Immunomodulating versus high-protein oral preoperative supplement in surgical patients - A two-center, prospective, randomized clinical trial.

Objectives: For many years, immunonutrition was believed to reduce postoperative complications in patients undergoing major abdominal surgery. However, recent studies questioned that belief. Moreover, the perioperative intake of proteins has gained more and more attention and has shown clinical value.

Enhanced Recovery after Surgery (ERAS) Protocol Is a Safe and Effective Approach in Patients with Gastrointestinal Fistulas Undergoing Reconstruction: Results from a Prospective Study.

Background And Aims: An enterocutaneous fistula (ECF) poses a major surgical problem. The definitive surgical repair of persistent fistulas remains a surgical challenge with a high rate of re-fistulation and mortality, and the reasons for that is not the surgical technique alone. Enhanced Recovery after Surgery (ERAS) is an evidence-based multimodal perioperative protocol proven to reduce postoperative complications.

[Erythrocyte concentrations of adenosine triphosphate (ATP) and magnesium, before and after conservative therapy of lower extremities atherosclerosis].

37 patients with atherosclerosis of lower extremities and the mean claudication distance of 300-500 m (Fontaine 11 degrees) were subjected to pharmacotherapy with pentoxyfilline 600 mg twice daily, and walking exercise tests on a treadmill. The concentrations of ATP and magnesium ions in erythrocytes were assessed in the patients in resting condition, and after standardized walking exercise tests, 6 and 12 weeks since the beginning of therapy. Applied treatment proved beneficial in protecting the patients against depletion of ATP in their erythrocytes.

[Actinomycosis of the large bowel].

Actinomycosis is an infrequent chronic infectious disease. In most cases the diagnosis is made post-operatively because of its unusual clinic presentation. We report three cases of actinomycosis involving large bowel.

[Chlamydia pneumoniae in patients with atherosclerotic ischemia of the lower limbs].

In the group of patients (n = 19), with advanced atheromatous ischemia of the legs the presence and titres of rum IgG, IgA, and IgM antibodies for Chlamydia pneumoniae (Cp) were measured. Those were compared with controls (n = 12). Additionally in the patients undergoing surgery (revascularisation or amputation), specimens of atheromatous arteries were examined for the presence of Cp.