Epidemiology of Helicobacter pylori infection in the Slovak Republic.

Background/aims: The prevalence of H. pylori differs significantly both between and within countries. In general infection correlates inversely to socioeconomic conditions.

Prospective follow-up of patients with bile duct strictures secondary to laparoscopic cholecystectomy, treated endoscopically with multiple stents.

Background/aims: The frequency of iatrogenic postoperative benign strictures has substantially increased in recent years and this is thought to be because of the widespread use of laparoscopic cholecystectomy. Our study was performed prospectively with the goal to investigate the short-term and long-term outcome for endoscopic treatment with insertion of multiple stents in patients with postoperative benign common bile duct stricture after laparoscopic cholecystectomy.

Methodology: Overall 43 consecutive patients with history of laparoscopic cholecystectomy were enrolled and followed prospectively between December 1998 and December 2003.

The clinical value of the procalcitonin in prediction of severity and outcome in acute pancreatitis.

Background/aims: Early identification of patients with severe forms of acute pancreatitis (AP) and subsequent management of these high risk patients are the most important aims in order to decrease mortality from AP. Procalcitonin (PCT) as a marker for systemic inflammation appears to be a useful marker for early identification of severe forms.

Methodology: 101 patients with confirmed AP have been admitted to department of general surgery.

Report of first experience with endoscopic ultrasonography in Slovak Republic.

Background: Endoscopic ultrasonography (EUS) is a method that takes the advantage of a combination of endoscopy and ultrasound, where a miniature probe that functions as a transducer (which functions as both a transmitter and a receiver of ultrasound), is incorporated in the tip of the endoscope. From the introduction, this modality has found it s uninterchangable place all over the world not only in the diagnosis, but also in the therapy of gastrointestinal diseases and the diseases of the surrounded structures and organs. Indications for EUS can be simply divided into three main categories: submucosal abnormalities, staging of tumors of the gastrointestinal tract and pancreatobiliary diseases.

[Etiology and diagnosis of acute pancreatitis].

Acute pancreatitis (AP) is an acute inflammatory process of pancreas with varying affliction of other tissues or organs. Both, exocrine and endocrine functions recover following the acute period. Its symptoms include abdominal pain and elevation of pancreatic enzymes within blood, urine and peritoneal fluid.

[Hepatorenal syndrome].

Background: The association of renal failure with terminal liver insufficiency is referred to as hepatorenal syndrome (HRS). It is characterized by impaired renal function together with abnormalities in arterial circulation and activity of endogenous vasoactive system. In the pathogenesis of HRS, vasodilatation in the splanchnic circulation plays a major role.

[Endoscopic therapy of pancreatic pseudocysts].

Background: Pancreatic pseudocysts are a complication of both acute and chronic pancreatitis. Incidence in patients with acute pancreatitis is 2-50%, in patients with chronic pancreatitis 20-40%. Pseudocysts are a cause of many symptoms, e.

Review article: the clinical influence of Helicobacter pylori in effective acid suppression-implications for the treatment of gastro-oesophageal reflux disease.

The relationship between gastro-oesophageal reflux disease (GERD) and Helicobacter pylori is unclear. Recent data indicate that H. pylori probably exerts a protective effect against GERD.

Pulmonary complications in patients with inflammatory bowel disease.

Background/aims: Between 1996 and 1998 we investigated the occurrence of lung disorders in 82 patients with inflammatory bowel disease (30 patients with ulcerative colitis and 52 patients with Crohn's disease) and a control group of 60 subjects. The aim of our study was to determine the occurrence of pulmonary complications in patients with inflammatory bowel disease, to investigate whether ulcerative colitis or Crohn's disease are connected with a typical lung function disorder, with the inflammatory activity of the disease or if they depend on the presence of other extraintestinal manifestations.

Methodology: We investigated the occurrence of lung disorders in terms of the following parameters: clinical pulmonary symptoms, chest radiography and pulmonary function tests (body plethysmography, pneumotachography, lung transfer capacity for carbon monoxide, and blood gas analysis).

[Actinomycosis of the ovary as a cause of cachexia in a young patient].

The authors describe the case of a 40-year-old female patient treated for prolonged periods unsuccessfully with several antibiotics on account of a febrile condition of obscure aetiology and subsequently repeatedly subjected to laparotomy on account of intra-abdominal abscesses. The cause of the fever, abdominal pain and gradual cachectization was an abdominal form of actinomycosis. After establishment of the diagnosis the patient was successfully treated by long-term penicillin administration and recovered completely.

[The importance of the determination of primary bile acids in diseases of the digestive tract].

The authors assessed the concentration of primary bile acids in patients with liver diseases, diseases of the gallbladder and biliary pathways, with affections of the pancreas and in a control group. Primary bile acids and their conjugated derivatives were assessed by radioimmunoanalysis from the patients' serum, using radiodiagnostic sets of Farmos Co. Finland.

Effects of open-heart surgery on thyroid hormone levels.

The effect of heart surgery with and without cardiopulmonary by-pass on plasma levels of thyroxine (T4) and triiodothyronine (T3) was studied in 19 patients. It was found that even before the operation the plasma levels of T4 and of T3 were significantly lower in the by-pass group of patients in comparison with those without by-pass. This lower level of thyroid hormones could be explained by greater pre-operative stress.

The blood volume and the renin-angiotensin-aldosterone system following open-heart surgery.

The circulating blood volume changes, plasma electrolytes, aldosterone as well as plasma-renin-activity (PRA) were studied in 14 patients following open-heart surgery with cardiopulmonary bypass (CPB) and in 14 patients following cardiac surgery without CPB. In both the groups a postoperative decrease of circulating blood volume was observed. This decrease occurred in spite of the positive fluid balance, and so a shift of fluid from vascular to extravascular compartment was likely.