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R Góral

Publications and source records attributed to R Góral.

61 records · Page 4Linked to original sources
PubMedDate not supplied

[Surgical treatment of idiopathic megacolon].

The authors discuss own experience in diagnosis and surgical treatment of 32 patients with idiopathic megacolon. Three surgical techniques were compared: 1) partial excision of the colon, 2) nearly complete excision of the colon with cecum-rectal anastomosis, and 3) total colectomy with ileorectal anastomosis. Basing on the authors' own experience and available literature the third approach is recommended as the most appropriate in the treatment of the persistent, chronic constipation accompanying idiopathic megacolon.

Adult↗
PubMedDate not supplied

Repair operations on biliary tract.

In a period of 4 years from 1970 through 1974 29 repair operations of bile ducts were performed in 27 patients. In 9 cases choledocholithiasis had been overlooked during the primary operation, in 1 case a foreign body was present in the common bile duct, in 3 cases the long-stump syndrome was diagnosed, in 4 cases injury to the common bile duct occurred during an operation and was immediately dealth with, in 12 cases postoperative stricture of the bile duct was corrected. The authors describe surgical procedures and therapeutic results. The problem of selection of the most suitable operative method is discussed.

Adult↗
PubMedDate not supplied

Surgical treatment of obesity.

Thirty-two patients, 28 women and 4 men aged from 17 to 57 years were treated surgically for obesity. Their body weight ranged from 90 to 184 kg, with an excess weight from 42% to 180%. In 6 cases the Salmon operation and in 26 the Payne-de Wind operation were performed. Two patients died. In the remaining cases the postoperative course was uneventful and relatively mild. The longest follow-up period was 22 months. Weight loss rate was highest in the first period after the operation and the monthly rate of the weight loss in the first year after the operation was 3.5 to 6 kg. Diarrhea disappeared usually after 4 months. In some patients a transient fall in serum potassium and calcium level was observed. Other favorable results included a significant fall in the serum levels of cholesterol and beta-lipoproteins and improved value of BSP retention test. The condition of the patients is good and they have returned to work.

Adolescent↗