- Type of paper
: Paper in book
Title: Gastrointestinal bleeding
- Authors:
- Pulanić, Roland (141256)
- Rosandić-Pilaš, Marija (138922)
- Editors
- Vrhovac, Božidar (53374)
- Bakran, Ivan
- Granić, Mate
- Jakšić, Branimir
- Labar, Boris
- Vucelić, Boris (116793)
Publisher: Naprijed
ISBN: 86-349-0289-7
Year: 1991
Pages: from 986 to 993
Number of references: 11
Language: hrvatski
Summary: The authors describe pathophysiology of the
gastrointestinalbleeding, diagnostic methods and types of hemostasis.
Keywords: Gastrointestinal bleeding.
- Type of paper
: Paper in book
Title: The historical development of gastrointestinal endoscopy.
- Authors:
- Pulanić, Roland (141256)
- Editors
- Rosandić-Pilaš, Marija (138922)
Publisher: Školska Knjiga
ISBN: 616.3-07(075)
Year: 1993
Pages: from 3 to 7
Number of references: 9
Language: hrvatski
Summary: The author decribe the historical development of
gastrointestinalendoscopy; the beginnings of upper gastrointestinal
endoscopy,the period of semi-flexibile gastroscopes, fiber-optic
flexibileendoscopy, videoendoscopy and history of colonoscopy.
Keywords: Historu of gastrointestinal endoscopy, semi-flexibile gastroscopes, flexibile endoscopy, videoendoscopy, colonoscopy.
- Type of paper
: Paper in book
Title: Technical characteristics of fiber-optic endoscopes.
- Authors:
- Pulanić, Roland (141256)
- Editors
- Rosandić-Pilaš, Marija (138922)
Publisher: Školska Knjiga
ISBN: 616.3-07(075)
Year: 1993
Pages: from 8 to 14
Number of references: 3
Language: hrvatski
Summary: The technical characteristics of fiber-optic endoscopies
such asprinciples of total internal reflection, fiber-optic
bundles,production of glass fibers and bundles, light source,
basiccharacteristics of a videoscope and color reproduction aredescribed.
Keywords: Technical characteristics of endoscopes.
- Type of paper
: Paper in book
Title: The laser in gastroenterology.
- Authors:
- Pulanić, Roland (141256)
- Editors
- Rosandić-Pilaš, Marija (138922)
Publisher: Školska Knjiga
ISBN: 616.3-07(075)
Year: 1993
Pages: from 32 to 46
Number of references: 23
Language: hrvatski
Summary: The paper presents the fundamental laser characteristics
andindications for laser applications in bleeding, gastrointestinaltract
malignancies, benign stenosis, benign tumors and newapplications of lasers
in gastroenterology.
Keywords: Lasers characteristics, applications in gastroenterology.
- Type of paper
: Paper in book
Title: Non-laser dilatation of oesophageal stenosis.
- Authors:
- Pulanić, Roland (141256)
- Editors
- Rosandić-Pilaš, Marija (138922)
Publisher: Školska Knjiga
ISBN: 616.3-07(075)
Year: 1993
Pages: from 47 to 49
Number of references: 3
Language: hrvatski
Summary: Indications for non-laser dilatation of oesophageal
stenosis inachalasia, reflux disease of the oesophagus and in
oesophagealtumors are presented.
Keywords: Non-laser dilatation, oesophageal stenosis, achalasia, reflux disease, tumors.
- Type of paper
: Paper in book
Title: Sclerotherapy in gastroenterology.
- Authors:
- Rosandić-Pilaš, Marija (138922)
- Editors
- Rosandić-Pilaš, Marija (138922)
Publisher: Školska Knjiga
ISBN: 616.3-07(075)
Year: 1993
Pages: from 15 to 23
Number of references: 42
Language: hrvatski
Summary: The paper presents sclerotherapy as a method for
arrestingbleeding from esophageal varices and in non-variceal bleeding.
Keywords: Sclerotherapy, bleeding, esophageal varices, non-variceal lesions.
- Type of paper
: Paper in book
Title: Other endoscopic methods in arresting upper
gastrointestinal bleeding.
- Authors:
- Rosandić-Pilaš, Marija (138922)
- Editors
- Rosandić-Pilaš, Marija (138922)
Publisher: Školska Knjiga
ISBN: 616.3-07(075)
Year: 1993
Pages: from 29 to 30
Number of references: 6
Language: hrvatski
Summary: In this paper the author describes electrocoagulation and
heater
probe in controlling of bleeding.
Keywords: Electrocoagulation, heater probe.
- Type of paper
: Paper in book
Title: Endoscopic electrodiathermic polypectomy.
- Authors:
- Rosandić-Pilaš, Marija (138922)
- Editors
- Rosandić-Pilaš, Marija (138922)
Publisher: Školska Knjiga
ISBN: 616.3-07(075)
Year: 1993
Pages: from 53 to 59
Number of references: 24
Language: hrvatski
Summary: Technique of endoscopic electrodiathermic polypectomy
isdescribed, as well as adenom-carcinoma sequence and follow-up ofpatients
after polypectomy.
Keywords: Endoscopic polypectomy, adenom-carcinoma sequence.
- Type of paper
: Paper in book
Title: Endoscopic ultrasound.
- Authors:
- Opačić, Milorad (76960)
- Editors
- Rosandić-Pilaš, Marija (138922)
Publisher: Školska Knjiga
ISBN: 616.3-07(075)
Year: 1993
Pages: from 67 to 75
Number of references: 28
Language: hrvatski
Summary: The author describes diagnostic methods and
technicalcharacteristics of the endoscopic ultrasound and mode
ofapplications in gastroenterology.
Keywords: Endoscopic ultrasonography, laparascopic ultrasonography, transrectal ultrasonography.
- Type of paper
: Paper in book
Title: Percutaneous transhepatic cholangiography.
- Authors:
- Frković, Marija (141234)
- Editors
- Rosandić-Pilaš, Marija (138922)
Publisher: Školska Knjiga
ISBN: 616.3-07(075)
Year: 1993
Pages: from 152 to 159
Number of references: 59
Language: hrvatski
Summary: The examination technique, indications, contraindications
andcomplications of percutaneous transhepatic cholangiography.
Keywords: Percutaneous tranhepatic cholangiography, indications, contraindications, complications.
- Type of paper
: Paper in book
Title: Endoscopic retrograde cholangiopancreatography.
- Authors:
- Mandić, Ante (141212)
- Editors
- Rosandić-Pilaš, Marija (138922)
Publisher: Školska Knjiga
ISBN: 616.3-07(075)
Year: 1993
Pages: from 163 to 178
Number of references: 41
Language: hrvatski
Summary: Historical data, examination techniques,
indications,contraindications of endoscopic
retrogradecholangiopancreatography (ERCP), as well as interpretation of
ERCP findings are given in this article.
Keywords: Endoscopic retrograde cholangiopancreatography, indications, contraindications.
- Type of paper
: Paper in book
Title: Shock-wave lithotripsy.
- Authors:
- Rustemović, Nadan (204721)
- Editors
- Rosandić-Pilaš, Marija (138922)
Publisher: Školska Knjiga
ISBN: 616.3-07(075)
Year: 1993
Pages: from 198 to 203
Number of references: 16
Language: hrvatski
Summary: This work presents intracorporal biliary
lithotripsy,extracorporeal shock-wave biliary lithotripsy and
lithotripsywithin the pancreatic duct by means with ultrasound or laser.
Keywords: Lithotripsy, ultrasound, laser, shock-wave.
- Type of paper
: Paper in book
Title: Interventional vascular radiology of the gastrointestinal
tract.
- Authors:
- Radanović, Branko (140604)
- Šimunović, Slavko
- Editors
- Rosandić-Pilaš, Marija (138922)
Publisher: Školska Knjiga
ISBN: 616.3-07(075)
Year: 1993
Pages: from 99 to 114
Number of references: 70
Language: hrvatski
Summary: The authors describe angiographic diagnostic procedures as
wellas radiologic interventional procedures in acute upper and
lowergastrointestinal bleeding.
Keywords: Interventional radiology, gastrointestinal bleeding.
- Type of paper
: Paper in journal
Title: The use of laser in the traetment of gastric tumors
- Authors:
- Pulanić, Roland (141256)
- Ostojić-Pulanić, Branka
- Frković, Marija (141234)
Journal: Libri oncologici
Number: 2
ISSN: 0300-8142
Volume: 21
Year: 1992
Pages: from 121 to 126
Number of references: 14
Language: hrvatski
Summary: The paper presents the fundamental laser characteristics,
themode of its application and the indications for lasertransendoscopic
therapy in patients with gastric tumors. The useof laser in early gastric
carcinomas, bleeding from gastrictumors and particularly in inoperabile
malignant tumors stenoseshas been described. In conclusion, the summary of
currentposition of laser in malignant tumors of the stomach is given.
Keywords: Laser therapy, gastric carcinomas.
- Type of paper
: Paper in journal
Title: The influence of atmospheric factors on the frequency of
bleeding fromesophageal and gastric varices
- Authors:
- Vucelić, Boris (116793)
- Miličić, Davor
- Ostojić, Rajko
- Kern, Josipa
- Penzar, Ivan
- Marić, Krešimir
- Pulanić, Roland (141256)
- Rosandić-Pilaš, Marija (138922)
- Korać, Bojana
- Opačić, Milorad (76960)
- Rustemović, Nadan (204721)
- Hadžić, Nijaz
- Krznarić, Željko
Journal: The Croatian Journal of Gastroenterology and Hepatology
Number: 3
ISSN: 0353-9296
Volume: 1
Year: 1992
Pages: from 115 to 118
Number of references: 13
Language: engleski
Summary: The influence of atmospheric factors on the frequency of
varicealbleeding was studied from April 1, 1984 to March 31,
1990,consequently trough 2191 days. The everage daily atmosphericpressure,
average daily temperature and the relative humiditywere correlated with
episodes of bleeding from esophageal andgastric varices. There were 571
cases of bleeding varices. Theanalysis showed that there were 483 days with
bleeding fromvarices and 1708 days without bleeding.
In conclusion, the changes in atmospheric pressure and relativeair humidity
are significant biotropic factors in patients withvariceal bleeding. It
should be emphasized that it is necessaryto distinguish the correlation of
phenomena and their causality,thus it would be erroneous to state that the
atmospheric pressureand the air humidity, as isolated variables, can be
essentialfactors in ther pathophysiology of variceal bleeding.
Keywords: gastrointestinal hemorrhage, esophageal and gastric varices, meteorological factors.
- Type of paper
: Paper in journal
Title: The influence of atmospheric conditions on the frequency
of bleeding from the peptic ulcer.
- Authors:
- Vucelić, Boris (116793)
- Miličić, Davor
- Ostojić, Rajko
- Kern, Josipa
- Penzar, Ivan
- Marić, Krešimir
- Pulanić, Roland (141256)
- Rosandić-Pilaš, Marija (138922)
- Korać, Bojana
- Opačić, Milorad (76960)
- Rustemović, Nadan (204721)
- Hadžić, Nijaz
- Krznarić, Željko
Journal: Liječnički Vjesnik
Number: 3
ISSN: 0024-3477
Volume: 115
Year: 1993
Pages: from 70 to 73
Number of references: 13
Language: hrvatski
Summary: The influence of atmospheric factors on the frequency of
bleedingfrom the peptic ulcer was studied within the period from April
1,1984. to March 31, 1989, consequently through 1826 days. Theeverage daily
atmospheric pressure, the everage daily temperatureand the relative
humidity have been examined. There were 1102cases of bleeding peptic
ulcers, 537 bleeding gastric ulcers and565 bleeding duodenal ulcers. During
the study period there were454 days with bleeding from gastric ulcers
and465 days withduodenal ulcers. There were 793 days with bleeding from
eitherulcer. We concluded that the incidence od bleeding from thepeptic
ulcers of the stomach and duodenum correlates in greatmeasure with low
atmospheric pressure in the days prior tobleeding and in the days of
bleeding, as well as with fallatmospheric pressure in the days of bleeding
with respect ofprevious day. It is necessary to distinguish the correlation
ofphenomena and their causality, thus it would be erroneous tostate that
the atmospheric pressure as an isolated variable canbe eseential factor in
the pathophysiology of ulcer bleeding.
Keywords: Peptic ulcer, hemorrhage, meteorological factors.
- Type of paper
: Paper in journal
Title: Celiac artery aneurysm-diagnostic dilemmas and
therapeutical procedurein a rare entity. Case report.
- Authors:
- Opačić, Milorad (76960)
- Sutlić, Željko
- Vucelić, Boris (116793)
- Rustemović, Nadan (204721)
- Pulanić, Roland (141256)
- Tonković, I
Journal: The Croatian Journal of Gastroenterology and Hepatology
Number: 1
ISSN: 0353-9296
Volume: 2
Year: 1993
Pages: from 29 to 32
Number of references: 23
Language: engleski
Summary: Splanchnic artery aneurysms occur rarely
andoligosymptomatically. Massive bleeding is usually the firstmanifestation
of the disease. Celiac artery aneurysm occurs in 4%of all visceral artery
aneurysms. The diagnostic and therapeuticapproach in this rare entity is
discussed.
Keywords: Celiac artery, aneurysm.
- Type of paper
: Paper in journal
Title: Rare localizations of Crohn s disease in the
gastrointestinal tract.
- Authors:
- Frković, Marija (141234)
- Vučković, Renata
- Mandić, Ante (141212)
Journal: Radiology and Oncology
Number: 1
ISSN: 0485-893
Volume: 27
Year: 1993
Pages: from 16 to 20
Number of references: 23
Language: engleski
Summary: This study presents a retrospective analysis of 24
(22,6%)patients with uncommon sites of Crohn s disease, identified inthe
group of 106 patients in whom the diagnosis of Crohn sdisease was made
during the period from 1980-1990.
Keywords: gastrointestinal diseases-diagnosis, Crohn disease.
- Type of paper
: Paper in journal
Title: Algorithm of radiological examinations in the diagnostics
of colonic atresia
- Authors:
- Frković, Marija (141234)
- Mandić, Ante (141212)
- Bradić, Ivo
- Župančić, Božidar
- Batinica, Stipe
Journal: Radiology and Oncology
Number: 4
ISSN: 0485-893
Volume: 26
Year: 1992
Pages: from 291 to 295
Number of references: 23
Language: engleski
Summary: Colonic atresia is a rare form of intestinal atresia.
During theperiod 1986-1991, thre newborns with atresia of the
transversecolon, type III, were diagnosed, and treated surgically.
Theauthors suggest the algorithm of examinations and discussradiological
methods in preoperative treatment of patients and inpostoperative course as
well as possible complications.
Keywords: Colon-abnormalities, intestinal atresia-radiology.
- Type of paper
: Paper in journal
Title: Tizanidine-induced acute toxic hepatitis: case report
- Authors:
- Rustemović, Nadan (204721)
- Huić, Mirjana
- Opačić, Milorad (76960)
- Pulanić, Roland (141256)
- Vucelić, Boris (116793)
- Vrhovac, Božidar (53374)
Journal: Pharmaca
ISSN: 0031-6857
Volume: 32
Year: 1994
Pages: from 457 to 461
Number of references: 10
Language: engleski
Summary: We report a case of fulminant toxic hepatitis as a result
of adverse effect of tizanidine wich was used as symptomatic therapy for
amyotrophic lateral sclerosis. The onset of fatal fulminant liver
insufficiency occured 8 weeks after starting the drug. Clinical signs,
laboratory parameters and pathohistologic findings suggested a rare
idiosyncratic reaction caused by the production or accumulation of
hepatotoxic tizanidine metabolites.
Keywords: Tizanidine, acute toxic hepatitis
- Type of paper
: Summary in proceedings
Title: Interventional procedures in acute volvulus of the
intestine.
- Authors:
- Frković, Marija (141234)
- Mandić, Ante (141212)
- Pulanić, Roland (141256)
Proceedings title: Jubilarni deseti znanstveni skup hrvatskog društva radiologa
Language: hrvatski
Place: Varaždin
Year: 1992
Pages: from 20 to 0
Meeting: Jubilarni deseti znanstveni skup hrvatskog društva radiologa.
Held: from 10/21/92 to 10/24/92
Summary: The authors describes interventional procedures in acute
volvulusof the intestine.
Keywords: Interventional radiology, volvulus of the intestines.
- Type of paper
: Summary in proceedings
Title: Percutaneous pancreatography by means of an ultrasound.
- Authors:
- Rustemović, Nadan (204721)
- Opačić, Milorad (76960)
- Pulanić, Roland (141256)
- Vucelić, Boris (116793)
- Rosandić-Pilaš, Marija (138922)
- Mandić, Ante (141212)
- Frković, Marija (141234)
Proceedings title: Rogaški dnevi 93
Language: hrvatski
Place: Rogaška Slatina, Slovenija
Year: 1993
Pages: from 18 to 0
Meeting: Strokovni sestanek gastroenterologov Slovenije.Diagnostika in terapija obolenj trebušne slinavke ter hormonsko aktivni tumorji lokalizirani v prebavnem traktu.
Held: from 05/13/93 to 05/14/93
Summary: A diagnostic method rarely used in practice has been
described.The procedure is indicated in patients in whom
endoscopicretrograde pancreatography was ineffective out of various
reasonsor where there is a specific indication for presentation of thewhole
pancreatic duct.
Percutaneous pancreatography has been undertaken in 17 patients,and it was
efficacious in 14 (82%). It was uneventful in all ofthem. We conclude that
this method is very valuable in thediagnosis of chronic pancreatitis and
pancreatic tumors.
Keywords: Percutaneous pancreatography, ultrasound.
- Type of paper
: Summary in proceedings
Title: Portal hemodynamic changes in patients with portal
hypertension following the elective sclerotherapies of esophageal varices
measured by doppler ultrasound technique.
- Authors:
- Pulanić, Roland (141256)
- Rosandić-Pilaš, Marija (138922)
- Šalamon, Vladimir
- Opačić, Milorad (76960)
- Rustemović, Nadan (204721)
- Vucelić, Boris (116793)
Proceedings title: II United European Gastroenterology Week, Barcelona 93.
Language: engleski
Place: Barcelona, Španjolska
Year: 1993
Pages: from 318 to 0
Meeting: 2nd United European Gastroenterology Week, Barcelona 93.
Held: from 07/19/93 to 07/24/93
Summary: The aim of this prospective study was to establish wheter
thereare changes in the diameter of the portal vein and portalvenous blood
flow velocity during elective sclerotherapies ofesophageal varices,
measured by color doppler, and wether, incase these changes occur, they are
helpful in assessing varicealbleeding. In 30 patients who already
presented with varicealbleeding, the hemodynamic parameters were followed
up at thear
admission and prior to each elective sclerotherapy.Sclerotherapies were
performed every 7 day until a satisfactoryresult was achieved, i.e. coplete
obliteration, an avarage of 3sclerotherapies. Results of statistical
anlysis showed thatchanges in the blood fow velocity in the portal vein
were not ofstatistical significance, while changes in the diameter of
theportal vein was noted as the sclerotherapies progressed. Howeverin 7
patients blood flow velocity increased for 50% after thesecond elective
sclerotherapy and increase of the diameter of theportal vein was noted. The
result show that in case of anelevated blood flow velocity and increased
portal vein diameterthere is a risk of rebleeding. Noninvasive color
dopplertechnique is evaluable method of followin up hemodinamic changesof
the portal vein.
Keywords: Portal hypertension, elective sclerotherapy, color doppler.
- Type of paper
: Summary in proceedings
Title: Critical analysis of the Forrest s classification of
peptic ulcer hemorrhage and effectiveness of endoscopic laser
photocoagulation versus injection sclerotherapy according to bleeding.
- Authors:
- Pulanić, Roland (141256)
- Rosandić-Pilaš, Marija (138922)
- Opačić, Milorad (76960)
- Šalamon, Vladimir
- Rustemović, Nadan (204721)
- Vucelić, Boris (116793)
Proceedings title: II United European Gastroenterology Week, Barcelona 93
Language: engleski
Place: Barcelona, Španjolska
Year: 1993
Pages: from 270 to 0
Meeting: 2nd United European Gastroenterology Week, Barcelona 93.
Held: from 07/19/93 to 07/24/93
Summary: The Forrest s classification of peptic ulcer bleeding,
witch isthe most frequently applied, does not identify the mode,
naturalcourse and activity of bleeding as well as emergency ofendoscopic
hemostasis. Therefore we have made our own scheme forthe division of
endoscopic bleeding.
Effectiveness of hemostasis with respect to activity of bleedingwas
analysed on a group of 315 patients. 160 patients underwentsclerotherapy
and 155 laser teratment. Both methodes wereindentically effective in venous
hemorrhage. In arterial bleedingIa, a significantly higher rate of definite
hemostasis wasachieved by photocoagulation. In visible vessel sclerotherapy
wasfound to be more effective than photocoagulation. In
conclusion,according to endoscopic criteria of hemorrhage,
laserphotocoagulation is superior to sclerotherapy in active
arterialbleeding, and injection sclerotherapy to laser treatment invisible
vessels.
Keywords: Bleeding ulcers, laser photocoagulation, injection sclerotherapy.
- Type of paper
: Summary in proceedings
Title: Percutaneous biliary drainage under ultrasonography
guidance in therapy of acute cholagitis in biliary obstrucion
- Authors:
- Rustemović, Nadan (204721)
- Opačić, Milorad (76960)
- Pulanić, Roland (141256)
- Vucelić, Boris (116793)
- Korać, Bojana
- Editors
- Čikeš, Nada
Proceedings title: Prvi struči skup intenzivne medicine s međunarodnim sudjelovanjem
Language: hrvatski
Place: Zagreb
Year: 1994
ISBN/ISSN: ISSN1330-4917
Pages: from 103 to -
Meeting: Prvi stručni skup intenzivne medicine s međunarodnim sudjelovanjem
Held: from 06/27/94 to 06/30/94
Summary: For management inoperabile malignant diseases of biliary
tree we used, in 9 patients, percutaneous biliary drainage: 4 patients with
carcinoma of pancreas, 3 patients with Klatskin tumor and 2 with metastatic
carcinoma in porta hepatis.
PBD was successful in 7 patients (78%)- after decopmression of biliary
tree, all symptoms were regressed.
PBD is simple and successful method for management inoperabile diseases of
biliary tree.
Keywords: Percutaneous biliary drainage, tumors of biliary tree.
- Type of paper
: Summary in proceedings
Title: The effect of somatostatin on gastric and duodenal
bleeding in case of unefficacious endoscopic hemostasis
- Authors:
- Pulanić, Roland (141256)
- Rustemović, Nadan (204721)
- Popijač-Ključar, Stanka
- Ostojić-Pulanić, Branka
Proceedings title: 3rd United European Gastroenterology Week, Oslo 1994. Abstracts
Language: engleski
Place: Oslo, Norveška
Year: 1994
Pages: from A215
Meeting: 3rd United European Gastroenterology Week
Held: from 06/25/94 to 06/29/94
Summary: The aim of this trial was to assess the effect of
somatostatin on the control of hemorrhage from gastric and duodenal ulcers
in case when endoscopic methods were not efficacious and surgical procedure
represented a risk due to other diseases. For endoscopic hemostasis,
photocoagulation with ND-YAG laser or sclerotherapy with 1% polidocanol
were used. If inicial hemostasis was not successful or recurrent bleeding
occured twice within 48 hours, somatostatin at dosage of 3 mg every 12
hours over 72 hours was applied in those patientsin whom surgery
represented a risk (cardiac and pulmonary patients, liver cirrhosis, renal
transplantation).
Of 321 patients with bleeding from gastric and duodenal ulcers admitted
over period of 12 months, 19 (5,9%) were administered somatostatin. In 16
(84%) patients bleeding was successfully controlled, while 3 (16%) patients
required operation. One (5%) patient died after surgery. Before
administration of somatostatin, mortality rate overall was 33% related to
bleeding or surgical procedure in patients who presented a risk.
Conclusion; In case of unsuccessful endoscopic hemostasis in patients in
whom operative procedure would represent a tisk due to other diseases, it
is reasonable to use somatostatin, which significantly decrease mortality.
Keywords: Gastroduodenal bleeding, endoscopic hemostasis, somatostatin
- Type of paper
: Summary in proceedings
Title: Percutaneous pancreatography under ultrasonography
guidance
- Authors:
- Opačić, Milorad (76960)
- Rustemović, Nadan (204721)
- Pulanić, Roland (141256)
- Vucelić, Boris (116793)
Proceedings title: 10th World Congresses of Gastroenterology, Abstracts:Oral presentations
Language: engleski
Place: Los Angeles, USA
Year: 1994
Pages: from 104
Meeting: 10th Worl Congresses of Gastroenterology
Held: from 10/02/94 to 10/07/94
Summary: ERCP is the procedure of choise in evaluation of pancreatic
and biliary ductal anatomy. In some patients ERCP is unsuccessful, and
ductal opacification is of great importance, especially in planning of
surgery drainage procedures in chronic pancreatitis. 21 patients in which
ERCP was unsuccessful, percutaneous pancreatography (PP) under US guidance
was attempted. The procedure was successful in 18 (86%). In three
patientsthe puncture of main pancreatic duct was unsuccessful. Only minor
complications: transient hyperamylasemia in two, and contrast
extralumination in one patient were observed. The authors conclude that PP
is good and safe method for ductal anatomy opacification in patients with
previously unsuccesful ERCP.
Keywords: ERCP, percutaneous pancreatography.
Other: Rad je odabran za oralnu prezentaciju.
- Type of paper
: Summary in proceedings
Title: Submucosal fibrin adhesion in bleeding gastroduodenal
ulcers: comparison with laser photocoagulation and sclerotherapy
- Authors:
- Pulanić, Roland (141256)
- Rosandić-Pilaš, Marija (138922)
- Opačić, Milorad (76960)
- Rustemović, Nadan (204721)
- Vucelić, Boris (116793)
- Ostojić-Pulanić, Branka
- Brkić, Tomislav
- Krznarić, Željko
Proceedings title: 10th World Congresses of Gastroenterology, Abstracts: Oral presentations
Language: engleski
Place: Los Angeles, USA
Year: 1994
Pages: from 60EC
Meeting: 10th Worl Congresses of Gastroenterology
Held: from 10/02/94 to 10/07/94
Summary: The aim of the trial was to investigate the efficacy of
bleeding arrest from gastroduodenal ulcers with injection of fibrin glue
and the achievements of daily endoscopic control with futher injection of
fibrin glue, the final stage of Forrest III. The results were compared with
our own expirience with laser photocoagulation and injection sclerotherapy.
30 patients with Forrest Ia,b and Forrest IIa,b were included into trial.
We have introduced throgh the endoscop Duo-probe and injected 1 ml of
fibrin glue, directly besides the bleeding vessel, followed by daily
endoscopic control with futher injection until Forrest III.
Definitive hemostasis was achieved in 97%, 1 pt required surgery (3,3%),
and neither of patients died. We have achieved Forrest III in 86% of
patients after 48 hours, and in all patients after 72 hours. Comparison
with other two methods, showed that all 3 methods are equally effective in
achieving definitive hemostasis (97% in laser group, and 96% in
sclerotherapy group), but rebleeding occured in 21% of sclerotherapy
patients and in 10% of the laser group. 5% of sclerotherapy patients and 4%
of the laser group required surgery. Mortality rate in both groups was
1,5%. Sclerotherapy was associated with slower ulcer healing.
Conclusion: submucosal fibrin adhesion with daily endoscopic follow-up is
an effective hemostatic method, The main advantage is the possibility of
repeated injectino until Forrest III stage is achieved without damaging or
desroying the tissue.
Keywords: Gastroduodenal bleeding, fibrin glue.
Other: Rad je odabran za oralnu prezentaciju.
- Type of paper
: Summary in proceedings
Title: Arterial embolisation by percutaneous ethanol injection of
HCC under the doppler colour echography guidance
- Authors:
- Rustemović, Nadan (204721)
- Opačić, Milorad (76960)
- Pulanić, Roland (141256)
- Vucelić, Boris (116793)
Proceedings title: 10th World Congresses of Gastroenterology: Abstracts II
Language: engleski
Place: Los Angeles, USA
Year: 1994
Pages: from 1727P
Meeting: 10th Worl Congresses of Gastroenterology
Held: from 10/02/94 to 10/07/94
Summary: Percutaneous ethanol injection therapy has been used with
increasing frequency for curative and palliative treatment of
hepatocellular carcinoma (HCC). Majority of HCC lesions has internal
vascularity detectable by the Doppler colour imaging. We treated 10
patients with HCC topically in the area of the feeding tumor artery, doing
five applications on everage. The everage amount of 96% sterile ethanol
injected in each tumor was 70 ml. Six patients had significant fall of
blood flow velocity in the feeding tumor artery after therapy. Two patients
lost completely the Doppler signal in the tumor. The selective angiography
in these two patients showed complete obliteration of tumor vessels.
In our opinion, PEIT with ethanol of unresectable HCC guieded by Doppler
colour imaging is an alternative to transarterial chemoembolisation.
Keywords: Hepatocellular carcinoma, percutaneous ethanol injection.
- Type of paper
: Summary in proceedings
Title: Hemodynamic changes in the portal vein measured by
duplex-sonography and prediction of rebleeding variceal risk
- Authors:
- Pulanić, Roland (141256)
- Vucelić, Boris (116793)
- Jokić, Nataša
- Ostojić-Pulanić, Branka
- Opačić, Milorad (76960)
- Rustemović, Nadan (204721)
- Rosandić-Pilaš, Marija (138922)
Proceedings title: 10th World Congresses of Gastroenterology: Abstracts II
Language: engleski
Place: Los Angeles, USA
Year: 1994
Pages: from 1852P
Meeting: 10th Worl Congresses of Gastroenterology
Held: from 10/02/94 to 10/07/94
Summary: The aim of the investigation was to establish wether there
are hemodynamic changes in the portal vein due to obliteration of
significant pathways through esophageal varices and to examine the value of
hemodynamic parameters in prognosis of rebleeding from esophageal varices.
Endoscopic examination was carried out by means of a standard endoscope
combined with duplex-sonography. Hemodynamic parameters the inner diameter
of portal vein (IDPV), its cross-sectional area (CSA), mean blood velocity
(MBV) and blood flow volume (BFV) as well as perfussion pressure gradient
(PPG) were followed up by duplex-sonography. Sclerotherapies were performed
every 7 days until complete obliteration had been achieved. Before each
sclerotherapy duplex-sonography was performed.
Forty five patients with liver cirrhosis and first episode of variceal
bleeding were included. It was shown that hemodynamics of the portal vein
was altered during elective sclerotherapies: IDPV and CSA are increased,
wherease MBV decreased. The BFV and PPG were higher at the beginning of
sclertherapy, and remined unchanged until obliteration. If variceal
rebleeding occured, the IDPV increased for 26%, CSA for 46%, MBV for 40%
and BFV for 100%, while PPG remained unchanged.
Non-invasive duplex-sonography is a valuable method of following up
hemodynamic changes in the portal vein and helpful in predicting rebleeding
risk from esiphageal varices.
Keywords: Elective sclerotherapies of esophageal varices, duplex-sonography.
- Type of paper
: Summary in proceedings
Title: Octreotide in preventing symptoms of metastatic
neuroendocrine liver tumors during the percutaneous ethanol injection
therapy
- Authors:
- Rustemović, Nadan (204721)
- Opačić, Milorad (76960)
- Vucelić, Boris (116793)
- Pulanić, Roland (141256)
Proceedings title: 10th World Congresses of gastroenterology: Abstracts II
Language: engleski
Place: Los Angeles, USA
Year: 1994
Pages: from 1728P
Meeting: 10th Worl Congresses of Gastroenterology
Held: from 10/02/94 to 10/07/94
Summary: Forty two year old female was treated with interferon and
percutaneous ethanol injection therapy (PEIT) for the metastatic carcinoid
of the liver. PEIT procedure precipitated flushing and serious tachycardia,
wich promptly disappeared following administration of octreotide (0.1 mg 4
hours before and 0,1 mg immediately prior to PEIT).
Sixty seven year old male with history of partial pancreatic resection for
VIPoma 4 years ago presented with liver metastases and massive diarrhoea.
PEIT was performed accompanied with significant worsening of diarea.
Octreotide was administered with prompt normalisation of bowel movements.
We suggest that PEIT for metastatic neuroendocrine liver tumors should be
combined with octreotide therapy.
Keywords: Neuroendocrine tumors, PEIT, octreotide.
- Type of paper
: Summary in proceedings
Title: Hemodynamic Changes in the Portal Vein Measured by
Duplex-sonography After Obliteration of Esophageal Varices and Prediction
of Development a New Varices
- Authors:
- Pulanić, Roland (141256)
- Vucelić, Boris (116793)
- Opačić, Milorad (76960)
- Rustemović, Nadan (204721)
- Brkić, Tomislav
- Krznarić, Željko
- Ostojić, Rajko
- Editors
- Classen, Meinchard
Proceedings title: Endoscopic and Related Abstracts of the 4th United European Gastroenterology Wee
Language: engleski
Place: New York, USA
Year: 1995
ISBN/ISSN: ISSN0013-726X
Pages: from S20
Meeting: 4th United European Gastroenterology Week
Held: from 09/17/95 to 09/21/95
Summary: The aim of the investigation was to establish wether there
are hemodynamic changes in the portal vein after obliteration of esophageal
varices and to examine the value of hemodynamic parameters in predicting
the development of new varices followingobliteration.
Following obliteration of esophageal varices, endoscopic examination was
carried out every three months within the period of one year by means of a
standard endoscopy combined with duplex-sonography. Hemodynamic parameters:
the inner diameter of portal vein (IDPV), its cross-sectional area (CSA),
mean blood velocity (MBV), blood flow volume (BFV), and estimated perfusion
pressure gradient (PPG=8vn/q2 Pa/cm2) were followed up by duplex-sonography
before each endoscopic examination.
35 patients were included in the study after obliteration of esophageal
varices. It was shown that IDPV and CSA decreased, while MBV and PPG
increased. However, BFV remained unchanged. These results suggest that
there is an improvement of the liver function and decrease of portal
hypertension in those who did not develop new varices.
The development of new varices is followed by more pronounced changes in
the portal system: IDPV decrease for 28%, CSA for 28%, whereas MBV increase
for 28% and PPG for 58%. The BFV remains unchaged. There is no correlation
between the development of new varices, liver function and the size of
esophageal varices before elective sclerotherapies.
Non-invasive duplex-sonography is a valuable method of detecting
hemodynamic changes in the portal vein and helpful in predicting the
development of new esophageal varices following obliteration.
Keywords: Varices esophagi, duplex-sonography.
Other: Ovaj je rad dobio nagradu za doprinos u razumijevanju
hemodinamskih promjena u portalnom sustavu na 4th United European
Gastroenterology Week.
- Type of paper
: Ph.D.
Title: Hemodynamic changes in portal system in patients with
liver cirrhosis after elective sclerotherapy of esophageal varices
Faculty: Medicinski fakultet Sveučilište u Zagrebu
Author: PULANIĆ ROLAND
Date of defense: 06/10/94
Language: hrvatski
Number of pages: 95
Summary: In this study, hemodynamic changes in the portal vein
assessed by duplex-sonography during elective sclerotherapies of esophageal
varices until their obliteration and one yeare following obliteration were
followed up. The aim of our work was to establish whether there are
hemodynamic changes on the level of portal system due to obliteration of
significant pathways through esophageal varices, and what occurs in the
portal circulation after obliteration of esophageal varices within one
year.
The objective of this investigation was also to examine the value of
hemodynamic parameters in anticipating rebleeding from esophageal varices
and the development of new varices following obliteration.
Forty-five patients with liver cirrhosis and the first episode of bleeding
from esophageal varices were included into the study. Their hemodynamic
values were compared to those of the controls.
The first control group comprised 30 patients with liver cirrhosis and
non-bleeding esophageal varices, and second consisted of 35 healthy
individuals.
Endoscopic examination was carried out by means of a standard endoscope,
and duplex-sonography by an ultrasound. A sclerosing agent was 1%
polidocanol.
Hemodynamic parameters were followed up by duplex-sonography: inner
diameter of portal vein (IDPV), its cross-sectional area (CSA), mean blood
velocity (MBV) and blood flow volume (BFV) as well as perfussion pressure
gradient (PPG).
Funcional state of the liver was determined according to the Child-Pugh
criteria, and the size of esophageal varices according to Paquet.
In patients who bled from esophageal varices in comparison with those who
did not, there is a significant larger CSA and BFV. This two parameters,
according to our results could be regarded as indicators of the patients
condition at least within the seven days following esophageal hemorrhage.
The results also suggest that the degree of liver impairment and indirectly
the size of portal hypertension may be assessed by PPG.
The hemodynamics of portal system is altered during elective
sclerotherapies. The IDPV and CSA are increased, whereas the MBF is
decreased. The BFV is higher at the beginning of sclerotherapy and it
remains unchanged afterwards until the obliteration as well as PPG.
Following obliteration of esophageal varices, within the period of one
year, the IDPV and CSA decrease, while the MBV and PPG increase. BFV
remains unchaged. These results suggest that there is an improvement of the
liver function and decrease of portal hypertension in those who did not
develop new varices.
In case of rebleeding from esophageal varices, the IDPV increases for 26%,
its CSA for 46%, MBV for 40% and BFV for 100%. PPG remains unchanged. There
is direct correlation between rebleeding from esophageal varices, degree of
liver impairment and size of esophageal varices.
In case of development of new varices the IDPV decreases for 26%, its CSA
for 28%, MBV increases for 28%, and PPG for 58%. The BFV remains unchanged.
There is no correlation between the development of new varices, liver
function and the size of esophageal varices before elective
sclerotherapies.
In conclusion, by follow up of hemodynamic parameter by means of
duplex-sonography, and especially by the inner diameter of portal vein,
mean blood velocity and perfussion pressure gradient the liver function,
size of esophageal varices may be estimated and the rebleeding risk and
development of new esophageal varices forseen.
Keywords: Bleeding esophageal varices, elective sclerotherapy, duplex-sonography.
