{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T05:09:26Z","timestamp":1747199366760,"version":"3.40.5"},"reference-count":44,"publisher":"Akademiai Kiado Zrt.","issue":"2","license":[{"start":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T00:00:00Z","timestamp":1655683200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2022,6,20]]},"abstract":"\n Bevezet\u00e9s<\/jats:title>\n A Szegedi Tudom\u00e1nyegyetem Seb\u00e9szeti Klinika 100 \u00e9ves \u00e9vfordul\u00f3j\u00e1nak tisztelet\u00e9re k\u00f6zlem\u00e9ny\u00fcnkben a\u00a02000. janu\u00e1r 1-t\u0151l 2021. m\u00e1jus 31-ig a\u00a0Szegedi Tudom\u00e1nyegyetem Seb\u00e9szeti Klinik\u00e1n 779\u00a0esetben elv\u00e9gzett antirefluxm\u0171t\u00e9t tapasztalait foglaltuk \u00f6ssze. R\u00e9szletes kivizsg\u00e1l\u00e1st k\u00f6vet\u0151en az endoscopos k\u00e9p \u00e9s a\u00a0funkcion\u00e1lis vizsg\u00e1latok eredm\u00e9ny\u00e9nek birtok\u00e1ban a gasztroenterol\u00f3gus munkacsoporttal szoros egy\u00fcttm\u0171k\u00f6d\u00e9sben d\u00f6nt\u00f6tt\u00fcnk a\u00a0m\u0171t\u00e9ti indik\u00e1ci\u00f3r\u00f3l. Els\u0151dleges m\u0171t\u00e9ti indik\u00e1ci\u00f3t gyakorlatunkban a\u00a0konzervat\u00edv kezel\u00e9sre nem reag\u00e1l\u00f3 refluxbetegs\u00e9g jelentette. Klinik\u00e1nk gyakorlat\u00e1ban 98,2%-ban Nissen szerinti fundoplicati\u00f3t v\u00e9gezt\u00fcnk. Elemezt\u00fck a\u00a0posztoperat\u00edv sz\u00f6v\u0151dm\u00e9nyek el\u0151fordul\u00e1s\u00e1t. Hossz\u00fa t\u00e1v\u00fa ut\u00e1nk\u00f6vet\u00e9sben vizsg\u00e1ltuk a\u00a0fundoplicatio hat\u00e1s\u00e1t a\u00a0savas, illetve ep\u00e9s refluxra, valamint a\u00a0betegek \u00e9letmin\u0151s\u00e9gbeli javul\u00e1s\u00e1t a\u00a0Visick score, illetve a\u00a0m\u00f3dos\u00edtott GERD\u2013HRQL-k\u00e9rd\u0151\u00edv seg\u00edts\u00e9g\u00e9vel. Saj\u00e1t vizsg\u00e1lataink igazolt\u00e1k a\u00a0savas \u00e9s ep\u00e9s reflux k\u00f3roki szerep\u00e9t a\u00a0Barrett-nyel\u0151cs\u0151 kialakul\u00e1s\u00e1ban, tov\u00e1bb\u00e1 azt, hogy a\u00a0laparoscopos antirefluxm\u0171t\u00e9t hat\u00e9konyan \u00e1ll\u00edtja helyre az als\u00f3 nyel\u0151cs\u0151sphincter m\u0171k\u00f6d\u00e9s\u00e9t \u00e9s sz\u0171nteti meg a\u00a0savas \u00e9s ep\u00e9s\u00a0refluxot. Ennek hat\u00e1s\u00e1ra a\u00a0Barrett-nyel\u0151cs\u0151 bizonyos eseteiben regresszi\u00f3t v\u00e1rhatunk. A\u00a0betegs\u00e9g heterogenit\u00e1sa miatt azonban a\u00a0folyamatos endoscopos k\u00f6vet\u00e9s tov\u00e1bbra sem hagyhat\u00f3 el.<\/jats:p>\n <\/jats:sec>","DOI":"10.1556\/1046.2022.20007","type":"journal-article","created":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T15:51:08Z","timestamp":1655913068000},"page":"133-141","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["A gastro-oesophagealis refluxbetegs\u00e9g \u00e9s a\u00a0Barrett-nyel\u0151cs\u0151 seb\u00e9szi kezel\u00e9se"],"prefix":"10.1556","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3490-226X","authenticated-orcid":true,"given":"Zsolt","family":"Simonka","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Paszt","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Korn\u00e9l","family":"Kov\u00e1ch","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ill\u00e9s","family":"T\u00f3th","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. 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Ann Surg. 2013; 257: 579\u2013582."}],"container-title":["Magyar Seb\u00e9szet"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/75\/2\/article-p133.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/75\/2\/article-p133.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/75\/2\/article-p133.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T10:25:27Z","timestamp":1676975127000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/75\/2\/article-p133.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,20]]},"references-count":44,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.1556\/1046.2022.20007","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"type":"print","value":"0025-0295"},{"type":"electronic","value":"1789-4301"}],"subject":[],"published":{"date-parts":[[2022,6,20]]}}}