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Biomedical subjects

Z Kaspar

Publications and source records attributed to Z Kaspar.

At least 19 recordsLinked to original sources

[Consumption of white wine retards development of atherosclerosis and affects anticoagulation].

BACKGROUND: An inverse relationship between moderate alcohol use and coronary heart disease was found in various countries. Aims of the study were to find out whether drinking of moravian white wine will have the same effect on lipoproteins and fibrinogen as described in foreign wines. Blood pressure, body mass, blood glucose and a hepatic enzyme were also measured before and after drinking. METHODS AND RESULTS: Drinking of the Moravian white wine (vintage 1999; alcohol 11.48 vol %) was studied in 50 men aged 44.4 (SD 9.25) years. Drinking of 350 ml (40.2 g of alcohol) every evening for four weeks without any change of dietary factors followed in 45 men by statistically significant increase in HDL cholesterol from 1.17 to 1.25 mmol/l (p < 0.001) and free HDL cholesterol from 0.17 to 0.20 mmol/l (p < 0.0001) and highly significant (p < 0.00001) decrease in plasma fibrinogen level from 3.77 to 3.35 g/l. Nor triglycerides, or blood glucose and BMI were changed after increasing source of carbohydrates in wine. Mean systolic blood pressure of 123.4 mmHg did not change and diastolic blood pressure decreased insignificantly from 78.0 to 76.7 mmHg. Minimal decrease of ALT from 0.60 to 0.59 mukat/l disproved any hepatic disturbance. CONCLUSIONS: Everynight moderate drinking of Moravian white wine has similar beneficial effect as consumption of foreign alcohol drinks.

Adult↗

[An unusual cause for conversion in laparoscopic cholecystectomy].

The authors describe the case of a female patient who had a planned operation on account of cholecystolithiasis. An unexpected and undiagnosed cavernous haemangioma of the liver at the site of the gallbladder meant a serious complication of the operation and called for conversion. The authors discuss the necessity of detailed pre-operative diagnosis as a means of prevention of unexpected complications and emphasise the necessity of perfect knowledge of classical surgical procedures.

Cholecystectomy↗

[How to grasp the gallbladder reliably].

The authors describe a new laparoscopic instrument to be used for reliable gripping of tissue. The instrument is very simple from the technical aspect. Due to the firm and reliable grip the preparation of tissue is greatly facilitated. This shortens the operation time and is thus less demanding on the patient. The instrument is used currently in clinical practice and proved very useful.

Humans↗

[Endoscopic therapy of an adenoma of Vater's papilla].

The authors give an account of a case-history of a patient admitted to the department of surgery on account of obstructive jaundice. ERCP revealed a tumour of the ampulla of Vater and was removed by means of an polypectomy loop. After operation a prompt drop of bilirubin and liver test values was recorded. After three months a check-up ERCP revealed at the site of the papilla patent orifices of the d. choledochus and d. pancreaticus without signs of a relapsing tumour. In benign tumours and under optimal local conditions an endoscopic procedure can be selected.

Adenomatous Polyps↗