Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine最新文献

{"title":"Massive recurrent cysts of ovaries with oligomenorrhea as a clinical manifestation of pituitary gonadotropinoma.","authors":"Adam D Durma, Marek Saracyn, Patrycjusz Zieniuk, Krzysztof Szturo, Grzegorz Zieliński, Grzegorz Kamiński","doi":"10.20452/pamw.16969","DOIUrl":"https://doi.org/10.20452/pamw.16969","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single pathology: two clinical and therapeutic perspectives. Popliteal aneurysm thrombosis as a rare cause of the acute lower limb ischemia.","authors":"Maryla Kuczyńska, Monika Zbroja-Putowska, Katarzyna Drelich, Agata Zarajczyk, Michał Sojka, Anna Drelich-Zbroja","doi":"10.20452/pamw.16961","DOIUrl":"https://doi.org/10.20452/pamw.16961","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Has high compliance with enhanced recovery after surgery protocol improved 5-year survival? A cohort study of 468 non-metastatic colorectal cancer patients.","authors":"Magdalena Pisarska-Adamczyk, Karolina Zawadzka, Grzegorz Torbicz, Urszula Popiela, Piotr Małczak, Michał Wysocki, Piotr Major, Mateusz Rubinkiewicz","doi":"10.20452/pamw.16960","DOIUrl":"https://doi.org/10.20452/pamw.16960","url":null,"abstract":"<p><strong>Introduction: </strong>The well-documented immediate benefits of Enhanced Recovery After Surgery (ERAS) highlight the need to explore its long-term impact, particularly on survival outcomes in colorectal cancer.</p><p><strong>Objectives: </strong>The aim of this study was to analyze the impact of ERAS protocol compliance on the long-term outcomes after laparoscopic colorectal resection.</p><p><strong>Patients methods: </strong>Data from 468 patients who underwent laparoscopic colorectal resection between 2013 and 2017 were prospectively collected. Patients were divided into two groups based on their adherence to the ERAS protocol: group 1 with a compliance rate <80% and group 2 with a compliance rate of ≥80%. The association between ERAS protocol compliance and a 5-year survival was assessed with use of Kaplan-Meier method with log-rank tests. Additionally, survival analysis was done separately for groups depending on cancer stages.</p><p><strong>Results: </strong>Group 1 consisted of 128 patients, while Group 2 included 340 patients. There were no statistically significant differences between the groups in terms of sex, age, BMI, ASA scale or comorbidities.  The Kaplan-Meier curve and log-rank test analyses indicated that the two groups of ERAS protocol adherence did not significantly differ in terms of a 5-year overall survival. In patients with AJCC stage 1-2 cancer, those with ERAS compliance of ≥80% had a significantly higher 5-year survival rate than those with compliance <80%, indicating that greater adherence to the ERAS protocol is associated with improved survival outcomes. In case of AJCC cancer stage 3 patients, the ERAS compliance did not significantly alter survival rates.</p><p><strong>Conclusion: </strong>High adherence to the ERAS protocol appeared to improve a 5-year survival rate in patients with AJCC stage I-II of colorectal cancer.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in lipoprotein(a) concentrations in patients with acute coronary syndrome.","authors":"Joanna Satała, Anna Witkowska, Agnieszka Pawlos, Agnieszka Woźniak, Marlena Broncel, Ewelina Woźniak, Paulina Gorzelak-Pabiś","doi":"10.20452/pamw.16959","DOIUrl":"https://doi.org/10.20452/pamw.16959","url":null,"abstract":"<p><strong>Introduction: </strong>Recently, interest has been growing in lipoprotein(a) (Lp(a)) as an independent risk factor for cardiovascular diseases. European Society of Cardiology (ESC) recommends a single measurement of Lp(a) concentration as a guide to determining cardiovascular risk group and appropriate treatment. Although initially assumed to be genetically determined, a growing number of reports indicate that Lp(a) concentration may change over time.</p><p><strong>Objectives: </strong>The aim of the study was to compare changes in the concentration of Lp(a) in ACS patients at the moment of ACS and three months later.</p><p><strong>Patients and methods: </strong>Forty patients with acute coronary syndrome (ACS) were enrolled and divided into ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI)+ unstable angina (UA) groups. The lipid, CRP, hs-TnT, NT-proBNP and Lp(a) levels were determined in these patients using routine laboratory methods, with IL-33 levels measured using ELISA.</p><p><strong>Results: </strong>Among all ACS patients, 9 out of 40 (22.5%) had elevated Lp(a) levels (>75 nmol/L); this proportion was higher in STEMI (n = 8; 35%) compared to NSTEMI+UA (n = 2; 13%). All patients with ACS demonstrated significantly higher Lp(a) serum levels three months after ACS. The Lp(a) level at the moment of ACS and three months later differed significantly with those among STEMI patients (P = 0.03), all patients with ACS (P = 0.003) and NSTEMI+UA (P = 0.003).</p><p><strong>Conclusion: </strong>Measuring Lp(a) level during ACS may be insufficient for accurate diagnosis and effective treatment, as its concentration increases after three months. Therefore, ACS may be regarded as another non-genetic factor influencing Lp(a) concentration.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical nutrition in gastrointestinal diseases: up to date practice guidance.","authors":"Jacek Sobocki, Dagmara Bogdanowska-Charkiewicz, Aleksandra Budnicka-Borkowicz, Małgorzata Chełmicka, Robert Dudkowiak, Marek Guzek, Aleksandra Kaczka, Alina Kanikowska, Krzysztof Kurek, Konrad Matysiak, Jacek Paluch, Magdalena Szewczuk, Ewa Walecka-Kapica, Krystian Adrych, Andrzej Dąbrowski, Anita Gąsiorowska, Marek Hartleb, Maria Kłopocka, Renata Talar-Wojnarowska, Dorota Waśko-Czopnik, Dorota Mańkowska-Wierzbicka","doi":"10.20452/pamw.16967","DOIUrl":"10.20452/pamw.16967","url":null,"abstract":"&lt;p&gt;&lt;p&gt;This paper presents updated recommendations on clinical nutrition in gastrointestinal diseases, developed by the Clinical Nutrition and Metabolism Section of the Polish Society of Gastroenterology. The aim is to systematize and update knowledge on the diagnosis and management of malnutrition in various gastrointestinal conditions, including inflammatory bowel diseases, acute and chronic pancreatitis, liver diseases, and nutritional care in geriatrics. The primary goal of these recommendations is to provide practical, evidence-based guidance for clinical nutrition in gastroenterology. To achieve this, we reviewed, summarized, and integrated recent international guidelines, supplementing them with the latest available evidence where appropriate. A structured consensus process was conducted among experts, leading to the formulation of 67 key statements that reflect current best practices. The document provides detailed recommendations on indications and contraindications for enteral and parenteral nutrition, with a special focus on endoscopic accesses for enteral feeding. It also outlines practical principles regarding caloric requirements and nutritional strategies tailored to specific gastrointestinal disorders. These recommendations have been carefully developed with input from leading experts in gastroenterology and clinical nutrition, ensuring both scientific rigor and practical applicability for healthcare professionals. The following recommendations are highlighted as being particularly relevant in everyday clinical practice: Statement 16: We suggest starting nutrition supply through the established PEG and PEG-J within 3-4 hours post-surgery, and through D-PEJ within 24 hours post-surgery Statement 38: In severe exacerbation of ulcerative colitis, we suggest enteral nutrition as first-line management in patients with a functional gastrointestinal tract. We recommend parenteral nutrition in this patient group when the patient cannot be effectively fed by the gastrointestinal route. Statement 39: In malnourished patients with Crohn`s disease and indications for surgery, if possible, we recommend delaying surgery for 7 to 14 days or longer until nutritional status improves. The optimal timing of surgery should be based on the benefit of continued metabolic preparation and the urgency of surgery due to increasing or regressing clinical symptoms. Statement 41: We recommend early initiation of oral nutrition in patients with predicted mild acute pancreatitis after resolution of complaints, regardless of lipase activity. Statement 42: We recommend the inclusion of enteral nutrition from the start of hospitalization in all malnourished patients and patients with predictive factors for severe acute pancreatitis, and within 72 hours in all patients in whom oral nutrition does not cover 60% of protein-calorie requirements. Statement 53: In patients with liver cirrhosis, we recommend a daily total energy intake of 30-35 kcal/kg/d and a protein sup","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiovascular risk and psoriatic arthritis.","authors":"Fabiola Atzeni, Alessandra Alciati","doi":"10.20452/pamw.16964","DOIUrl":"10.20452/pamw.16964","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":"135 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sudden cardiac arrest in the course of mitral valve prolapse: can we prevent it?","authors":"Cezary Maciejewski, Ewa Lewandowska, Michał Peller, Robert Kowalik, Marcin Grabowski, Paweł Balsam","doi":"10.20452/pamw.16899","DOIUrl":"10.20452/pamw.16899","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to manage adrenal incidentaloma in a hypertensive patient?","authors":"Agnieszka Łebek-Szatańska, Andrzej Januszewicz, Sylwia Kołodziejczyk-Kruk, Marek Kabat, Mateusz Śpiewak, Magdalena Januszewicz","doi":"10.20452/pamw.16949","DOIUrl":"10.20452/pamw.16949","url":null,"abstract":"<p><p>Adrenal incidentaloma (AI) is a mass discovered on imaging not performed for suspected adrenal diseases. Technological advancements and increasing availability of imaging modalities, along with a growing awareness of preventive care and an aging population, have led to an increase in AI detection, generating diagnostic and therapeutic dilemmas for clinicians. Every patient with AI should undergo a careful evaluation to establish the etiology of the tumor and detect all hormonally active lesions, including those that cause secondary hypertension. Hormonal hypertension carries a higher risk of cardiovascular complications and target organ damage than essential hypertension, independently of blood pressure control. In this review, we discuss the current 2023 European Society of Endocrinology guidelines on the management of AIs in the context of other expert documents (including recommendations of the Polish Society of Endocrinology), with the main focus on 2 secondary forms of hypertension-primary aldosteronism and pheochromocytoma-that should not be missed in clinical practice.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive analysis of lipidome patterns in gestational diabetes mellitus risk assessment.","authors":"Marija Sarić Matutinović, Aleksandra Zeljkovic, Jelena Vekic, Daniela Ardalic, Željko Mikovic, Aleksandra Stefanovic","doi":"10.20452/pamw.16953","DOIUrl":"10.20452/pamw.16953","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The diverticular inflammation and complication assessment classification: ready to use, easy to use, must be used.","authors":"Antonio Tursi","doi":"10.20452/pamw.16963","DOIUrl":"10.20452/pamw.16963","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":"135 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}