Nowa Medycyna最新文献_第5页

Gastrointestinal obstruction in the course of incarcerated rectal prolapse – a case report 嵌顿性直肠脱垂过程中消化道梗阻1例

Nowa Medycyna Pub Date : 2019-03-22 DOI: 10.25121/nm.2019.26.2.45

P. Ciesielski, M. Sala, P. Siekierski, M. Kołodziejczak

引用次数: 0

When a postpartum patient needs a proctologist 当产后病人需要直肠科医生的时候

Nowa Medycyna Pub Date : 2019-03-22 DOI: 10.25121/nm.2019.26.2.49

M. Kołodziejczak, P. Ciesielski

引用次数: 0

Anal abscess – a trivial disease or a serious one? 肛门脓肿——是小病还是大病?

Nowa Medycyna Pub Date : 2019-02-04 DOI: 10.25121/nm.2019.26.1.20

M. Kołodziejczak, P. Ciesielski

引用次数: 0

A foreign body leading to anal fistula – case reports 异物致肛瘘1例报告

Nowa Medycyna Pub Date : 2019-02-04 DOI: 10.25121/nm.2019.26.1.28

Jakub Kropieniewicz, Marcin Adamiecki, M. Nycz, Anita Owczarska, Z. Lorenc

{"title":"A foreign body leading to anal fistula – case reports","authors":"Jakub Kropieniewicz, Marcin Adamiecki, M. Nycz, Anita Owczarska, Z. Lorenc","doi":"10.25121/nm.2019.26.1.28","DOIUrl":"https://doi.org/10.25121/nm.2019.26.1.28","url":null,"abstract":"Anal fistula is pathological tract lined by inflammatory granule connects bottom of the anal crypt with perianal skin. In most cases, anal fistula is a consequence of abscess developed due to infection of anal the glands. The most common symptoms of anal fistula are recurrent inflammation around the anus, pruritus and purulent leakage. In the treatment of fistulas mainly surgical methods are used, however, attempts of conservative treatment (tissue adhesives glues or plugs) are also undertaken. The goal of treatment is to choose a method that will be characterized by high radicality with the lowest possible risk of complications. Literature describes only few cases of perianal fistula caused by a foreign body. The paper presents a case of a 57-year-old man who was diagnosed with fistula-in-ano caused by a foreign body of unknown origin. The patient reported long-term purulent discharge only. Surgical treatment involved resection of the foreign body and fistula with subsequent uneventful recovery during outpatient follow-up. Anal fistula was diagnosed by anamnesis and physical examination, but its cause was detected post-operatively. The reasons and consequences of gastrointestinal perforation as a result of swallowing a foreign body are also discussed.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129661336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Peripheral blood inflammatory parameters in patients with colorectal cancer 结直肠癌患者外周血炎症参数的研究

Nowa Medycyna Pub Date : 2019-01-30 DOI: 10.25121/nm.2019.26.1.5

M. Nycz, Jakub Kropieniewicz, Kamil Suliga, T. Zawadzki, M. Opiłka, Z. Lorenc

{"title":"Peripheral blood inflammatory parameters in patients with colorectal cancer","authors":"M. Nycz, Jakub Kropieniewicz, Kamil Suliga, T. Zawadzki, M. Opiłka, Z. Lorenc","doi":"10.25121/nm.2019.26.1.5","DOIUrl":"https://doi.org/10.25121/nm.2019.26.1.5","url":null,"abstract":"Introduction. Colorectal cancer is the third most common cancer worldwide. The introduction of novel diagnostic and treatment methods has resulted in decreasing mortality rates; however, an increase in morbidity is observed. Severe inflammation plays an important role in many aspects associated with carcinogenesis. Neoplasia and inflammatory response are mutually related. Aim. The aim of the study was to evaluate the association between preoperative serum C-reactive protein levels and total leukocyte count in colorectal cancer patients in comparison with postoperative histopathological findings depending on whether there was neoplastic infiltration of the local adipose tissue or not. Material and methods. The study population included 50 patients with colon cancer. Exclusion criteria were distant metastases, neoadjuvant therapy and a past history of cancer diagnosis. Blood findings were compared with histopathology. Patients were divided into two groups – with and without neoplastic infiltration of fat tissue in histopathology. Results. Serum C-reactive protein levels were evaluated in all patients. The tested indicator was higher in the group with infiltration, but was not statistically significant. Additionally, the WBC count was normal in both groups, but it was lower in the group with infiltration, and the result was statistically significant. Conclusions. C-reactive protein level and total leukocyte count can be a helpful and supportive marker in staging in colorectal cancer patients. Owing to the wide availability and low cost of the above mentioned blood tests, they may be easily performed in daily medical practice. The decrease in the total leukocyte count was proportional with higher cancer stage; therefore, it needs to be further investigated.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116595986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diode laser technology in the treatment of hemorrhoid disease. Laser HemorrhoidoPlasty (LHP) – description of the method 二极管激光技术在痔疮病治疗中的应用。激光痔疮成形术(LHP) -方法描述

Nowa Medycyna Pub Date : 2019-01-30 DOI: 10.25121/nm.2019.26.1.12

S. Glinkowski, D. Marcinkowska

{"title":"Diode laser technology in the treatment of hemorrhoid disease. Laser HemorrhoidoPlasty (LHP) – description of the method","authors":"S. Glinkowski, D. Marcinkowska","doi":"10.25121/nm.2019.26.1.12","DOIUrl":"https://doi.org/10.25121/nm.2019.26.1.12","url":null,"abstract":"Hemorrhoids is one of the most common proctological diseases of the anal canal. In the guidelines presented in 2018 in „Diseases of the Colon & Rectum”, the American Society of Colon and Rectal Surgeons (ASCRS) hasn’t specified laser techniques as a method of treatment. The first attempts of laser trail in hemorrhoidal treatment were made at the end of the 70s by using laser CO2 instead of scalpel. Nowadays one of the newest devices is Leonardo laser which emits fan-shaped movement of 1470 nm length. It enabled the development of laser hemorrhoidoplasty technique (LHP). The advantage of this procedure is decrease of hemorrhoidal plexus by obliteration of hemorrhoidal vessels leading to their fibrosis. It reclaims almost anatomical architecture of anal canal without a necessity to excise the extended hemorrhoids. Development of the connective tissue fibers guarantees adequate adhesion of mucosa to the underlying tissue which prevents the recurrence of the disease, especially the ones connected with prolapsing of hemorrhoids. The article contains a description of the method recommended by the manufacturer of Leonardo laser with the autors’ modifications developed on the basis of their own experience.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"35 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114018213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Endometrial tumour as a cause of mechanical bowel obstruction – a case report 子宫内膜肿瘤引起机械性肠梗阻1例

Nowa Medycyna Pub Date : 2018-12-01 DOI: 10.25121/NM.2018.25.4.209

S. Glinkowski, D. Marcinkowska

{"title":"Endometrial tumour as a cause of mechanical bowel obstruction – a case report","authors":"S. Glinkowski, D. Marcinkowska","doi":"10.25121/NM.2018.25.4.209","DOIUrl":"https://doi.org/10.25121/NM.2018.25.4.209","url":null,"abstract":"Endometriosis is a disease that involves the presence of physiologically active uterine tissue beyond the uterus. It is classified as a non-malignant disease that typically develops within the reproductive system: in the ovaries, fallopian tubes, or uterine ligaments. These changes tend to occur also beyond the reproductive structures, usually within the digestive system, where the most common sites are the peritoneum, postsurgical scars or umbilicus. Moreover, the disease can occur in the intestine, usually in the large bowel, and particularly in the caecum. The literature reports that endometriosis may affect even 10% of women of child-bearing age. The authors present a case of a patient admitted to the surgical ward due to mechanical bowel obstruction. Intraoperatively, an endophytic tumour, completely occluding the ileum, was found. Due to its location, i.e. approximately 15 cm from the Bauhin’s valve, it was resected together with the ascending colon and the right half of the transverse colon. Based on the morphology of the lesion and a positive family history, cancer was thought to be the most probable cause of the patient’s symptoms. The result of the histopathological examination did not confirm this, however. The specimen showed endometriosis. On the day of surgery, the patient was administered antibiotics, total parenteral nutrition and essential fluid supplementation. The wound healed normally, and abdominal pain did not return as diet was being extended. The patient was discharged on the 6th day after the operation with recommended follow-up in a surgical clinic.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121208136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Defecography in contemporary coloproctological diagnostics 排便造影在当代直肠诊断中的应用

Nowa Medycyna Pub Date : 2018-12-01 DOI: 10.25121/nm.2018.25.4.185

Monika Popiel

{"title":"Defecography in contemporary coloproctological diagnostics","authors":"Monika Popiel","doi":"10.25121/nm.2018.25.4.185","DOIUrl":"https://doi.org/10.25121/nm.2018.25.4.185","url":null,"abstract":"Evacuatory difficulty is a common problem covering a large spectrum of disorders, from constipation to faecal incontinence. In addition to a visit to a surgeon-proctologist, the diagnosis of impaired defecation often requires urological and gynaecological evaluation. Many pathologies causing evacuatory difficulty, such as full thickness rectal prolapse, reduced sphincter tone and haemorrhoidal disease, can be detected by clinicians already at the stage of physical examination. A large group of pathologies may be detected using standard diagnostic techniques such as colonoscopy and pelvic imaging, e.g. computed tomography, magnetic resonance, and transabdominal/transrectal/transvaginal ultrasonography. However, certain abnormalities are only visible during functional pelvic examination. These include rectocele, sigmoidocele, enterocele, internal intussusception, cystocele, and spastic pelvic floor syndrome. Defecography is guided by either X-ray or MRI. Pelvic function may be also assessed using transperineal ultrasonography. Defecography involves 4 phases: rest, forced contraction, strain, and defecation. The anorectal angle and, in the case of MRI, the PCL line (which is a reference point for most measurements), are determined in order to evaluate the position and mobility of pelvic organs. Pelvic function evaluation helps differentiate patients with evacuatory difficulties requiring surgical intervention from those who need conservative treatment (exercises, electrostimulation). Furthermore, it helps choose an appropriate technique and surgical access, as well as select patients requiring a more interdisciplinary approach.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"167 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131751561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The cradle of Western medicine 西方医学的摇篮

Nowa Medycyna Pub Date : 2018-12-01 DOI: 10.25121/nm.2018.25.4.216

A. Lluch

引用次数: 0

Primary adenocarcinoma of the ileum causing obstruction in an 84-year-old patient – a case report 84岁回肠原发腺癌致梗阻1例报告

Nowa Medycyna Pub Date : 2018-11-27 DOI: 10.25121/nm.2018.25.4.198

Krzysztof Łampika, Paweł Dutkiewicz, P. Ciesielski

引用次数: 0