Helicobacter pylori and nonsteroidal anti-inflammatory drugs in perforations and bleeding of peptic ulcers.

Background: This study was designed to assess the relative contribution of H pylori (Hp) infection and NSAID in the pathogenesis of perforation and bleeding of peptic ulcer (PU).

Material/methods: Total of 91 PU perforations and 135 active bleeding were examined during last 5 years. At the same time, 1384 age- and gender-matched PU patients without such complications were examined.

Sclerosant therapy as first-line treatment for solitary liver cysts.

Aim: The aim was to determine the outcome from percutaneous sclerosing treatment of solitary non-parasitic hepatic cysts.

Methods: The results of treatment of patients with symptomatic solitary non-parasitic hepatic cysts treated between 1995 and 2000 were reviewed.

Results: There were 23 women and one man with a median (range) age of 59 (34-79) years.

[Acute appendicitis--open or laparoscopic surgery?].

Unlabelled: Laparoscopy is used more and more frequently in the treatment of abdominal emergencies including acute appendicitis. This technique has a lot of advantages especially in the group of the young female patients, where the differential diagnosis between gynecological diseases and appendicitis is difficult.

Aim Of The Study: The study is designed to compare the results of open and laparoscopic exploration in patients with suspected appendicitis.

[Laparoscopic emergency surgery].

Up-to-dated concepts about the use of laparoscopy in the "acute abdomen" have been discussed. Most frequently performed procedures in abdominal emergency and trauma were presented. Indications, contra-indications, advantages and drawbacks with regard to own 10 years experience and literature were discussed.

[The decade of laparoscopic cholecystectomy].

The role of laparoscopy in the treatment of gallbladder stones has been discussed. Operative technique, intraoperative difficulties, complications and its treatment were presented. Indications, postoperative course, advantages and drawbacks of minimally invasive techniques in the treatment of cholelithiasis were discussed.

[Laparoscopic surgery of the large intestine].

Contemporary concepts regarding the use of laparoscopy in large bowel surgery were presented. Indications, contraindications and limitations of this technique were given. Operative technique of the most common procedures was discussed.

The usefulness of capsulated 13C-urea breath test in diagnosis of Helicobacter pylori infection in patients with upper gastrointestinal bleeding.

Background: H. pylori infection and peptic ulcerations and their complications such as bleeding are causally related, but the available methods used in bleeding to confirm active H. pylori lack accuracy.

[Minimally invasive endocrine surgery].

Contemporary concepts regarding the use of endoscopic techniques in endocrine surgery have been presented. Laparoscopic adrenalectomy as a generally accepted method of treatment of benign adrenal tumours was discussed. Indications and technique of transperitoneal and retroperitoneal access were given.

[Laparoscopy in abdominal emergencies].

Up-to-dated concepts about the use of laparoscopy in the "acute abdomen" have been discussed. Most frequently performed procedures in abdominal emergencies and trauma were presented. Indications, contraindications, advantages and drawbacks with regard to own experience and literature were discussed.

[Percutaneous endoscopic gastrostomy in amyotrophic lateral sclerosis patients with dysphagia. A preliminary report].

Percutaneous endoscopic gastrostomy (PEG) has been proposed as symptomatic treatment of dysphagia in amyotrophic lateral sclerosis (ALS) patients. The aim of our study was to assess the safety and complications and survival after PEG implantations in 13 ALS patients. We discuss the factors related to survival in two groups: dead (6 out of 13 patients) and alive (7 out of 13) after PEG implantations.

Incidence of complications of peptic ulcers in patients with Helicobacter pylori (Hp) infection and/or NSAID use in the era of Hp eradication.

Background: Hp and NSAID are considered as major pathogens in peptic ulcerations and their complications but little is known about the incidence of ulcers and their complications following wide-spread use of Hp eradication. The aims of the study were: 1) to analyze incidence of ulcers and their complications, bleeding and perforations at time when the Hp eradication has been used in ulcer therapy, and 2) to assess the impact of Hp infection and NSAID use on the incidence of ulcers and complications.

Material/methods: From 1996 to 2001, 381 patients with complications of peptic ulcers were admitted to the emergency surgery, including 273 patients with bleeding ulcers and 108 with perforations out of a sample of 6515 dyspeptic patients examined with upper endoscopy and 13C-urea breath test (UBT).

Case presentation of gastrinoma combined with gastric carcinoid with the longest survival record -- Zollinger-Ellison syndrome: pathophysiology, diagnosis and therapy.

Background: Zollinger-Ellison syndrome is a very rare disease caused by tumor with gastrin producing cells accompanied by hypergastrinemia leading to gastric hypersecretion and peptic ulcers and their complications.

Case Study: Female case of gastrinoma (Zollinger-Ellison syndrome; Z-E) with a record of 38 yrs of survival. Acute gastro-duodenal ulcers started at 28 yr of age and Z-E was diagnosed by using gastrin assays.