A radiodiagnostic study of breast fibroadenoma.
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Biomedical subjects
Publications and source records attributed to V Rocek.
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From 1948 to 1980, 747 patients with functional disorders of the esophagus were operated on at the First Department of Surgery of the Medical Faculty, Palacky University in Olomouc. In 177 (24%) of them, the intervention was performed at an older age. The gerontosurgical problem was especially evident in patients with esophageal diverticula of whom 40 to 51.1% were older than 60 years. In patients with paraesophageal and mixed hiatal hernias, it was 45%. However, in very complicated cases of achalasia and reflux diseases, it was also often necessary to operate older patients. The applicability of some surgical techniques and tactics in older patients has been discussed.
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From 1976 and 1978, 158 patients with hematemesis and melaena from the upper gastro-intestinal tract were hospitalized at the Surgical clinic of the University Hospital in Olomouc. In 8.3%, reflux-esophagitis (ROe) and hiatal hernias (HH) were the cause of the hemorrhage. As a rule, the acute attack could be controlled by conservative treatment, and the operation was performed after the situation had calmed down. Only in exceptional cases an urgent operation was necessary. In the years from 1948 to 1979, 344 patients were operated on for reflux-esophagitis -- hemorrhage occurred only in 11.3%. In 32 patients the cause of the hemorrhage was a severe esophagitis and in 7 of them an esophageal ulcus. In reflux-esophagitis, hemorrhage is controlled by antireflex operations -- mostly by application of the fundoplicatio according to Nissen-Rossetti. When a duodenal ulcer or hyperacidity occur simultaneously, we combine fundoplicatio with superselective vagotomy.
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