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Z Krzisnik

Publications and source records attributed to Z Krzisnik.

9 recordsLinked to original sources
PubMed1983

[Modern principles of surgical treatment of benign diseases of Vater's papilla].

Dilemma and contrary opinions about the appropriateness of surgical treatment of benign disease of choledocho-duodenal junction have often appeared in medical references, especially in recent decades. Existence or absence of functional and organic pathologic changes in the papilla Vateri and sphincter of Oddi have been the subject, facing the contrary opinions at many professional meetings considering the possibility of surgical treatment of disorders in flowing the gall to choledocho-duodenal junction. Having analysed their own patients surgically treated owing to gall hold up on papilla Vateri, the authors would like to contribute in clearing this problem. The patients should regularly be checked up in the postoperative period and the correct passage through the papilla of Vater following the surgery should be achieved. Operative technique improvements, decreasing the number of early postoperative complications, have been described. The authors confirm that operative indications for surgical treatment in the case of disorders of gall flowing on papilla Vateri is still set too seldom, so that instead of sphincteroplasty, a bilio--digestive anastomosis are carried out too often. The advantage of sphincteroplasty over sphincterotomy has been proved by objective diagnostic and functional examinations.

Ampulla of Vater↗
PubMed1979

[Atypical adenomatous hyperplasia of the endometrium].

By women in climacterium and postmenopause the authors found 30 adenomatous atypical hyperplasias out of a total of 909 active hyperplasias. They also detected 68 endometrial carcinomas and 65 other changes. Out of 30 patients with adenomatous atypical hyperplasia, 23 had been subjected to curettage earlier but at that time had revealed only milder forms of hyperplasia. Surgery was performed in 21 patients: in 15 patients the diagnosis based on the operative preparation agreed with that based on curettage findings, in 2 patients endometrial carcinoma and in 2 patients glandular hyperplasia were detected, while in 2 patients there was no functional endometrium. Out of 9 patients who for various reasons were not surgically treated and represented an unintentional prospective study, 5 subsequently developed endometrial carcinoma, 3 mild forms of hyperplasia, and 1 atrophia cystica. In the authors' opinion, the histogenesis of endometrial carcinoma in late postmenopause is still an open question.

Adult↗