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Surgical treatment of Gastroesophageal Reflux disease: yesterday and today

100%
Szyca R., Leksowski K.
Polish Journal of Surgery
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2010
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vol. 82
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issue 7
426-429
2
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Computed Tomography colonography in Preoperative Evaluation of colorectal cancer

81%
Rudzińska M., Rudziński J., Szyca R., Leksowski K.
Polish Journal of Surgery
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2010
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vol. 82
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issue 8
449-453
EN
Computed tomographic colonography (CTC) has the potential to become an accepted technique for detecting of colorectal cancer.The aim of the study was to evaluate usefulness of CTC in preoperative evaluation of colorectal tumors and the regions of colon endoscopically unavailable.Material and methods. A total of 49 patients with colorectal tumors identified at conventional colonoscopy were included. In all these patients CTC was performed and results were compared with colonoscopy. In addition in CTC infiltration of surrounding tissues, organs, lymph nodes and liver were assessed. Findings were compared with contrast-enhanced CT of abdomen.Results. Colonoscopy was completed to the caecum in 24 (48.9%) patients. CTC failed only in one patient. CTC was congruent with colonoscopy in evaluation of tumor location and morphological type. In CTC two additional tumors were found proximately to occlusive masses, it is in endoscopically unavailable regions. Sensitivity and specificity of CTC comparing to CT in diagnosis of fat tissue infiltration and surrounding organs infiltration at the site of tumor were 95.5% / 50% and 100% / 86.9% respectively. Concordance of results in evaluation of lymph nodes was 93.9% while sensitivity and specificity for CTC was 84.6% and 100% respectively. Concordance of evaluation of liver metastases was 78.8%, while sensitivity and specificity for CTC was 61.5% and 90% respectively.Conclusions. CTC is a useful method in diagnostics of colorectal tumors. It allows to diagnose tumor, determine local tumor staging and detect synchronous lesions in endoscopically unavailable regions.
3
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Analysis of Factors Influencing Patient Satisfaction with Hospital Treatment at the Surgical Department

81%
Szyca R., Rosiek A., Nowakowska U., Leksowski K.
Polish Journal of Surgery
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2012
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vol. 84
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issue 3
136-143
EN
The aim of the study was to determine factors responsible for patient satisfaction after treatment at the surgical department.Material and methods. The study was conducted in six health care units, which were divided into two groups: Group I: 3 hospitals with the number of beds exceeding 400, and Group II: 3 hospitals with the number of beds below 400. The study group comprised 180 patients, 30 from each of the hospitals. The authors' used the Servqual method and questionnaire with 30 questions relating to five areas characteristic of medical service. Apart from the above-mentioned we also took into consideration hospital personnel: their qualifications and salary, hospital equipment, patient hospitalization costs, and indicated by the patient - the reason for his/her satisfaction or dissatisfaction with hospitalization. Results were subject to statistical analysis.Results. The results indicated that the factors pertaining to costs, especially those related to living conditions and also those related to empathy, personnel competence, and their communication with the patient had very significant influence on patient satisfaction with his/her hospitalization. Fulfilling the patient's needs considering the functional quality increases the patient's comfort, and as a consequence translates into satisfaction with the hospitalization.Conclusions. Considering both groups of hospitals the surgical departments did not entirely fulfill the patient's expectations, and there is a need for improvement in this area. The main reason for the negative feelings of patients included worse than expected living conditions, sporadic contact with physicians and lack of information concerning the course of therapy.
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