The results of surgical management (restorative proctocolectomy) in 15 patients operated on for familial polyposis and ulcerative colitis were presented. The comparison of ileo-anal, hand-sewn anastomosis with endorectal mucosectomy and double-stapled ileo-rectal anastomosis indicates both methods equally useful in surgical practice. In all patients J-pouch was created.
View Article and Find Full Text PDF27 patients operated for bile duct injuries as a complication of cholecystectomy were analyzed. The methods of surgical management in "fresh" bile duct injuries and delayed complications such as stenosis of bile ducts or anastomosis and recurrent cholangitis were discussed. Mucosa to mucosa, Roux-en-Y anastomosis, without splinting drains seems to be the best way to restore bile flow to digestive tract.
View Article and Find Full Text PDFDifferent methods of pancreatic stump management are possible to perform after pancreaticoduodenectomy. The group of 24 patients after pancreaticoduodenectomy with pancreaticojejunostomy, pancreaticogastrostomy and occlusion of the pancreatic duct by Neopren or Ethiblock were analysed. According to the literature and own results pancreatogastrostomy or occlusion of the pancreatic duct seems to be the safer procedure, but sometimes the choice is made intraoperatively.
View Article and Find Full Text PDFOn the basis of literature and on the grounds of their own experience the authors presented their opinions on the coexistence of colitis ulcerosa (c.u.) and pregnancy.
View Article and Find Full Text PDF