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Hydrokolonoterapia - fakty i mity

100%
Borycka-Kiciak K.
Kosmos
|
2010
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vol. 59
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issue 3-4
421-428
EN
Whole bowel irrigation (hydrocolonotherapy) has been recognized for the last years as a popular method, especially in young patients with overweight or obesity and comorbidities from gastrointestinal tract. Idea of hydrocolonotherapy is based on known from the ancient times anal irrigation and XIX-century theory of "autointoxication". The later treats the residues of food collected within the gastrointestinal tract as a source of toxins which, by poissoning the organism, lead to many diseases, including malignances. Whole bowel irrigation is promoted as an effective and totally safe method of toxins and bacteria remnants eliminations. Unfortunately, not all informations regarding fruitful effects of hydrocolonotherapy are true and besides being based on physiologic knowledge, are often a simple manipulation. The present article is aimed to verify the nowadays data of whole bowel irrigation by reviewing the evidenced based literature.
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Role of electromyography and functional electrical stimulation in the treatment of anorectal diseases

45%
Borycka-Kiciak K., Wawiernia K., Namysł J., Garstka-Namysł K., Tarnowski W.
Polish Journal of Surgery
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2015
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vol. 87
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issue 4
194-202
3
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Laparoscopically Assisted Ileo-Colonic Resection in Patients with Crohn’s Disease – Preliminary Report

39%
Borycka-Kiciak K., Dib N., Janaszek Ł., Sołtysiak Ł., Bukowicka B., Tarnowski W.
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vol. 85
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issue 9
505-510
EN
Despite increasing number of reports indicating good treatment outcomes, laparoscopic treatment of Crohn’s disease remains controversial. The aim of the study was to compare outcomes of laparoscopically assisted and open ileo-colonic resection in patients with active Crohn’s disease. Material and methods. 82 patients who underwent surgical treatment (44 laparoscopic and 38 open procedures) at the Department of General, Oncological and Gastrointestinal Surgery in Warsaw were enrolled to the study. The following perioperative parameters were compared in both these groups: duration of hospitalization and presence of postoperative complications in at least 12 months of follow‑up. Results. The conversion rate in the laparoscopy group was 29.5%. There were no statistically significant differences between the study groups with regard to duration of the surgical procedure, requirement for perioperative transfusions and total number of postoperative complications (19.3% in the laparoscopy group versus 28.9% in the open surgery group). However, amount of analgesic drugs required in the postoperative period was significantly lower (25±6 vs 43±9, p<0.01) and duration of hospitalization was significantly shorter (9.0 vs 11.3 days, p=0.021) after laparoscopic versus open procedures procedures. Most of the patients with complicated Crohn’s disease who were qualified to laparoscopic treatment, underwent successful treatment using this method. Patients in whom conversion was done, were more likely to be on long term preoperative immunosuppressive therapy versus other patients. Conclusions. Laparoscopy is a demanding procedure from the technical point of view, but provides valuable benefits to patients with Crohn’s disease, including those with a complicated disease. However, this method requires ongoing improvement of technical aspects and thorough analysis of failures to identify factors that could accurately select patients with indications and contraindications to this procedure.
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