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Biomedical subjects

S Jablonický

Publications and source records attributed to S Jablonický.

15 recordsLinked to original sources

[Nutritional status in patients after reconstructive surgery of the upper digestive tract--status after 3 years].

The authors present an analysis of the nutritional status of eleven patients after reconstruction operations of the upper digestive tract (9 men and 2 women, aged 27-67 years, 7 times gastric resection, 4 times resection of the oesophagus), almost in all instances on account of malignant tumours. During the investigation the patients were given dietary advice incl. on the need of a higher vitamin and mineral intake. Three years after surgery the nutritional status of the investigated subjects did not change significantly as compared with the status before surgery but some trends were detected (decline of the serum calcium and albumin concentrations). Based on the results assembled in this small group the authors support views reported in the literature that reconstruction surgery of the upper digestive tract is safe as regards the patient's nutritional status.

Adult↗

[Mechanical anastomoses in gastrointestinal surgery].

The authors present an account of possibilities to use a mechanical anastomosis by means of staplers in gastrointestinal surgery and the advantages of this procedure. It is a rapid, simple, and above all, reliable technique with a minimal percentage of postoperative complications. Despite the relatively high cost its importance is invaluable in particular in surgery of the oesophagus, cardia and in low resections of the rectum where it is possible to fix a reliable anastomosis up to 2 cm from the linea dentata. The authors evaluate 95 mechanical anastomoses, incl. three where during the postoperative period dehiscence occurred.

Adult↗

[Surgical treatment of ulcerous colitis].

Ulcerative colitis, being a typical medical disease, is encountered by the surgeon only in the stage of toxic megacolon or in case of sever complications during conservative treatment such as perforation, haemorrhage or obstruction. The authors operated six young women where they performed as the only choice total proctocolectomy with formation of an ileal reservoir which was sutured to the rectum stripped of the mucosa. Despite the serious condition at the time of operation, the patients survive the operation, although the percentage of postoperative complications is high, with the exception of one patient who died on the 126th day after operation. The remainder survive in a fair condition with complete and continence.

Adolescent↗

[Primary adenocarcinoma of the esophagus].

The presented analysis of a patient treated at the 1st Surgical Department of the Teaching Hospital in Bratislava meets the criteria for being classified as primary adenocarcinoma of the esophagus, whose characteristics are described in the paper. Primary adenocarcinomas of the esophagus occur rarely and constitute only about 0.5% of large series of esophageal malignancies. The tumor is not connected with the gastric mucosa, being separated from it by the normal mucosa of the esophagus, and it is not a metastasis. The patients suffer from late not marked dysphagia. The endoscopic and histologic findings are frequently misleading since the mucosa above the tumor is usually intact.

Adenocarcinoma↗

[Diagnostic and therapeutic problems in carcinoma of the esophagus and cardia].

The authors describe their experience with the treatment of 180 patients with tumours of the oesophagus and cardia, during a 13-year period, at the Surgical Clinic, Medical Faculty, Comenius University, Bratislava. Most frequently the tumorous process was in the median portion of the oesophagus. A radical operation could be performed only in 27.2% of patients. The reason was that frequently the tumours were already very advanced when the patients were admitted to the surgical department; that means: late diagnosis. This explains also the short postoperative survival. The authors analyze the reasons for the above described facts and submit their concept of the diagnostic and therapeutic approach to the problem of carcinoma of the oesophagus and cardia.

Adult↗

[Metastasizing melanoma].

The complexities of diagnosing melanoma metastases are discussed. More accuracy can be attained with the aid of USG, CT, NMR and scintiscans of the liver. The LDH test appears to be the most effective in cases of metastases developing in the liver. A case of melanoma metastases in the gallbladder is analyzed.

Gallbladder Neoplasms↗