Polskie Archiwum Medycyny Wewnętrznej
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Obscure gastrointestinal (GI) bleeding (OGIB) is defined as small bowel bleeding of unknown etiology after negative endoscopic evaluation including esophagogastroduodenoscopy and colonoscopy with endoscopic evaluation of the terminal ileum. The presentation of OGIB may be either overt or occult. The former refers to persistent or recurrent visible GI bleeding (eg, melena and / or hematochezia, and rarely hematemesis), while the latter indicates the presence of persistently positive results of fecal oc-cult blood testing, iron deficiency anemia, or both, without evidence of visible GI bleeding. This review focuses exclusively on obscure‑overt GI bleeding and presents entities that should be considered as part of the differential diagnosis in patients with this type of bleeding, as well as details the role of endoscopic and radiographic techniques in the evaluation and treatment.
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Pol. Arch. Med. Wewn. · May 2022
Left atrial appendage thrombus in patients referred to electrical cardioversion for atrial fibrillation: a prospective single-center study.
Left atrial appendage thrombus (LAAT) is a risk factor for stroke; however, the actual health risk associated with LAAT in patients with atrial fibrillation (AF) on chronic anticoagulation is unknown. ⋯ The presence of LAAT had no practical value for predicting stroke, thromboembolic events, or death in patients with AF and on chronic anticoagulation.
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Pol. Arch. Med. Wewn. · May 2022
Epidemiology of inflammatory bowel disease in Poland 2009-2020: nationwide data.
The epidemiology of inflammatory bowel disease (IBD) in Poland has been recognized to only a limited extent. ⋯ The prevalence and incidence of IBD in Poland are presented, with time trends showing a substantial increase in the disease burden over the years 2009-2020.
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Pol. Arch. Med. Wewn. · May 2022
Validation of the Polish version of Severe Respiratory Insufficiency Questionnaire.
Improvement in the quality of life (QoL) is an essential outcome in patients with chronic respiratory failure (CRF). However, its reliable and comparative assessment is difficult in this highly heterogeneous group of patients. Severe Respiratory Insufficiency Questionnaire (SRI) has shown to have high psychometric properties to measure specific health-related QoL in patients with CRF due to different pathologies. ⋯ Our study demonstrated that the Polish version of the SRI is valid, reliable, and reproducible and may be used in research involving CRF.