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Biomedical subjects

W Bartnik

Publications and source records attributed to W Bartnik.

106 records · Page 6Linked to original sources
PubMedDate not supplied

Long-term results of treatment of esophageal achalasia using a Starck dilator.

Retrospective analysis was carried out among 252 patients with esophageal achalasia (135 women, 117 men, mean age 41 years) who, in the years 1961-1992, underwent 333 Starck procedures. Mean period of follow-up was 11.5 years (range 6 months to 32 years). Evaluation of the procedure was based upon the analysis of actual symptoms and radiological and endoscopic examinations in a group of 247 patients (98%). 22 patients died; all except 1 of diseases unrelated to the esophagus. The data concerning the effectiveness of therapy refer to the remaining 225 patients. The first Starck procedure gave permanent and sufficient relief of symptoms in 140 patients (62.2%). Of the remaining patients, 62 persons underwent subsequent Starck procedures, the effectiveness of which was 64.9%. The total percentage of favorable results of the procedure was 84.4%. There was no fatal complication of the Starck procedure. One perforation of the esophagus, one aspiration pneumonia and 2 cases of incarceration of the Starck apparatus were observed. There was no case of esophageal cancer in the whole group. These results confirm that the Starck procedure is a safe and effective treatment for esophageal achalasia.

Adolescent↗
PubMedDate not supplied

Preliminary results of examination of the large bowel with the colonoscope.

In 20 patients the colon was inspected with a CF-LB "Olympus" coloscope. The most frequent indication for colonoscopy were doubtful radiological changes in the colon requiring differential diagnosis. Thirteen patients were examined trying to inspect the whole colon and in 9 cases the cecum was reached after 10 to 60 min. In 3 cases colonoscopy demonstrated presence of colonic carcinoma (two tumors located in the cecum), and in 4 other cases this possibility was ruled out and it was possible, thus, to avoid exploratory laparotomy.

Adult↗
PubMedDate not supplied

[Oncological supervision of patients after colonoscopic polypectomy].

The high frequency of development of new adenomas in patients after colonoscopic polypectomy (30-50%) suggests the need for periodic control examinations of the whole large bowel. The diagnostic value of rectoscopy and routine diagnostic enema is limited and these methods are not suitable for periodic control of the bowel. An important method is fiberoptic sigmoidoscopy (FSS), but it is also insufficient because neoplasms are present frequently in proximal parts of the colon. The best method for evaluation of the whole colon is coloscopy, moreover, this method makes possible removal of the found polyps. In particular cases an alternative of coloscopy may be a combination of FSS and double contrast radiological examination of the colon. The frequency of control examinations of the large bowel depends primarily on the number of removed polyps. The patients after removal of a single polyp should undergo control examinations at intervals of 4-5 years. In cases with multiple adenomas removed during the first procedure or with one large adenoma (over 2 cm in diameter) should have control examinations repeated every 2-3 years.

Colonic Polyps↗
PubMedDate not supplied

[Role of coloscopy in diagnosis and treatment of large bowel diseases].

Coloscopy is the most accurate method of evaluation of the whole large bowel. The main indications for this examination are doubtful radiological changes in the colon and unexplained intestinal symptoms, bleeding in the first place. Coloscopy plays also an important role in the differential diagnosis of colitis and in the oncological follow-up of patients after polypectomy or with long-standing ulcerative colitis. The therapeutic use of coloscopy includes removal of polyps and foreign bodies, control of bleeding, and laser photocoagulation of neoplasmatic lesions. Since 1973 in the Department of Gastroenterology of the Postgraduate Medical Center 2360 diagnostic coloscopies were carried out in 1838 patients. The most frequent diagnoses were polyps (34%) and large bowel cancer (12%). Various forms of colitis were diagnosed in 7% of patients, and all other diseases jointly in 11% of cases. In 36% of patients the large bowel showed no changes, in spite of undoubtful indications for coloscopy. Many of these patients were spared explorative laparotomy. By means of diathermic loop 808 colorectal polyps were removed in 421 patients. Rare complications of this procedure were bleedings (1.5%) and peritoneal irritation symptoms without perforation (0.25%). Adeneomas prevailed among polyps. Seventeen patients with invasive cancer in adenoma were treated successfully only endoscopically.

Colonic Diseases↗
PubMedDate not supplied

[Practical aspects of intracolonoscopic polypectomy].

Modern views are presented on endoscopic treatment of colonic polyps stressing the superiority of the method over surgical treatment used previously. The factors limiting the possibility of use of the endoscopic method are: the size, the configuration and the number of polyps. However, the extent of these limitations is small. The importance of histological examination of the removed polyp for the tactics of postoperative management is emphasized and a programme is proposed for oncological supervision after coloscopic polypectomy.

Colectomy↗
PubMedDate not supplied

[Determination of blood glucose values with glucostix].

The study involved 214 patients of both sexes, including those treated at the Institute of Oncology in Gliwice and children treated for diabetes mellitus at the Diabetic++ Out-Patient Clinic in Gliwice. Blood glucose was assayed with GLUKOZA EO kit manufactured by POCh and strip test Glucostix (visually and with reflectance meter Glucometer II Ames). In case of blood glucose assays with strip tests a deviation of +/- 25% of the determined value was considered as a difference which does not affect diagnostic value. Blood glucose concentration determined visually with Glucostix test is similar or lower than that found in the laboratory. Moreover, the use of reflectance meter does not improve diagnostic value of an assay.

Blood Glucose↗