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Biomedical subjects

M Duda

Publications and source records attributed to M Duda.

At least 127 records · Page 7Linked to original sources
PubMed1980

[Clinical picture and differential diagnosis of esophageal reflux and hiatal hernia complex].

In the years from 1948 to 1977, 359 patients with simple or complicated reflux disease of the oesophagus (RDOe) and/or the hiatushernia complex were operated on at the 1st Clinic of Surgery of the Medical Faculty, Palacký University in Olomouc. The authors found the following frequency of occurrence of the fundamental symptoms: (1) In simple RDOe, pyrosis in 82%, pain in 82% (epigastrium 42%, thorax 30%, throat 7%), a postural impairment in 50%, regurgitation in 30%, vomiting in 15%, ructus and dysphagia in 11%. The median time of the anamnesis was 5.6 years. --(2) In the complicated RDOe, the most frequent symptoms were dysphagia in 78%, pyrosis in 62%, pain in 39%, loss of weight in 33%, and regurgitation in 28%. The median time of the anamnesis was 2.5 years. Only in 20% of the patients, a longer anamnesis of the subjective complaints was recorded. --(3) In cases of paraoesophageal hernias, the fundamental symptom was pain--in the epigastrium in 62% and retrosternally in 38%. There followed vomiting in 38%. Quite asymptomatical was the course of the disease in 12% of the patients. The median time of the anamnesis was 2 years. --(4) In the mixed form of hiatus hernias, the gastro-eosophageal reflux was preoperatively present in 46%; this was consistent with the symptomatology. Coincidence of the RDOe with cholelithiasis was found in 20% and in combination with a duodenal ulcus in 11% of the cases. These two forms of the disease are now mostly treated with the antireflux operation. In cases of an ulcus duodeni, superselective vagotomy and fundoplicatio according to Nissen-Rossetti are the methods of choice. --In 5% of the patients, the development of the reflux symptomatology had been preceded by a stomach resection. In 4 patients with reflux stenosis, the interval between the operation and the stenosis was very short (1 to 12 weeks).

Adult↗
PubMed1980

[The history and presence of the surgery of hiatal hernias and the oesophageal reflux disease (author's transl)].

Attention has been drawn to some milestones in the history of the surgical treatment of hiatal hernias with special regard to the Czech literature. Hiatal hernias were mentioned for the first time in the paper published by the Czech anatomist J. T. Klinkosch in Prague in 1764. In our literature and probably also in the worlds' literature, J. Simon was the first to describe his observations made in connection with hiatal hernias. In 1928, he reported on the interrelationship between the gastrooesophageal reflux and hiatal sliding hernias. Up to 1950, 13 patients with hiatal hernias were described in the Czech literature. Only two of them were operated on. In 1931, Leischner in Brno was the first to operate an incarcerated paraoesophageal hernia. At the 1st Clinic of Surgery of the Medical Facultý, Palacky University in Olomouc, 359 patients with hiatal hernias and the oesophageal reflux disease were operated on till the end of 1977. Of the total of the reports on this problem in our literature, 46% were published from our clinic.

Czechoslovakia↗
PubMed1977

[Reoperation on the bile ducts (author's transl)].

The total of 5560 operations on the gall bladder and bile ducts had been performed from 1951 to 1975, the mortality rate being 1.2% of all operated cases. There were 659 papillosphineterotomies, 82% of these were indicated for choledocholiathiasis associated with papillary changes, the remaining 18% for stenosis of the Vaterian system. 29 patients, i.e. 4.4% died following papillosphincterotomy. The total of 21 patients were reoperated on soon after the first intervention, 17 of them for inflammatory complications with four deaths, 4 for haemorrhage without any death. One of the patients died from a bleeding duodenal ulcer, 3 from postoperative pancreatitis. The last four patients were not reoperated. Later reoperations up to 7 years were performed in 24 cases. The other part of the paper presents an analysis of 35 patients reoperated on for iatrogenic postoperative strictures of the bile ducts mostly due to an injury induced during cholecystectomy or gastric resection.

Bile Ducts↗