[Restorative proctocolectomy in treatment of ulcerative colitis and familial polyposis]. / Proktokolektomia odtwórcza w leczeniu wrzodziejacego zapalenia jelita grubego i polipowatosci rodzinnej.

The results of surgical management (restorative proctocolectomy) in 15 patients operated on for familial polyposis and ulcerative colitis were presented. The comparison of ileo-anal, hand-sewn anastomosis with endorectal mucosectomy and double-stapled ileo-rectal anastomosis indicates both methods equally useful in surgical practice. In all patients J-pouch was created. The choice of anastomosis should be carefully considered before operation in every patient, but sometimes changed intraoperatively.

[Pancreatoduodenectomy by Whipple's method--a method of dealing with the pancreatic stump]. / Pankreatoduodenektomia sposobem Whipple'a--sposób zaopatrzenia przewodu trzustkowego.

Different methods of pancreatic stump management are possible to perform after pancreaticoduodenectomy. The group of 24 patients after pancreaticoduodenectomy with pancreaticojejunostomy, pancreaticogastrostomy and occlusion of the pancreatic duct by Neopren or Ethiblock were analysed. According to the literature and own results pancreatogastrostomy or occlusion of the pancreatic duct seems to be the safer procedure, but sometimes the choice is made intraoperatively.

[Bile duct injuries and surgical reconstruction of their sequelae in patients surgically treated for cholelithiasis]. / Uszkodzenia dróg zólciowych i postepowanie chirurgiczne w ich nastepstwie u pacjentów operowanych z powodu kamicy zólciowej.

27 patients operated for bile duct injuries as a complication of cholecystectomy were analyzed. The methods of surgical management in "fresh" bile duct injuries and delayed complications such as stenosis of bile ducts or anastomosis and recurrent cholangitis were discussed. Mucosa to mucosa, Roux-en-Y anastomosis, without splinting drains seems to be the best way to restore bile flow to digestive tract.

[Ulcerative colitis and pregnancy]. / Wrzodziejace zapalenie jelita grubego i ciaza.

On the basis of literature and on the grounds of their own experience the authors presented their opinions on the coexistence of colitis ulcerosa (c.u.) and pregnancy. It was stressed that colitis ulcerosa does not decrease fertility in women whereas the taking of salazosulfapyridine diminishes fertility in men. Pregnancy should be planned during the remission period. Successive pregnancies in the same patient with coexistent c.u. should be taken individually. Classic pharmacotherapy end endoscopic diagnostics are not contraindicated in pregnancy. Past operation (e.g. partial or total colectomy) do not decrease chances of giving birth to a child. There is no evidence that artificial abortion exerts a favourable influence on the course of colitis ulcerosa. Cesarean section should be performed of obstetrical indications only. In addition, the authors emphasize the necessity of a strict monitoring of c.u. in the first trimester of pregnancy and during puerperium, as well as of a rigorous gynecological supervision in the third trimester of pregnancy.