Publications by authors named "P Spicka"

Acute mesenteric ischaemia (AMI) is a sudden onset of impaired bowel perfusion. Has a high mortality rate and is difficult to diagnose. Therapy involves endovascular, surgical, or a combination of both.

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Article Synopsis
  • - This study discusses a rare adverse event (AE) of gastrovesical fistula that occurred after the minimally invasive treatment of pancreatic walled-off necrosis (WON), an approach known to lower risks compared to traditional surgery.
  • - A 42-year-old man faced complications from transgastric drainage of a large WON, including inadvertent bladder penetration due to a stent, but was treated through a collaborative, non-surgical effort involving multiple medical specialties.
  • - The findings emphasize the need for awareness of potential AEs like gastrovesical fistula in endoscopic procedures and highlight the importance of early recognition and multidisciplinary strategies for effective management.
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Introduction: The management of patients with COVID-19 infection has placed great pressure on the healthcare systems around the world. The aim of this study was to investigate the impact of the COVID-19 pandemic on the treatment outcomes of patients with rectal cancer by comparing them to those of patients with the same diagnosis in the pre-pandemic period.

Methods: Retrospective data analysis of patients undergoing multimodal treatment for rectal cancer at the four university hospitals during the COVID-19 pandemic (2020-2021) and the 2-year pre-pandemic period (2018-2019).

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Purpose: The study aimed to determine a simple diagnostic test that could predict the risk of anastomotic leakage in early postoperative period.

Methods: A single-center, retrospective study was conducted. The electronic medical records of patients who underwent resection for rectal tumor between January 1, 2016, and December 31, 2021, in University Hospital Olomouc, were reviewed.

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Background: Diffuse peritonitis is an acute abdominal condition characterized by high mortality. The main treatment modality is surgery, requiring a subsequent prolonged hospital stay. These patients are, among other things, at risk of developing hospital-acquired pneumonia (HAP), which considerably worsens their treatment outcomes.

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