Laparoscopic sleeve gastrectomy - 7 years of own experience.

Introduction: Laparoscopic sleeve gastrectomy is a procedure frequently chosen by patients and surgeons that carries the risk of serious complications that are difficult to treat.

Aim: To describe the operations performed by us, considering complications and their management.

Material And Methods: We performed 565 laparoscopic sleeve gastrectomies.

Gastric cancer after laparoscopic adjustable gastric banding: case report.

Gastric cancer in patients who have undergone bariatric surgery is rare. The authors present a case of stomach cancer in a patient 6 years after adjustable silicone gastric band placement. The tumour was located below the band, not in its direct vicinity.

Own experience improving port implantation in laparoscopic adjustable gastric banding.

Introduction: Laparoscopic adjustable gastric banding (LAGB) is a method frequently used for treating obesity. It requires periodic band regulation associated with the need for port puncture. However, there is always a substantial risk of port rotation.

C-reactive protein as a marker of postoperative septic complications.

The Aim Of The Study: was to answer the question whether or not determination of C-reactive protein in patients after serious abdominal surgeries can be prognostic of septic complications.

Material And Methods: 36 patients who underwent elective surgeries were included in the study. The patients were included either in the group where no postoperative SIRS developed or in the group where postoperative SIRS did occur.

[Hemobilia caused by ruptured hepatic artery aneurysm--case report].

The article reports a rare case of hemobilia caused by ruptured hepatic artery aneurysm. Based on clinical symptoms, USG and ERCP common bile duct stones have been diagnosed primary. Because of no response to initial treatment (ERCP) and appearing a new clinical symptom - bleeding in the upper gastrointestinal tract, another tests have been applied which results let us estabilish final diagnosis.

Gastric perforation as a complication after BioEnterics intragastric balloon bariatric treatment in obese patients--synergy of endoscopy and videosurgery.

The BioEnterics intragastric balloon (BIB) is one of the most common bariatric procedures in obese patients in Europe. Associated gastric perforation is a rare, yet very dangerous, complication. We report a case of such a complication after BioEnterics intragastric balloon insertion in a 60-year-old female patient and subsequent cooperation between an endoscopist and bariatric videosurgeon in her treatment.

[Pyoderma gangrenosum--an interdisciplinary diagnostic problem].

Pyoderma gangrenosum is a rare, chronic, progressive and noninfectious necrosis of skin with an unclear etiology. It usually coexists with the systemic disorders. Clinically it appears as a rapidly spreading ulceration in a various location.

[Laparoscopic cholecystectomy for acute cholecystitis].

Unlabelled: Laparoscopic cholecystectomy is considered the "gold standard" for the planned treatment of symptomatic cholecystolithiasis. Currently this method is used in 88% of cholecystectomy according to world database. There are evidences that laparoscopic cholecystectomy for acute cholecystitis is a quite safe method which is not connected with many complications.

[Bile duct infections as a late complication after endoscopic sphincterotomy].

Unlabelled: Nowadays endoscopic sphincterotomy (SE) is considered to be a "gold standard" in the treatment of residual choledocholithiasis and biliary pancreatitis. Nevertheless patients after invasive procedures concerning bile ducts with destruction of Oddi's sphincter often have increased succeptibility to chronic infections of bile ducts.

Aim: Assessment of the influence of SE on bacterial colonization, development of main bile duct chronic inflammation and recurrent choledocholithiasis.

[Evaluation of neutrophil-lymphocyte ratio usefulness in the diagnosis of appendicitis].

Unlabelled: The aim of the study was the evaluation ofneutrophil-lymphocyte ratio usefulness in the diagnosis of appendicitis.

Material And Methods: The study concerned 469 patients: 280 (59.7%) women and 189 (40.

Perioperative comparison of the MiniMizer extra band with the other laparoscopic gastric bands.

Background: Laparoscopic adjustable gastric banding is a widely used operation for morbid obesity. The most frequent complications of this operation are band migration and pouch dilatation (slippage). The use of the newly introduced MiniMizer Extra band with a unique gastric wall fixation system and a two-degree closure may decrease the postoperative complication rate.

[Laparoscopic cholecystectomy--the method of choice in the elderly].

The aim of the study was the comparison and assessment of the results of gallbladder excision performed with the classical and laparoscopic methods in persons after age of 70. A total of 242 patients with mean age of 76.1 years operated on in the years 1999-2002, were analysed.

[Lymphoscintigraphy as a method of choice for the assessment of lymphatic oedema of the lower limbs].

Among various pathologic conditions characterized by swelling of the lower limbs, lymphatic oedema is that of more frequent occurrence. The oldest method used in the examination of the lymphatic system besides its clinical assessment is colour lymphography based on the application of methylene blue. A more accurate method was employment of iodic contrast media visualised on roentgenological plates.

[Lipid peroxidation product as prognostic factors in acute necrotizing pancreatitis].

Unlabelled: The aim of the study is the assessment of the role of oxygen free radicals (OFRs) in the pathology of acute pancreatitis (AP).

Material And Methods: It has been accomplished based on the analysis of lipid peroxidation products' and hydrogen peroxide blood concentration in 60 patients with AP. Spectrometric and spectrofluorometric methods were used.

[Lipid peroxidation products in experimental peritonitis].

Unlabelled: Oxygen free radicals attribute to the peroxidation of lipids forming the cellular wall. These processes are manifested by means of phospholipid (PL), triglyceride (TG), and cholesterol (CH) concentration changes. Simultaneously, as a result of arachidonic acid peroxidation, conjugated dienes (CD) and malonyl dialdehyde (MDA) are released.

[Serum anti-oxidative barrier in acute pancreatitis].

Unlabelled: Serum anti-oxidative barrier is a factor determining active oxygen form suppression. The aim of this study is to investigate superoxide dismutase (SOD) and glutathione peroxidase (GP) serum level changes as a marker of its enzymatic barrier efficiency in patients with acute pancreatitis (AP) evaluated by means of Ranson score.

Material And Methods: Fifty patients with AP were divided onto 2 groups.

[Hyperlipoproteinemia in necrotizing pancreatitis].

Unlabelled: Oxygen free radicals (OFR) generated during necrotizing acute pancreatitis (NAP) make an impact on cholesterol, phospholipids, and triglyceride metabolism. These compounds are poorly soluble in body fluids and form proteolipid complexes called lipoproteins. The aim of this study is to investigate the lipoprotein metabolism in accordance to NAP severity.

[The role of selected enzymes and acute phase proteins in necrotizing pancreatitis].

The Aim: Despite potent clinical manifestation of acute necrotizing pancreatitis symptoms, its severity estimation and prognosis based on laboratory tests proves to be difficult. In general, the key role in disease diagnostics is attributed to enzymes secreted by this organ. However, this opinion doesn't find confirmation in all cases.

[Antioxidative barrier activity assessment in gastro-esophageal reflux disease].

92 patients with gastro-esophageal reflux disease (GERD) confirmed by 24-hour pH-metry, upper gastrointestinal tract endoscopy, and X-ray barium scan were examined in this study. All patients were divided into 2 groups: first consisted of patients (51) with no signs of esophagitis and the second one (41) included individuals with gastro-oesophageal reflux complicated with inflammation. Inflammation of the mucosa was confirmed by pathological examination.

[The influence of pentoxifylline on the course of experimental peritonitis].

The influence and relation between pentoxifylline (PTX) dose and time of administration and mortality rate of animals with experimental peritonitis (EP) were studied. Forty-five rats used in this study. Experimental peritonitis was elicited in study animals.

[Effect of arachidonic acid peroxidation products on the development of gastroesophageal reflux disease].

Oxygen free radicals trigger arachidonic acid peroxidation. The end-products of this reaction are malonyl dialdehyde (MDA) and conjugated dienes (CDs). The pattern of changes of MDA and CD concentrations in serum and esophagus mucosa homogenates were estimated in patients with GERD.

Pentoxyphilline as a cyclooxygenase (cox-2) inhibitor in experimental sepsis.

Background: The aim of this study is to assess the impact of pentoxyphilline (PTX) on the pattern of serum concentrations of certain pro-inflammatory cytokines and their soluble receptors in relation to the animal's survival period.

Material/methods: Diffuse peritonitis was elicited by means of cecal ligation and puncture (CLP) in 45 adult Wistar rats. The pattern of soluble TNF receptor p55 type 1 and p75 type 2 in reference to TNF-alpha and IL-1beta concentration in animals with experimental diffuse peritonitis (EDP) was estimated.

[Comparison of stapling techniques and knot-like sutures in intestinal anastomosis].

The authors analysed the most common complications in patients after gastrointestinal tract resections. Based on own ten-year clinical practice in stapling technique the complication rate was described including anastomosis insufficiency and stenosis, anastomosis line bleeding, wound infection, and cardio-pulmonary disorders in 636 patients. The observations were compared to standard knot anastomosis in 183 patients.

[Soluble TNF p55 and p75 receptors in the development of sepsis syndrome].

The role is described of soluble type I p55 and type II p75 TNF receptors (sTNF-R) in the development of septic syndrome (SS). It is assumed, that at an early stage of infection, high levels of sTNF-R p55 and p75 augment systemic immunity and enhance the natural non-specific response. At the same time the presence of TNF-? in plasma proves inadequate secretion of sTNF-R p55 and p75 that is insufficient to block its generation and neutralization during SS.

[Tests for the usefulness of glucocorticosteroids in treatment of experimental peritonitis].

In this experimental study the influence of glycocorticosteroids on the course of infection and prognosis in 75 rats with diffuse peritonitis was examined. We focused on the relation between doses, moment of pharmacotherapy introduction and the course of disease. To achieve this we estimated the dexamethasone doses and moment of its introduction on C-reactive protein (CRP), TNF-alpha and its soluble type I--p55 and type II--p75 receptors' concentrations in examined animals' serum.