Publications by authors named "Jacek Pierko"

Article Synopsis
  • The rising incidence of colorectal cancer has emphasized the need for enhanced surgical training, particularly in Poland, where changes to the training program have increased the number of required intestinal procedures for residents.
  • A multicenter study (LILEO study) involving 199 patients aimed to evaluate ileostomy reversal safety, comparing outcomes between surgeries performed by specialist surgeons and those done by surgical residents.
  • Results showed that while the resident group had a shorter hospital stay and a lower overall complication rate, these differences weren't statistically significant; however, minor complications were more prevalent in the specialist group, indicating that resident-performed ileostomy reversals are safe and effective.
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Loop ileostomy is commonly performed by colorectal and general surgeons to protect newly created large bowel anastomoses. The optimal timing for ileostomy closure remains debatable. Defining the timing associated with the best postoperative outcomes can significantly improve the clinical results for patients undergoing ileostomy closure.

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Background: Due to numerous late complications after laparoscopic adjustable gastric banding (LAGB), leading to band removal, a significant decrease of its application has been observed.

Objectives: The objective of this study was to present complications after LAGB in our own material.

Material And Methods: The study included 152 obese patients who underwent LAGB between 2005 and 2012.

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Background: Colorectal cancer remains a huge diagnostic and therapeutic issue in Poland and worldwide. World epidemiological data indicates a constant increase in morbidity in recent decades.

Objectives: The aim of this research was to present surgical procedures in malignant and benign colorectal neoplasms based on authors' clinical data.

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The occurrence of synchronous tumors of the gastrointestinal tract is rarely observed in general surgery, diagnosis is frequently incidental, often intraoperatively. The aim of this study was to present a case of a 50 year-old male patient admitted to the Department of Gastroenterology, University Hospital in Białystok, due to abdominal pain, significant weakness and excretion of tarry stools. Imaging diagnostics revealed the presence of a large gastric tumor (histopathological type - adenocarcinoma), and single metastasis to the liver.

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