Arkadiusz Kazimierczak

Publications of Arkadiusz Kazimierczak

• [Gastric non-Hodgkin's lymphoma--clinical symptoms and diagnostic problems].

  Authors: Renata Guzicka-Kazimierczak, Barbara Zdziarska, Arkadiusz Kazimierczak, Marcin Sledz

  Wiadomości lekarskie (Warsaw, Poland : 1960). 01/2011; 64(1):3-8.

  Gastric lymphoma takes 70% of lymphomas in gastric tract. Lack of characteristic symptoms and histological changes makes these disease difficult to recognize. The aim of the study was to search forGastric lymphoma takes 70% of lymphomas in gastric tract. Lack of characteristic symptoms and histological changes makes these disease difficult to recognize. The aim of the study was to search for specific constellation of the symptoms due to validation of diagnostic standards. Retrospective analysis of clinical data for the group of 64 patients treated during 10 years in Hematology Department of Pomeranian Medical University in Szczecin. Recognition of gastric lymphoma in 80% was based on gastrocopy and histopatology examination. Gastrectomy was useful in 14 cases. Classic Ultrasound Abdomen Examination confirmed changes in 40%. Epigastic pain was raported as the most common symptom (54 from 64 patients). Systemic symptom appears in 34/64 patients (usually the loss of the body mass). 1. Clinical symptoms of non-Hodgkin's lymphoma in gastric localization are not specific. Epigastric pain, nausea and body mass lost are the symptoms the most often reported and physical symptoms do not reflect in systemic disease. 2. The standard of examination should consist of the transesophageal sonography (EUS) completed with multiple biopsy of gastric membrane and Hp tests.

• [Early death in vascular surgery: an ongoing prognostic problem].

  Authors: Arkadiusz Kazimierczak, Marcin Sledź, Renata Guzicka-Kazimierczak, Piotr Gutowski, Miłosław Cnotliwy

  Annales Academiae Medicae Stetinensis. 01/2010; 56(3):87-94.

  Prediction of complications in surgery is commonly done. There are conflicting reports concerning the usefulness of risk scales (P-POSSUM, APACHE, SAPS, ASA, Goldman, etc.) in vascular surgery. WePrediction of complications in surgery is commonly done. There are conflicting reports concerning the usefulness of risk scales (P-POSSUM, APACHE, SAPS, ASA, Goldman, etc.) in vascular surgery. We decided to take a fresh look at preoperative risk factors of early death in the context of the usefulness of some parameters which have not been included in existing risk calculators. The study group consisted of 1270 patients treated at the Department of Vascular Surgery, General Surgery, and Angiology, Pomeranian Medical University in Szczecin, during one year. METHOD This was a prospective non-randomized study. All data recorded at admission and data from P-POSSUM, ASA, Goldman, and ECOG-Zubroda-WHO scales were analyzed. Statistics were done with discriminant, multivariate, and logistic tests. There were 42 early deaths in the group. The following independent risk factors were involved in early death: ASA > 2 (OR = 18.31), persistent atrial fibrillation (OR = 5.75), leukocytosis (OR = 13.31), glomerular filtration rate (GFR) < 30 mL/min/1.73 m2 (OR = 5.78), systemic inflammatory response syndrome (SIRS) (OR = 11.36), emergency admission (OR = 38.62), critical limb ischemia (OR = 4.87), acute limb ischemia (OR = 8,98), abdominal aortic aneurysm (OR = 4.4), and ruptured aortic aneurysm (OR = 10.59). Logistic regression exposed the influence of five factors: ASA III, ASA IV, persistent atrial fibrillation, leukocytosis, GFR < 30 mL/kg/1.73 m2, and ruptured aortic aneurysm. The P-POSSUM calculator was found to be an accurate predictor of early death although the predicted death rate was insignificantly higher than the observed rate. Risk scales of early death currently used in vascular surgery need to be "refreshed". Creation of the Polish National Vascular Surgery Register seems to be unavoidable.

• [Sequential and individual coronary bypass graft: short-term and long-term outcome]

  Authors: Mariusz J Listewnik, Krzysztof Filipiak, Mirosław Brykczyński, Agnieszka Karczmarczyk, Arkadiusz Kazimierczak, Seweryn Wiechowski

  Kardiologia polska. 03/2004; 60 Suppl 1:I-64-7.

• [Comparison of early outcome in myocardial revascularization with OPCAB and CABG]

  Authors: Mirosław Brykczyński, Mariusz Listewnik, Krzysztof Filipiak, Agnieszka Karczmarczyk, Arkadiusz Kazimierczak, Seweryn Wiechowski

  Kardiologia polska. 03/2004; 60 Suppl 1:I-57-9.

• [Evaluation of early and late effects of surgical treatment in multivalvular heart diseases]

  Authors: Arkadiusz Kazimierczak

  Annales Academiae Medicae Stetinensis. 01/2003; 49:193-204.

  AIM OF STUDY: Assessment of early and late effects of surgical treatment in multivalvular heart disease. MATERIAL: 186 patients operated at the Department of Cardiac Surgery (Pomeranian Academy ofAIM OF STUDY: Assessment of early and late effects of surgical treatment in multivalvular heart disease. MATERIAL: 186 patients operated at the Department of Cardiac Surgery (Pomeranian Academy of Medicine in Szczecin) between November 1985 and December 1998, 146 (78.5%) of whom were with stage NYHA III and IV. 30 patients (16%) had a history of cardiosurgery. Number of procedures performed: DVR--136, DVR+TVS--26, AVR+MVP--17, AVR+MVP+TVS--7. RESULTS: Early postoperative mortality was 15.6% (29 patients). The risk of early death was associated with the following factors: low cardiac output, cardiac arrest and non-rheumatic etiology of acquired valvular disease. Long-term results were complete in 100% of patients. According to NYHA, statistically significant improvement was noted (average values: 3.02 before and 2.01 after surgery; p < 0.00001). Probability of survival after 5, 7, 10, and 14 years was 77, 69, 61, and 575, respectively. Probability of survival was (1) without hemorrhagic complications 90, 77, 62, 20%, respectively; (2) without thromboembolic episodes 93, 88, 83, 73%, respectively; (3) without infectious endocarditis 98, 97, 97, 97%, respectively; and (4) without perivalvular leak 97, 96, 96, 90%, respectively. Poor long-term prognosis was associated with nonrheumatic etiology of valvular disease, III and IV degrees of NYHA before surgery, persistent atrial fibrillation before operation and low cardiac output during the postoperative period. In the group where repair of damaged valve was done, good long-term results were achieved in 75% of patients with mitral valve and 80% with tricuspid valve pathology.