Small intestine adenocarcinoma associated with Crohn´s disease.

This case report presents a patient diagnosed with small intestine adenocarcinoma associated with Crohn´s disease. Intestinal cancer is a feared and rare complication of idiopathic bowel diseases. The most important factors for dysplasia include extensive involvement of the intestine and a long-term inflammatory process.

Circulating matrix metaloproteinases as biomarkers in colorectalcancer.

The aim of this research is to offer comprehensive point of view related to perspective tumor markers called matrix metaloproteinases and their natural tissue inhibitors. Those markers are potentially useable mainly in postoperative follow-up in patients with colorectal cancer.

[Czech bariatry in 2010]. / Ceská bariatrie v roce 2010.

INTRODUCTION: It is only during the past two decades, when obesity has become to be considered a pandemic disorder. However, in 1953 Varco performed jejunoileal bypass as the world's first bariatric surgical procedure. 30 years later, Pesková performed the first bariatric surgery--a gastroplasty--in Czechoslovakia. From 1984 she started to perform fixed gastric bandages, through laparotomic app- roach at that time. The first laparoscopic fixed bandage in Czechoslovakia was performed in 1993. Over the years, the number of surgical procedures to treat morbid obesity, as well as the number of bariatric surgeons, continued to increase. In 2004, Czech Bariatric Section of the Czech Surgical Society and the Czech Society of Obesitology of the Czech Medical Association of J. E. Purkyne, were established. MATERIAL AND METHODS: 170 bariatric surgeries were performed in the Czech Republic in 1999. The majority of procedures included fixed gastric bandage, rarely, adjustable bandage was performed. At that time, bariatric procedures were performed at five sites only. However, over the past 10 years, bariatric surgery has largely developed in the Czech Republic. The exact number of bariatric procedures completed per year was unknown, therefore, 21 surgical clinics, at which bariatric procedures are performed, were contacted from January to June 2010. Heads of the clinics were asked to provide basic data on surgical treatment of obesity. The aim of the study was to analyze the situation in bariatric surgery in the Czech Republic at the end of 2009. A total of 18 clinics (85.8%) joined the study and provided their own statistical data. 14 of them perform over 20 bariatric procedures a year. RESULTS: The analysis data showed that, in 2009, a total of 1558 bariatric procedures were completed at 18 surgical clinics and approximately 1600 procedures were performed in the whole Czech Republic. However, out of the total, over 230 patients were foreigners. In 99% of bariatric procedures in morbid obese subjects, laparoscopic approach was used. CONCLUSION: Over the ten year period, the number of clinics performing over 20 bariatric procedures a year increased from five to 14 clinics and the number of bariatric procedures increased from 170 to 1600 procedures a year. It is 900% increase, compared to the year 1999! Nevertheless, compared to other countries, e.g. Austria, the number of bariatric procedures does not correspond with prevalence rates of obesity in the Czech Republic.

[Submucous lipoma as a cause of invagination in adulthood]. / Submukózní lipom jako prícina invaginace v dospelém veku.

The casuistry describes the invagination that occurred to a 67-years old patient due to the small intestine lipom. The patient with the three-day abdominal pain and vomiting was admitted to the department of surgery. On the basis of the CT examination the patient underwent an operation for the invagination of the small inkotine. The resection of the invaginated loop, the anastomosis end to end were performed. Histologicaly the submucosus lipom was found.

[The 7th Field Hospital of the Army of the Czech Republic (ACR) in southern Iraq: statistics of professional activity and aspects of a foreign mission]. / 7. polní nemocnice ACR v jizním Iráku: statistika odborné práce, aspekty zahranicní mise.

The short communication informs about the work of the field hospital in Iraq. From 3rd June till 10th September 2003 there were 123 patients operated on, 184 patients were hospitalized. The hospital exerted 1,194 bed-days, 131 of them at the intensive care unit. The outpatient department treated 6,953 patients. There were 824 X-ray and ultrasonographic examinations and the laboratory performed 7,941 tests. In their practice the physicians encountered a wide spectrum of surgical and non-surgical diagnoses. Other humanitarian activities (material, organization of transport of children to specialized care in the Czech Republic, blood donor activity) were an integral part of the work. The work in non-standard conditions was significantly complicated by the extreme climate and the high safety risk.