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Biomedical subjects

M Zahálka

Publications and source records attributed to M Zahálka.

4 recordsLinked to original sources

[Liver metastasis in colorectal carcinoma].

The authors describe the method and therapeutic results of liver metastases of colorectal carcinoma in a group of 14 patients followed up for 2 to 33 months. In these patients in five instances (35.7%) resection with subsequent intraarterial chemotherapy (HAI) was possible. In nine instances (64.3%) a chemoport was introduced, as resection was impossible due to the size of the lesion. For checking of the site and patency of the arterial chemoport, the authors recommend the use of port scintigraphy, a method which is accurate, accessible and simple.

Colorectal Neoplasms↗

[Enteral nutrition--nasojejunal tube or percutaneous jejunostomy?].

As many as 60% patients develop malnutrition during the postoperative period. Enteral nutrition can prevent its development or at least mitigate its manifestations. The author mentions the advantages, disadvantages, indications and contraindications of enteral nutrition. He mentions tho advantages and disadvantages of two routes of establishment of enteral nutrition, i.e. by a nasoenteral tube and by puncture stomy. Of many possible procedures he describes experience with a nasojejunal tube and with puncture jejunostomy. He deals with complications he recorded with both methods and presents two case-histories of less common application of puncture jejunostomy. The author prefers the use of puncture jejunostomy to that of a nasojejunal tube and recommends its use after surgery of the upper GIT and in acute necrotizing pancreatitis.

Adult↗

[Ultrasonography as an aid in the detection of intestinal invagination].

The authors demonstrate on two case-histories of intestinal invagination in children the effectiveness and aptness of ultrasonographic examination which contributes towards early diagnosis and therapy. They recommend this method therefore in case of obscure findings of the child abdomen as a routine examination.

Adolescent↗

[Postcholecystectomy syndromes].

The author analyzes postcholecystectomic complaints in 513 patients cholecystectomized in 1981-1985. He mentions the relationship between postcholecystectomic syndromes and preoperative complaints, the peroperative diagnosis and surgical operation. He recommends diagnostic investigations to elucidate the dyspepsia; the doctor must not be satisfied with the finding of cholecystolithiasis. The author also compares postcholecystectomic syndromes in patients with a biliodigestive anastomosis with papillosphincterotomy. The author analyzes in more detail the experience with treatment of nine patients, i.e. 1.75% patients with the finding of residual concrements.

Cholecystectomy↗