[Endoscopic diagnostics and therapy of pancreatobiliary diseases in persons after gastric resection according to Billroth I].

The stomach resection according to Billroth I (B I) is very rarely done. The aim of this retrospective study is to evaluate our experience with diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in patients after stomach resection according to Billroth I. In patients with a condition after stomach resection according to B I, a study of the group of 20 years (November 1994 - December 2014) took place.

[ERCP in patients after choledochodenoanastomosis].

Unlabelled: The aim of this retrospective study is to evaluate our experience with diagnostic and therapeutic endoscopic retrograde cholangiopancreaticography (ERCP) in patients after choledochoduodenoanastomosis.

Methods: The study took 20 years (November 1994 - December 2014). Three patients after choledochoduodenoanastomosis who had symptoms of biliary obstruction were retrospectively evaluated.

[Endoscopic retrograde cholangiography with a single-balloon enteroscope in patients with Roux-en-Y hepatico jejunal anastomosis].

Aims Of The Study: The aim of this retrospective study was to evaluate our experience with using a single-balloon enetroscope for diagnostic and therapeutic endoscopic retrograde cholangiography (ERC) in patients with Roux-en-Y hepatico jejunal anastomosis (HJA). Due to the considerably changed anatomic circumstances after the surgery, ERC is, in comparison to the standard endoscopic retrograde cholangiopancraeaticography (ERCP), significantly more difficult to perform.

Patient Sample And Methodology: The sample was followed up from January 2009 to September 2011.

Pitfalls of pancreatobiliary endoscopy after Billroth II gastrectomy.

Background/aims: The aim of this retrospective study is the analysis of the success rate of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in our group of patients with Billroth II gastrectomy.

Methodology: The study of the group was carried out during 14 years, i.e.

Endoscopic approach in diagnosis and treatment of biliary complications after laparoscopic cholecystectomy.

Background/aims: The aim of this retrospective study is to follow the main parameters such as the success of performing diagnostic endoscopic retrograde cholangiopancreatography (ERCP) and to determine the effectiveness and morbidity of therapeutic ERCP.

Methodology: The study of the group took 12 years (January 1997-December 2008). The paper assesses in retrospect 138 patients who underwent laparoscopic cholecystectomy (LCE).

[Buried bumper syndrome (BBS) as a complication of percutaneous endoscopic gastrostomy].

"Buried bumper syndrome" is a less frequent but potentially serious complication of percutaneous endoscopic gastrostomy. We present case reports of two patients in whom buried bumper syndrome was diagnosed by means of X-ray examination and endoscopic examination. In both cases the original gastrostomy was surgically removed and classical gastrostomy was performed.

[Rare tumors of the gallbladder and bile ducts. A case review].

The authors deal with the problem of benigh tumours of the bile duct which might occur as a very suprising intraoperative finding instead of preoperatively diagnosed "gallstones". This situation can happen because of possible mistakes that might accompany today's modern practical investigative techniques. The presented report is an example of the pre-operatirely assumed choledocholithiasis which was not confirmed during the operation.

[Endoscopic diagnostics and management of pancreatic-biliary disorders in patients after Billroth II gastric resection].

Aims Of The Study: The aim of this retrospective study was to analyse diagnostic and therapeutic success of endoscopic retrograde cholangiopancreatography (ERCP) in our sample of patients following Billroth II gastric resection, where, due to significantly modified anatomic ratios, this surgery represents a specific and often extremely difficult technical problem when performing ERCP.

Materials And Methodology: The sample was followed up for 13 years (November 1994-December 2007). The data on 112 patients after Billroth II gastric resection were assessed retrospectively; indications for ERCP included cholestasis in 92 patients, acute biliary pancreatitis in 12 patients, acute cholangitis in 6 patients and suspected bile leak following laparoscopic cholecystectomy (LCE) in 2 patients.

[Treatment of vascular prosthesis infection and aorto-enteric fistula as a late complication after reconstructive surgery of the abdominal aorta--a case report].

Vascular prosthesis infection is a serious diagnostic and therapeutic problem. Timely diagnosis and adequate treatment are essential for the patient's future condition. We present a case report of a 60-year-old man with aortobifemoral prosthesis infection and with an aortoduodenal fistula.

[Laparoscopic liver resection].

Rapid development of liver surgery in the last 25 years results from introduction of new procedures entailing an increase in the number of operated patients, and simultaneously a reduction in risk of the surgery and subsequent postoperative morbidity and mortality. They include standard preoperative examination completed by new high-resolution diagnostic methods (duplex ultrasound, spiral CT, liver scintigraphy, PET) which can better reveal the pathological focus in relation to liver anatomy and largely contribute to the consideration of resecability of the liver affection . Standard resection technique is, in addition to the advantage of an anatomical resection, completed with modern technology which helps to reduce the blood loss and ischemic damage to the remaining liver parenchyma especially in non-anatomical resections.

20-year experience with operations for popliteal artery aneurysm.

At the 2nd Department of Surgery, St. Anne's University hospital Brno, a total of 76 operations for popliteal artery aneurysm were performed in 67 patients in the last 20 years, in period 1985-2004. 63 operations were elective and 13 urgent.

[Retromuscular mesh repair of a hernia in a scar according to Rives--our first experience].

The authors present a group of 24 patients with hernias in scars operated from February 2004 to January 2005 (12 months) using a retromuscular reconstruction procedure according to Rives. 20 procedure following central laparotomies and 4 procedures following lateral laparotomies were conducted. The defect sizes ranged from 5 to 16 cm.

[20-year experience in surgical treatment of popliteal aneurysm].

We present our 20-year experience in surgical treatment of popliteal aneurysm in 67 patients. We conclude that popliteal aneurysms should be surgically treated as early as possible after its diagnosis, preferably before ischemic complications occur.

The laparoscopic ventral and incisional hernia repair.

We retrospectively reviewed the first twenty laparoscopic ventral and incisional hernia repairs performed at the 2nd Department of Surgery, St. Anne's Teaching Hospital, Brno from March 2003 till April 2004. Laparoscopic repairs were performed using Biomesh mesh (Cousin Biotech, France) with a minimum of 3 cm overlap circumferentially with normal fascia and secured with spiraltacks every 3-4 cm and transparietal sutures.

20-year experience in operations for subclavian steal syndrome.

The aim of this article is to summarize our experience in operations for subclavian steal syndrome. We recommend anaesthesia with preservation of patient's consciousness and mobility, and we prefer transposition of arteries to prosthesis implantation. The main characteristic of this approaches is an attempt to increase safety of operation.

[The subclavian steal syndrome].

The aim of this work is to summarize the authors' experience gathered during surgical procedures for the subclavian steal syndrome. The authors put forward the method of anaesthesia with patient's vigility and mobility preserved, favouring the arterial transposition procedures against the prostheses implantation methods. The main common feature of the above approaches is to increase the procedure's safety.

Patient with percutaneous endoscopic gastrostomy.

Introduction: Since 1980, when percutaneous endoscopic gastrostomy was described and performed for the first time, the number of patients with this way of nutrition has been growing. At present, however, these patients are treated not only in intensive care units, but also in follow-up care institutions or in home care.

Aim: We want to explain the problems of nutrition via endoscopic gastrostomy to those physicians who take long-term care of these patients.

[Pseudoaneurysms due to iatrogenic arterial injuries--observations at a vascular surgery worksite].

With advancing care of patients with cardiovascular diseases the number of invasive cardiological operations is increasing. Although effective methods are involved, these procedures are also associated with certain risks for the patient. From the aspect of vascular surgery the most frequent complications include iatrogenic pseudoaneurysms and extensive haematomas.

[Endoscopic gastric polypectomy--personal experience].

In the time period from August 1986 to August 2001, a total of 10,260 gastrofibroscopic examinations were performed in our department. Gastric polyps were found in 28 patients--in 15 men and 13 women. Polypoid foveolar hyperplasia was present in 67.

[Ischemic disease of the lower extremity and lumbar sympathectomy].

We consider lumbar sympathectomy (LSE) to be the last attempt to improve the condition of the limb. Though being aware of inconsistent opinions on LSE, we are not opponents of this method, particularly if it is carried out in a selected group of patients, that is in case of: 1) treatment of frostbites, 2) treatment of patients at an early stage of advanced ischemia whose main symptom is moderate night pain at rest, 3) desiccation of chronically moist ulcerations between the toes, 4) treatment of patients with reflex symptomatic dystrophy (causalgia), 5) Buerger's disease.

[Emergency ERCP and acute biliary pancreatitis].

In the period from 1992 to 1997, a total of 130 urgent therapeutic ERCPs were performed at the 2nd Department of Surgery of the Faculty of Medicine in Brno. The examination was indicated because of acute pancreatitis, acute septic cholangitis, and papillary ileus. Fifty nine patients with proven acute biliary pancreatitis and successful endoscopic papillosphincterotomy were followed up subsequently.

[100 emergency ERCPs performed at a surgery department].

Since the year 1989 the authors, surgeons, performed more then 1600 ERCP. In the period of 1992 to 1995 urgent ERCP was indicated in one hundred cases when block of papila Vateri, cholangitis or acute pancreatitis were suspected. Our results in ERCP were: cholangitis with common bile duct stones 14, pancreatitis acuta biliaris 53, pancreatitis acuta nonbiliiaris 28, other diagnosis 1.

Our experience in the surgical treatment of liver tumors in the years 1994-1996.

The study is based on the evaluation of a study group consisting of 61 patients who underwent surgery for liver tumors in the 2nd Surgical Clinic in Brno between 1994 and 1996. Liver resections were carried out in 39 patients, port-systems for regional chemotherapy were implanted in 29 patients. In recent years, port-systems have been inserted even in liver resections in indicated cases.

[Initial experience with percutaneous endoscopic gastrostomy in a surgery department].

The authors present their initial experience with percutaneous endoscopic gastrostomy and draw attention to its advantages and risks. As a basis they use their own group of patients, most of them in a very poor condition where it proved possible to ensure by this method enteral nutrition on a long-term basis.

[Juxtapapillary diverticulum--the effect on endoscopic interventions and diagnosis].

Juxtapapillary diverticula are found in the contemporary population according to various sources in 10-20%. Their importance in the pathogenesis of some diseases and symptoms is beyond doubt, while in other cases, such as pancreatic diseases, it is doubtful. In the submitted material the authors evaluate experience assembled during endoscopic examinations and interventions on the papilla Vateri implemented in 1988.