{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T01:35:35Z","timestamp":1712108135851},"reference-count":34,"publisher":"Akademiai Kiado Zrt.","issue":"1","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2024,4,2]]},"abstract":"<jats:p>Achalasia cardiae miatt az els\u0151 oesophago-cardia myotomi\u00e1t t\u00f6bb mint sz\u00e1z \u00e9vvel ezel\u0151tt Ernst Heller n\u00e9met seb\u00e9sz v\u00e9gezte. Az achalasi\u00e1s betegek a mai napig ett\u0151l a beavatkoz\u00e1st\u00f3l v\u00e1rj\u00e1k panaszaik megsz\u0171n\u00e9s\u00e9t. Az achalasia napjainkban is chronikus, progressz\u00edv betegs\u00e9g, aminek oki kezel\u00e9s\u00e9t nem ismerj\u00fck, a gy\u00f3gy\u00edt\u00e1s\u00e1ra, a panaszok enyh\u00edt\u00e9s\u00e9re gy\u00f3gyszeres (calcium csatorna blokkol\u00f3k stb.), endoscopos (botulinum toxin inj., ballonos t\u00e1g\u00edt\u00e1s, per oralis endoscopos myotomi\u00e1t [POEM]) \u00e9s seb\u00e9szi (laparoscopos, thoracoscopos myotomia) kezel\u00e9seket v\u00e1ltakoz\u00f3 sikerrel alkalmazunk.<\/jats:p><jats:p>A betegs\u00e9g progresszivit\u00e1sa miatt a betegek 5%-\u00e1n\u00e1l a nyel\u00e9sk\u00e9ptelens\u00e9gig fokoz\u00f3d\u00f3 dysphagia, megaoesophagus alakul ki, megold\u00e1s\u00e1ra m\u0171t\u00e9ti beavatkoz\u00e1s v\u00e1lik sz\u00fcks\u00e9gess\u00e9. A m\u0171k\u00f6d\u00e9sk\u00e9ptelen nyel\u0151cs\u0151 elt\u00e1vol\u00edt\u00e1sa \u00e9s p\u00f3tl\u00e1sa kiterjedt, nem elhanyagolhat\u00f3 morbidit\u00e1ssal \u00e9s mortalit\u00e1ssal j\u00e1r\u00f3 beavatkoz\u00e1s. K\u00f6zlem\u00e9ny\u00fcnkben egy 45 \u00e9ves n\u0151beteg k\u00f3rt\u00f6rt\u00e9net\u00e9t, az \u00e1ltalunk alkalmazott m\u0171t\u00e9ti beavatkoz\u00e1st\u00a0ismertetj\u00fck. A beteg a m\u0171t\u00e9t \u00f3ta panaszmentes.<\/jats:p>","DOI":"10.1556\/1046.2024.10003","type":"journal-article","created":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T09:38:36Z","timestamp":1712050716000},"page":"8-14","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Megaoesophagust okoz\u00f3 achalasia cardiae: \u201ea\u00a0kezdetekt\u0151l a megold\u00e1sig\u201d"],"prefix":"10.1556","volume":"77","author":[{"given":"Barbara","family":"Galiger","sequence":"first","affiliation":[{"name":"D\u00e9l-pesti Centrumk\u00f3rh\u00e1z, Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent Istv\u00e1n K\u00f3rh\u00e1z telephely, Seb\u00e9szeti Oszt\u00e1ly, Budapest, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferenc","family":"Ender","sequence":"additional","affiliation":[{"name":"D\u00e9l-pesti Centrumk\u00f3rh\u00e1z, Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent Istv\u00e1n K\u00f3rh\u00e1z telephely, Seb\u00e9szeti Oszt\u00e1ly, Budapest, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1gnes","family":"Boh\u00e1k","sequence":"additional","affiliation":[{"name":"Budapesti Jahn Ferenc D\u00e9l-pesti K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, K\u00f6zponti Radiol\u00f3gia, Budapest, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e9za","family":"Telek","sequence":"additional","affiliation":[{"name":"D\u00e9l-pesti Centrumk\u00f3rh\u00e1z, Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent Istv\u00e1n K\u00f3rh\u00e1z telephely, Seb\u00e9szeti Oszt\u00e1ly, Budapest, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"V\u00f6r\u00f6s","sequence":"additional","affiliation":[{"name":"D\u00e9l-pesti Centrumk\u00f3rh\u00e1z, Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent Istv\u00e1n K\u00f3rh\u00e1z telephely, Seb\u00e9szeti Oszt\u00e1ly, Budapest, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"B1","series-title":"Mitt Grenzgeb Med Chir","first-page":"141","article-title":"Extramuk\u00f6se Cardiaplastik beim chronischen Cardiospasmus mit Dilatation des Oesophagus","volume":"27","author":"Heller E","year":"1913","unstructured":"Heller E. 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Dis Esophagus\u00a01991; 4: 149\u201353."},{"issue":"3","key":"B18","series-title":"World J Surg","first-page":"713","article-title":"Treatment of achalasia with laparoscopic myotomy or pneumatic dilatation: long-term results of a prospective, randomized study","volume":"39","author":"Persson J","year":"2015","unstructured":"Persson J, Johnsson E, Kostic S, Lundell L, Smedh U. Treatment of achalasia with laparoscopic myotomy or pneumatic dilatation: long-term results of a prospective, randomized study. World J Surg 2015; 39(3): 713\u2013720."},{"issue":"1","key":"B19","series-title":"Surg Endosc","first-page":"9","article-title":"Objective analysis of gastroesophageal reflux after laparoscopic heller myotomy: an anti-reflux procedure is required","volume":"19","author":"Burpee SE","year":"2005","unstructured":"Burpee SE, Mamazza J, Schlachta CM, Bendavid Y, Klein L, Moloo H, et\u00a0al. 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