Results found: 3

Number of results on page

Search results

Search:
in the keywords: gastroscopy

Sort By:

Limit search:

Barrett's esophagus and gland cancer - the experience of one center

100%

Nowicki A., Kula Z., Świerszczyńska A.

Polish Journal of Surgery

2018

vol. 90(3)

19-24

Objective: The aim of the study was to evaluate the prevalence and clinical aspects of Barrett’s esophagus and adenocarcinoma of the lower part of esophagus in gastroscopy. Material and methods: Retrospective review of 10000 upper gastrointestinal endoscopic examinations were performed at the Department of Oncology Endoscopy in Bydgoszcz from 2004 to 2014 in terms of incidence of Barrett’s esophagus and adenocarcinoma in the lower part of esophagus. Results: The medical records of 5378 (53,8%) women and 4622 (46,2%) men were analyzed. The average age of men and women was 62,4 and 62,7, respectively. Barrett’s esophagus was diagnosed in 67 patients, including 38 (56,7%) of men where the average age of men and women was 56,9 and 60,2 years, respectively. The most commonly reported symptom was heartburn occurred in 45 (67,2%) of patients. During ten years of follow-up PB examination the adenocarcinomas were detected in 3 (4,47%) cases. Adenocarcinoma was diagnosed in 46 patients, of whom 37 in men. In the case of 27 patients (58,7%), esophageal cancer was treated with the intention of radicalization. The probability of 5-year survival in these patients was 10,2% for women and 9,2% for men. Conclusions: The number of Barrett’s esophagus and adenocarcinoma are increasing at 0,67% and 0,46% annually, respectively. The risk of adenocarcinoma developed from Barrett’s esophagus during endoscopic follow-up period was 4,47%. Probability of 5-year survival in patients with adenocarcinoma was 9,7%.

Need Assessment for Gastroscopy in Patients with Gall-Stones

100%

Bartosz K., Głuszek S.

Polish Journal of Surgery

2010

vol. 82

issue 8

469-478

Cholelithiasis (gall-stones) occurs in 13% of the Polish population. Patients affected with gall-stones notify non-specific symptoms caused by pathology of the upper segment of the digestive track which coexists with gall-stones.The aim of the study was to analyze the risk of occurrence of pathological changes, within the part of the digestive track in patients affected with gall-stones, to assess the correlation between data of medical histories of patients and results of gastroscopy based diagnosis; to devise tactics of alterations to the planned measures in case a clinically significant disease has been diagnosed.Material and methods. The study group comprised 615 patients, qualified for cholecystectomy, with symptomatic gall-stones, verified by an ultrasound diagnosis. After being interviewed and examined, all the patients were subjected to gastroscopy, and when necessary biopsy was performed. The statistical analysis was performed using an multifactorial analysis (Pearson's correlation coefficient for categorical variables).Results. Among 615 patients, the subjects in the study, we found 183 ones (29.7%) with a normal upper digestive tract, we found pathology of the upper digestive system in 70.3% cases (432 patients). Serious pathology resulting in changing the planned treatment was found in 83 patients (13.5%): among those four ones had gastric carcinoma, sixty-three ones suffering from chronic peptic ulcer disease (gastric or/and duodenal), twelve patients were affected with hemorrhagic gastritis, four patients had GERD C and D. In a group of 83 patients cholocystectomy was postponed and the diagnosed disease was treated. Four patients were operated on because of gastric cancer, with intention of cure.Conclusions. 1. Routine gastroscopy performed before cholecystectomy is justified. The percentage of abnormalities diagnosed during gastroscopy proved the above mentioned thesis. 2. Medical histories and an object examination do not allow to state explicitly that there is another disease of the upper part of the digestive system which coexists with gall-stones. In case of diagnosing the other pathology it is necessary to take into consideration an alteration of tactics of management: to delay an operation and treat the other disease which has been diagnosed.

Wrośnięty PEG – powikłanie żywienia dojelitowego

63%

Adamiec C., Dryla P., Gil J., Saracyn M., Nowak T., Wołyńska-Szkudlarek A., Bobula M.

Pediatria i Medycyna Rodzinna

2015

vol. 11

issue 3

315-320

Good nutritional status of the patient is very often key to successful medical intervention. For patients capable of safe and efficient swallowing, the modification of diet or introduction of oral nutritional supplements is sufficient. In patients with swallowing disorders, regardless of their aetiology, artificial nutrition access is required. In the case of long-term nutritional therapy, percutaneous endoscopic gastrostomy (PEG) insertion is considered the gold standard. The procedure of inserting a PEG feeding tube is not difficult to perform and is widely used. As any invasive medical procedure, PEG tube insertion involves the risk of complications. Typical complications that may follow this common procedure include dislodgement, dysfunction, skin infection in the area of PEG catheter placement and aspiration of gastric contents. A rare or rather rarely diagnosed complication that may result from PEG tube placement is the migration of the internal bumper under the gastric mucosa, or even deeper. This can result in the covering of the internal bumper with granulation tissue and gradual loss of its functionality. Correct prevention and treatment allows to keep the catheter functionality and protect against other serious, often life-threatening, complications such as extensive phlegmon infection of the anterior abdominal wall. The best prophylaxis is the education of caregivers providing long-term care of the PEG outside of hospital. Early recognition of the complication allows for preservative treatment and maintenance of a fully functional nutrition access. In the case of extensive and deep migration and the site being fully covered with mucosa, PEG removal and insertion of a new one is often necessary. In some cases, it is possible to use the existing, mature PEG canal with well-defined edges; however, in the case of severe infection a new PEG tube is inserted at another site.

Właściwy stan odżywienia pacjenta bardzo często decyduje o sukcesie całego procesu leczniczego. W przypadku chorych, którzy samodzielnie połykają, wsparcie żywieniowe może być realizowane przez zmianę diety lub dołączenie doustnych suplementów pokarmowych. Pacjenci z zaburzeniami połykania (niezależnie od ich etiologii) muszą mieć wytworzony sztuczny dostęp do przewodu pokarmowego. W razie konieczności żywienia długoterminowego złotym standardem jest wytworzenie przezskórnej gastrostomii metodą endoskopową (percutaneous endoscopic gastrostomy, PEG). Założenie sondy żywieniowej tego typu nie jest technicznie trudne, jednak – jak każda procedura inwazyjna – wiąże się z ryzykiem powikłań. Typowe powikłania związane z obecnością PEG to wypadnięcie, zatkanie, aspiracja treści pokarmowej oraz infekcja skóry w miejscu założenia cewnika. Rzadziej występującym (albo raczej rzadziej rozpoznawanym) powikłaniem jest jego stopniowe zagłębianie się w błonie śluzowej, z następowym obrośnięciem tkanką ziarninową i stopniową utratą funkcji. Właściwe postępowanie zapobiegawcze i odpowiednie leczenie pozwalają zachować funkcjonalność cewnika i chronią przed wystąpieniem innych – często groźnych dla życia – powikłań, m.in. rozległej ropowicy przedniej ściany jamy brzusznej. Najlepszą profilaktykę powikłań stanowi edukacja osób zajmujących się PEG w warunkach pozaszpitalnych. Wczesne rozpoznanie problemu pozwala na wdrożenie postępowania zachowawczego i utrzymanie dojścia żywieniowego. Rozpoznanie w stadium zaawansowanym wymaga często usunięcia cewnika i założenia nowego. Istnieje możliwość wykorzystania już wysztancowanego kanału przetoki, ale w przypadku dużego odczynu zapalnego wprowadza się nowy cewnik w sąsiedztwie.

Refine search results

2 Polish Journal of Surgery

1 Pediatria i Medycyna Rodzinna

1 2018

1 2015

1 2010

1 Adamiec C.

1 Bartosz K.

1 Bobula M.

1 Dryla P.

1 Gil J.

1 Głuszek S.

1 Kula Z.

1 Nowak T.

1 Nowicki A.

1 Saracyn M.

1 Wołyńska-Szkudlarek A.

1 Świerszczyńska A.

Search results

Barrett's esophagus and gland cancer - the experience of one center

Need Assessment for Gastroscopy in Patients with Gall-Stones

Wrośnięty PEG – powikłanie żywienia dojelitowego