[Arteriovenous malformation in small intestine as atypical etiology of lower gastro-intestinal bleeding--a case report]. / Cievna malformácia v tenkom creve ako netypický zdroj krvácania z dolnej casti tráviaceho traktu--kazuistika.

Lower gastrointestinal tract bleeding (LGIB) is the acute abdomen, defined as gastrointestinal tract bleeding under the ligament of Treitz. We present the case report of patient iteratively hospitalized because of repeated LGIB. There were performed gastrofibroscopy, colonoscopy and capsule endoscopy, without the bleeding localization. Scintigraphy and computer tomography showed the origin of bleeding in terminal small intestine; the computer tomography diagnosed the arteriovenous malformation in this area. During laparotomy the resection of 120 cm of terminal small intestine was performed with end-to-end anastomosis. The recurrence of bleeding was not diagnosed. LGIB takes about 0.5% of acute hospitalization at surgery departments. After the stabilization of vital functions, the exclusion of the upper gastrointestinal tract bleeding and fast gastrointestinal tract preparation, the urgent colonoscopy is recommended. In case of non-successful colonoscopy, the most of authors recommend angiography, capsule endoscopy and double-balloon endoscopy. The conservative management is adequate in more than 2/3 of patients; in part of them the intervention during colonoscopy is possible. Surgical intervention with gastrointestinal tract resection is performed in less than 17% of patients. The urgent surgery is needed in 4.7% of patients. All the diagnostic and curative interventions have greater success and should be performed during the acute bleeding.

[Patient quality of life following resection procedures for chronic pancreatitis]. / Kvalita zivota pacientov po resekcných výkonoch pre chronickú pankreatitídu.

INTRODUCTION: Surgical therapy for chronic pancreatitis is reserved for patients with intractable abdominal pain, complications of the disease, or suspected underlying carcinoma. For patients suffered from severe chronic pancreatitis, pancreatic resection can be performed safety with good postoperative results. MATERIAL AND METHODS: Between January 1996 and December 2005, the findings for 65 patients, suffer from chronic pancreatitis were analyzed in this retrospective trial at the I. Department of Surgery University Hospital FN LP in Kosice. There were investigated quality of life after pancreatic resection, using of analgetic medication, the presence of endocrine insufficiency, degree of pain relief, working ability, increase weight and BMI. RESULTS: There were investigated 44 patients, 5 patients died and 16 patients were lost to follow-up. There were pain relief in 93%, increase of BMI in 80%, working ability in 77%. Patients with no analgetic medication were in 61%, patients without readmission to hospital were in 91%. CONCLUSION: After pancreatic resection, in majority of patients were presented improvement of quality of life, decrease incidence of readmission and reoperation, increase ability to return work, decrease using of analgetics, increase weight and BMI.