1,7 months) and the period of local transmission could be determined. These epidemiological data account for the seasonal character of infestation and for the occurrence of dracunculiasis in France. They also exclude a diagnosis of filariasis based on more or less suggestive symptoms when the delays after possible infestation are either too long or too short.

Adult↗
PubMed1981

[Hiatal hernia; 359 cases. Late results].

From 1948 to 1977 359 patients suffering from oesophageal reflux disorders or the hiatus-hernia-complex underwent surgery at the I. Surgical clinic of the Medical Faculty Palacky-Univ. in Olomouc. In the group of 50 patients with simple paraaesophageal hernias the operative mortality came up to 4.0%. The mortality rate among patients with complicated oesophageal reflux disorders came up to 21.7%. The patients were followed up for 7.3 years on the average. In simple cases excellent and good results were achieved in 77.1%, poor results in 8.6%. The best results were obtained with the fundoplication according to Nissen-Rosetti. In the group with complicated oesophageal reflux disorders the results were excellent and good in 60% and poor in 3.3%. If possible, dilatation in combination with antireflux operation was preferred to resection of stenoses. Reoperation for recurrences of the disease were performed in 27 patients.

Gastric Acidity Determination↗