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235
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October 2016 - present
Publications
Publications (235)
Introduction: The treatment of diverticulosis symptoms in patients with a history of diverticulitis is a challenge in everyday clinical practice. Aim: Efficacy assessment of a cyclic, year-long treatment with rifaximin-α in patients with symptomatic uncomplicated diverticular disease (SUDD) and a history of past diverticulitis. Material and methods...
One method for treating a retracted stoma is a vacuum dressing that cleans the wound and protects against intestinal leakage. This case series describes the use of an integrated, single-use negative-pressure wound therapy (NPWT) dressing to treat retracted stomas as an alternative to other noninvasive remedies. The report includes seven patients wh...
Choroba Leśniowskiego-Crohna jest czynnikiem ryzyka występowania zakażenia miejsca operowanego. W pracy przedstawiono przypadek 62-letniej pacjentki z powikłaną chorobą Leśniowskiego-Crohna. Z powodu ostrego rzutu choroby, miejscowego zaawansowania choroby, obecności przetok i ropni okołostomijnych, a także przepukliny okołostomijnej u pacjentki wy...
Appropriate wound healing is a crucial phase of surgical patients’ management, as it facilitates early mobilization and return to everyday life. Also, it is required before offering patients the n d closure techniques have evolved remarkably; they include simple sutures, surgical clips, and adhesive compounds. Some appliances are used to support th...
This paper is an update of the diagnostic and therapeutic recommendations of the National Consultant for Gastroenterology and the Polish Society of Gastroenterology from 2013. It contains 49 recommendations for the diagnosis and treatment, both pharmacological and surgical, of ulcerative colitis in adults. The guidelines were developed by a group o...
IntroductionIn some clinical scenarios, stoma site may be located close to the abdominal wound edge impeding optimal wound management and stoma care. We present a novel strategy of utility NPWT for management of simultaneous abdominal wound healing with stoma presence. Material and methodsRetrospective analysis of seventeen patients treated with a...
Introduction:
Correct surgical technique and perioperative care are two factors that can reduce the number of complications, improve treatment outcomes and shorten the length of hospital stay. The introduction of enhanced recovery protocols has changed the approach to patient care in some centers. However, there are significant differences among c...
IntroductionRestoration of bowel continuity is associated with a significant postoperative morbidity. The aim of the study was to report the outcomes of the restoring the intestine continuity in a large patient cohort.Material and methodsRetrospective analysis of 91 patients with terminal stoma qualified for restoring GI tract continuity between Ja...
![Figure 2. Nonpolyposis colorectal cancer (CRC) [25-27]. Abbreviations...](publication/366193844/figure/fig2/AS:11431281106851900@1670848749854/Nonpolyposis-colorectal-cancer-CRC-25-27-Abbreviations-are-as-follows_Q320.jpg)
Cancer is one of the most common causes of death worldwide. A strong predisposition to cancer is generally only observed in colorectal cancer (5% of cases) and breast cancer (2% of cases). Colorectal cancer is the most common cancer with a strong genetic predisposition, but it includes dozens of various syndromes. This group includes familial adeno...
Familial adenomatous polyposis (FAP) is an autosomal dominant disease caused by a germline mutation in the adenomatous polyposis coli (APC) gene. Patients with FAP develop up to thousands of colorectal adenomas as well as lesions in the upper GI tract. In FAP, the upper digestive lesions include gastric fundic gland polyps (FGPs), antrum adenomas,...
Introduction:
Most postoperative rectal leakages can be successfully treated with minimally invasive procedures. Endoscopic vacuum therapy supported by tissue adhesives or cellular growth stimulants closes even chronic anastomotic fistulas.
Aim:
To present a treatment strategy for postoperative leakage of rectal anastomoses with noninvasive proc...
Aim
Minimally invasive procedures for the treatment of anal fistulas are gaining more and more popularity. For this purpose, Platelet-Rich Plasma (PRP) are administered to accelerate the healing process of various difficult wounds or lesions. The aim of this study was to evaluate preliminary results of PRP injection into the tissues adjacent to ana...
Background:
There is still a search for a standard method of therapy for high anal fistulas. The aim of this trial was a comparison between a modified two stage minimally invasive procedure, consisting of loose-seton placement with the subsequent application of platelet rich plasma with mucosal advancement flap for the treatment of high transsphin...
b>Introduction: Prehabilitation entails preoperative activities designed to properly prepare a patient to undergo surgery and to improve their postoperative recovery. It follows an interdisciplinary approach by improving physical fitness and nourishment status, using mental training and encouraging them to quit addictions. Aim: The aim of the study...
Background
There is a need for other than surgical methods of therapy for small and low rectovaginal fistulas (RVF) in the course of inflammatory bowel diseases (IBD), such as application of fibrin sealants, stem cells, biological therapy, or platelet-rich plasma. The aim of this study was to evaluate the results of the treatment after local applic...
Background
Familial adenomatous polyposis (FAP) is an autosomal dominant condition that predisposes patients to colorectal cancer. FAP is the result of a loss of APC function due to germline pathogenic variants disrupting gene expression. Genotype-phenotype correlations are described for FAP. For example attenuated forms of the disease are associat...
Background:
Due to the high risk of COVID-19 transmission by asymptomatic patients, the aim of this study was to evaluate chest computed tomography (CT) and blood differential test as an additional COVID-19 screening tool for patients undergoing elective or urgent surgery.
Patients and methods:
The preoperative assessment of 118 patients hospita...
Deleted in malignant brain tumours 1 protein (DMBT1) and surfactant protein D (SFTPD) are antimicrobial peptides previously linked to inflammatory bowel disease (IBD) susceptibility. This study attempts to link the most potential IBD-associated polymorphisms in DMBT1 and SFTPD with the disease severity in children. A total of 406 IBD patients (Croh...
Perianal fistulas in Crohn’s disease (CD) are a major problem. In majority of patient, inflammation involves the rectum. Perianal fistulas in CD pose a diagnostic and therapeutic challenge due to severe symptoms and worse prognosis compared to cryptogenic fistulas. The accurate diagnosis is crucial for an effective treatment of CD-related perianal...
Background:
Gastrointestinal fistula is one of the most difficult problems in gastrointestinal surgery. It is associated with high morbidity and mortality, numerous complications, prolonged hospitalization, and high cost of treatment.
Aim:
This project aimed to develop recommendations for the treatment of gastrointestinal fistulas, based on evid...
The genetic background and the determinants influencing the disease form, course, and onset of inflammatory bowel disease (IBD) remain unresolved. We aimed to determine the NOD2 gene haplotypes and their relationship with IBD occurrence, clinical presentation, and onset, analyzing a cohort of 578 patients with IBD, including children, and 888 contr...
Background:
Surgical treatment of recurrent anal fistulas can lead to numerous complications, including fecal incontinence. Therefore, sphincter preserving techniques are gaining more popularity.
Objective:
The aim of the study was to assess effectiveness of platelet-rich plasma (PRP) therapy in the patients with recurrent cryptoglandular anal f...
Introduction:
The stoma reversal (SR) procedure is associated with a relatively high risk of perioperative complications with surgical site infection (SSI) as the most common. Recently closed incision negative pressure wound therapy (ciNPWT) was applied widely to prevent SSI.
Aim:
To investigate the efficiency of ciNPWT in terms of the incidence...
Treatment of gastrointestinal fistulas after staple line leaks is difficult and non-invasive procedures such as endoclips, stents or endoscopic vacuum assisted closure (E-VAC) are sometimes not adequate. Fibrin sealants (FS) may promote healing, although today are used mainly to prevent anastomosis dehiscence within digestive tract. The authors pre...
BACKGROUND
It has been suggested that apolipoprotein E (APOE) polymorphisms are
associated with the risk of developing inflammatory bowel disease (IBD) and the
early age of disease onset. However, there are no reports regarding the
relationship with clinical characteristics and disease severity.
AIM
To summarise that APOE polymorphisms are associat...
A pancreaticopleural fistula is a rare cause of pleural effusion. It is a complication of chronic or acute pancreatitis. It is rarely formed to the right or both pleural cavities. Diagnosis and proper treatment often turn out to be difficult and require the cooperation of a multidisciplinary team. The authors present the case of a 59-year-old patie...
Niniejsze opracowanie stanowi zbiór wiadomości dotyczących właściwości różnych form srebra stosowanych w leczeniu ran oraz opatrunków i preparatów zawierających srebro. Dobierając leczenie miejscowe zakażonej rany niegojącej się zawsze należy brać pod uwagę sposób działania opatrunków oraz właściwości stosowanych w praktyce związków srebra. Celem n...
No gold standard is available to evaluate subjective psychophysical experiences in pediatric inflammatory bowel disease (IBD). We aimed to assess pain, anxiety, and limitations in social activities at diagnosis and the worst flare of the disease in relation to clinical expression, treatment and IBD severity. A total of 376 children completed the su...
This study was to investigate whether the clinical course of inflammatory bowel disease (IBD) in a Polish paediatric cohort fits a seasonal pattern and depends on insolation. Two hundred and fourteen patients diagnosed with Crohn’s disease (CD) and 192 with ulcerative colitis (UC) aged from 3 to 18 years, were recruited in seven centres of similar...
Introduction:
Anastomotic leaks remain the most fearful complications.
Aim:
We present a novel endoscopic salvage therapy known as endoscopic vacuum therapy with instillation (iEVT) as a combination of standard endoscopic vacuum therapy (EVT) and negative pressure wound therapy with instillation (iNPWT).
Material and methods:
A case series of...
The problem of hard-to-heal wounds is associated with an increase in the incidence of civilization diseases. Venous leg ulcers, ischemic ulcers and wounds in diabetic foot syndrome are a particular problem, and the early detection of local wound infections is a serious interdisciplinary challenge in everyday practice. Local wound infections are oft...
Introduction:
Post-operative impairment of gastrointestinal tract function and metabolic consequences occur in patients after gastrectomy by Roux-en-Y method. Short-chain fatty acids and silicon dioxide may prove beneficial in the treatment of these conditions.
Aim:
To evaluate a preparation containing propionic acid and silicon dioxide on the b...
Niniejsze opracowanie obejmuje podstawowy zbiór zasad i rekomendacji specjalistów z różnych dziedzin medycyny dotyczących postępowania z ranami o różnych etiologiach. Celem dokumentu jest stworzenie algorytmów terapeutycznych, które będą mogły stanowić podstawę przy ocenie rany, monitoringu i doborze optymalnej metody postępowania w poszczególnych...
Computer-aided diagnosis (CAD) and other risk stratification systems may improve ultrasound image interpretation. This prospective study aimed to compare the diagnostic performance of CAD and the European Thyroid Imaging Reporting and Data System (EU-TIRADS) classification applied by physicians with S-Detect 2 software CAD based on Korean Thyroid I...
Background: Deep neck infection (DNI) is a life-threatening complication associated with significant mortality and morbidity rates. The most common causes of DNI are the tonsilitis, dentitis, salivary glands inflammation, malignancies, and foreign bodies. As a result of neck infection, patients are at high risk of potential secondary complications...
The use of NPWT results in reduction of postoperative wound complication
The current evidence supports the notion that NPWT systems are beneficial in enhancing the healing of complicated breast wounds
Short-chain fatty acids produced by bacteria living in the large intestine are the main energy substrate for the colonocytes. Butyric acid is used for the treatment and prevention of exacerbations of various gastrointestinal diseases: diarrhoea, intestinal inflammations, functional disorders, dysbiosis, and post-surgery or post-chemotherapy conditi...
Recent SARS-CoV-2 pandemic leading to a rapidly increasing number of hospitalizations enforced reevaluation of wound management strategies.
The optimal treatment strategy for patients with chronic wounds and those recovering from emergency and urgent oncological surgery should aim to minimize the number of hospital admissions, as well as the numbe...
Introduction:
Background: Diverticulosis is the most common finding in the GI tract. Nearly half of the people with diverticula experience symptomatic uncomplicated diverticular disease (SUDD).
Aims:
The primary endpoints of our study were to assess the effectiveness of combined therapy with rifaximin-α and arabinogalactan-lactoferrin in symptom...
Background:
Esophagogastric leakage is one of the most severe postoperative complications. Partial disruption of the anastomosis, can be successfully treated with an endoscopic vacuum assisted closure (E-VAC). The advantage of that method of treatment is the ability to adjust a vacuum dressing individually to the size of the dehiscence and thus to...
Background: The use of Negative Pressure Wound Dressing has been found to promote the wound healing process, therefore, reducing the risk of surgical site complications. The use of this technique amongst breast cancer patients, who have often encountered a distressing journey, may prove beneficial in making the post-operative process less eventful....
Aim An ileal pouch anal anastomosis (IPAA) leak is one of the most severe complication after restorative proctocoletomy (RPC). We present a rare case of a successful management of IPAA leak after RPC without defunctionig stoma with the utility of endoscopic vacuum therapy. Methods A 57-year-old male with a ileal pouch anal anastomosis leak after RP...
COMPARISON OF THE EFFECTIVENESS OF THE TREATMENT USING STANDARD METHODS AND NEGATIVE PRESSURE WOUND THERAPY (NPWT) IN PATIENTS TREATED WITH OPEN ABDOMEN TECHNIQUE
The comparison of quality of life in patients with pilonidal sinus disease. Negative pressure wound therapy versus standard wound dressings – a randomized pilot study.
Introduction: Prophylaxis of diverticulitis and associated complications is very important in patients with symptomatic uncomplicated diverticular disease. The standard recommended prevention is based on the cyclical use of rifaximin alfa. Aim: The purpose of this study was to assess the effect of additional supplementation with a prebiotic prepara...
The applicability of Negative Wound Pressure Therapy in the treatment of complicated wounds after amputation of the lower extremities in patients undergoing surgery due to critical limb ischemia.
THE COMPARISON OF QUALITY OF LIFE IN PATIENTS WITH PILONIDAL SINUS DISEASE. NEGATIVE PRESSURE WOUND THERAPY VERSUS STANDARD WOUND DRESSINGS – A RANDOMIZED PILOT STUDY.
An increased number of patients developing difficult-to-heal wounds results in billions spending for chronic wound care management. Introduction of TIME conception has been a breakthrough idea for wound healing based on phase-adapted wound therapy that interacts and influence each other and included: T – tissue management, I - infection control, M...
Acne inversa (AI) is a chronic inflammatory skin
disease significantly impacting the patient’s quality of life.
Management guidelines for acne inversa during pregnancy do
not exist. We decided to use a single-use negative pressure
wound therapy (PICO, Smith & Nephew) while managing a
pregnant patient with AI. Negative pressure wound therapy
(NPWT)...
Although Crohn's Disease (CD) usually occurs between the second and third decade of life, it also may develop in older adults. Treating elderly patients may be challenging due to other comorbidities, including diverticular disease or intestinal ischemia.
Purpose:
The purpose of this case study was to describe successful treatment of atypical and...
Introduction:
Negative pressure wound therapy (NPWT) in the open abdomen (OA) is recognized as a gold standard management method. Currently minimally invasive procedures are implemented in many clinical scenarios.
Aim:
To demonstrate the feasibility of using negative pressure wound therapy in a laparoscopic approach for OA management in a porcin...
This study provides up-to-date findings on lactose malabsorption, lactose intolerance and genetic predisposition to adult-type hypolactasia in 72 patients after restorative proctocolectomy (RPC). The lactose malabsorption was assessed by hydrogen-methane breath test. Genetic predisposition to adult-type hypolactasia was assessed by detecting –13910...
Pilonidal disease is a particularly difficult disorder
to treat. Guidelines and recommendations for the treatment of
pilonidal disease neglect the use of negative pressure wound
therapy (NPWT), but studies strongly support the role of NPWT
in preventing surgical site infection in high-risk patients.
During a webinar on the pilonidal disease, we ask...
Introduction:
Clinical evaluation of the Crohn's anal fistulas (CF) closure is inadequate to some extent due to earlier closure of cutaneous openings compared to fistulous tracts. There is a need for a more accurate method of assessment.
Aim:
To compare clinical signs of CF with radiological findings, before and after treatment, to follow comple...
Introduction:
Symptomatic uncomplicated diverticular disease (SUDD) is the most common manifestation of diverticulosis. Data concerning the optimal treatment after SUDD exacerbation are inconsistent.
Aim:
To assess the effectiveness and necessity of cyclic rifaximin treatment for recurrent SUDD symptoms and for preventing exacerbations in patien...
Perirectal fistulas in the course of Crohn’s disease (ChL-C) constitute an important problem in this group of patients. They are observed in a vast majority of patients with involvement through colorectal inflammation. Perirectal fistulas in ChL-C present a great diagnostic and therapeutic challenge due to the intensified clinical symptoms and wors...
Background
Backwash ileitis (BI) is the term given to endoscopic and/or histological inflammation that extends from the caecum continuously into the terminal ileum in a ulcerative colitis (UC) patient with extensive colitis. The opinion about the role of the BI in patients after restorative proctocolectomy, as a risk factor for pouchitis developmen...
Background
Perianal fistula in Crohn’s colitis (CC) seems be common complication. The aim of the study was determine the effectiveness of the minimal invasive surgical treatment with vacuum technique and subsequent biological therapy in CC patients with perianal fistulas.
Methods
In total, 59 CC patients were admitted due to perianal fistula (symp...
Hard-to-heal wounds continue to be a challenge in the everyday surgical practice. Their treatment is time-consuming, expensive and in many cases requires interdisciplinary assessment. Therapy option include properly selected surgical procedures and dressings combined with systemic antibiotherapy. Application of vacuum assisted closure (VAC) facilit...
Background:
Patients with Crohn disease-related anal fistulas are treated with debridement of fistulous tracts and the placement of noncutting setons (NCSs). However, to reduce the high recurrence rate, there is still a need to develop more effective treatment methods.
Objective:
To compare NCS with vacuum-assisted closure (VAC) treatment.
Meth...