Publications by authors named "Simkova Dagmar"

Article Synopsis
  • Peroral endoscopic myotomy (POEM) is an effective long-term treatment for achalasia, showing a decline in success rates over time but remaining beneficial for patients, with a success rate dropping from 90.2% at 3 years to 73.5% at 8 years.
  • The study analyzed data from 496 patients and identified the year of the procedure as the only predictor of treatment outcomes, with a 10.7% recurrence rate.
  • Nearly half of the patients experienced reflux symptoms shortly after the procedure, but these symptoms significantly decreased over time, highlighting the need for proton pump inhibitors (PPIs) early on, with only 39.6% symptomatic at the 2-3 year
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Gastroparesis (GP) can be a severe and debilitating disease. Its pathophysiology is complex and not completely understood. Two principal mechanisms are responsible for the development of symptoms - gastric hypomotility and pylorospasm.

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Primary biliary cholangitis (PBC) is a chronic autoimmune cholestatic disease characterized by the destruction of the small intrahepatic bile ducts, which can progress to liver cirrhosis. The gold standard in the treatment of PBC is ursodeoxycholic acid (UDCA), which is indicated in all patients with PBC because it improves not only biochemical parameters but also patients' survival. An important milestone in the identification of patients at risk is the assessment of biochemical response to UDCA.

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Background: Peroral endoscopic myotomy (POEM) is nowadays a standard method for treatment of achalasia; nevertheless, it remains an invasive intervention with corresponding risk of adverse events (AEs). The classification and grading of AEs are still a matter of discussion. The aim of our retrospective study was to assess the occurrence of all "undesirable" events and "true" adverse events in patients undergoing POEM and to compare the outcomes when either Clavien-Dindo classification (CDC) or American Society of Gastrointestinal Endoscopy (ASGE) lexicon classification applied.

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In recent time the interest of industry increases particularly in processing and use of potato high amylopectin (AMP) starches. Therefore the plant breeders effort to obtain "waxy" potato cultivars with low amylose (AMS) content. In this four-year study sixteen potato cultivars grown on five experimental locations were evaluated on the percentage of AMS/AMP by enzymatic method, starch content by the underwater weight method, phosphorus (P) content in starch digests spectrophotometrically, and starch granule size determined by laser diffraction method.

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