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Biomedical subjects

V Rocek

Publications and source records attributed to V Rocek.

At least 55 records · Page 3Linked to original sources
PubMed1981

[The problem of cysto-sarcoma phyllodes (author's transl)].

Problems in the diagnosis and treatment of cysto-sarcoma phyllodes in thirteen women are discussed. This is a rare breast tumour which must be regarded as semi-malignant. Its malignancy consists of its tendency to recurrence and the development of distant metastases. Five patients had one or more recurrences and three patients had metastases which were fatal. Radiological and thermographic diagnosis of small tumours is unreliable. It is not possible to distinguish the benign from the malignant variants. Accurate classification depends on histological examination. The authors consider removal of the glandular tissue or simple mastectomy to be the best form of treatment.

Adolescent↗
PubMed1981

[Hiatal hernia; 359 cases. Late results].

From 1948 to 1977 359 patients suffering from oesophageal reflux disorders or the hiatus-hernia-complex underwent surgery at the I. Surgical clinic of the Medical Faculty Palacky-Univ. in Olomouc. In the group of 50 patients with simple paraaesophageal hernias the operative mortality came up to 4.0%. The mortality rate among patients with complicated oesophageal reflux disorders came up to 21.7%. The patients were followed up for 7.3 years on the average. In simple cases excellent and good results were achieved in 77.1%, poor results in 8.6%. The best results were obtained with the fundoplication according to Nissen-Rosetti. In the group with complicated oesophageal reflux disorders the results were excellent and good in 60% and poor in 3.3%. If possible, dilatation in combination with antireflux operation was preferred to resection of stenoses. Reoperation for recurrences of the disease were performed in 27 patients.

Gastric Acidity Determination↗
PubMed1980

[Clinical picture and differential diagnosis of esophageal reflux and hiatal hernia complex].

In the years from 1948 to 1977, 359 patients with simple or complicated reflux disease of the oesophagus (RDOe) and/or the hiatushernia complex were operated on at the 1st Clinic of Surgery of the Medical Faculty, Palacký University in Olomouc. The authors found the following frequency of occurrence of the fundamental symptoms: (1) In simple RDOe, pyrosis in 82%, pain in 82% (epigastrium 42%, thorax 30%, throat 7%), a postural impairment in 50%, regurgitation in 30%, vomiting in 15%, ructus and dysphagia in 11%. The median time of the anamnesis was 5.6 years. --(2) In the complicated RDOe, the most frequent symptoms were dysphagia in 78%, pyrosis in 62%, pain in 39%, loss of weight in 33%, and regurgitation in 28%. The median time of the anamnesis was 2.5 years. Only in 20% of the patients, a longer anamnesis of the subjective complaints was recorded. --(3) In cases of paraoesophageal hernias, the fundamental symptom was pain--in the epigastrium in 62% and retrosternally in 38%. There followed vomiting in 38%. Quite asymptomatical was the course of the disease in 12% of the patients. The median time of the anamnesis was 2 years. --(4) In the mixed form of hiatus hernias, the gastro-eosophageal reflux was preoperatively present in 46%; this was consistent with the symptomatology. Coincidence of the RDOe with cholelithiasis was found in 20% and in combination with a duodenal ulcus in 11% of the cases. These two forms of the disease are now mostly treated with the antireflux operation. In cases of an ulcus duodeni, superselective vagotomy and fundoplicatio according to Nissen-Rossetti are the methods of choice. --In 5% of the patients, the development of the reflux symptomatology had been preceded by a stomach resection. In 4 patients with reflux stenosis, the interval between the operation and the stenosis was very short (1 to 12 weeks).

Adult↗