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Gastrointestinal Tract Obstruction Due to Jejunal Adenocarcinoma – Case Report

100%
Duchnik M., Kaseja K., Gręda J., Kowalewski B.
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vol. 86
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issue 4
198-201
EN
The study presented a rare case of jejunal adenocarcinoma in a 60-year-old patient with symptoms of high subileus. No risk factors or coexisting diseases, which predispose towards intestinal cancer were detected. The study contained a description of the performed surgical procedure. The presented case illustrated the diagnostic and therapeutic difficulties in patients with small intestinal cancer. The low prevalence of small intestinal cancer makes no clear standards of mid- and postoperative treatment, including the qualification for adjuvant chemotherapy. The aim of this study was to broaden the knowledge concerning the presented symptoms and diagnostic test abnormalities, which, in case of rare diseases, is based on single patient reports. Furthermore, according to reference analyses, postoperative recommendations were presented, including diagnostics towards coexisting predisposing diseases
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Minimally Invasive Subtotal Esophagectomy

100%
Wójcik J., Grodzki T., Kaseja K.
Polish Journal of Surgery
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2007
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vol. 79
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issue 10
672-677
EN
In the study a subtotal videothoracoscopic and laparoscopic esophageal resection with cervical anastomosis was presented with discussion concerning the new surgical problems and positions (classical and prone) of videothoracoscopic and laparoscopic approaches. The technique of esophageal elevation during mediastinal preparation, ligation and dissection of the azygos vein, pharmacological elongation of the graft using Glucagon as well as tips regarding easier identification of the esophagus at the outlet level was described. The usefulness of the harmonic scalpel and endostaplers was stressed. Additionally, findings and outcomes were discussed.
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