{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:03:06Z","timestamp":1704326586098},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"4","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Ak\u00e1r colitis ulcerosa (CU), ak\u00e1r familiaris\n                    poliposis (FAP) miatt t\u00f6rt\u00e9nik a J-pouchcsal rekonstru\u00e1lt proctocolectomia, a\n                    k\u00e9s\u0151i komplik\u00e1ci\u00f3k vonatkoz\u00e1s\u00e1ban l\u00e9nyeges a colonny\u00e1lkah\u00e1rtya teljes\n                    elt\u00e1vol\u00edt\u00e1sa, ugyanakkor a hossz\u00fa t\u00e1v\u00fa funkcion\u00e1lis eredm\u00e9nyek \u00e9rdek\u00e9ben nagy\n                    jelent\u0151s\u00e9g\u0171 a min\u00e9l kisebb traum\u00e1val j\u00e1r\u00f3 m\u0171t\u00e9ti technika. Mindk\u00e9t szempontnak\n                    megfelelni l\u00e1tszik az \u00e1ltalunk 2000 \u00f3ta alkalmazott, procedure for prolaps and\n                    haemorrhoids (PPH) g\u00e9ppel k\u00e9sz\u00edtett ileoanalis anastomosis. <jats:italic>Betegek \u00e9s\n                        m\u00f3dszer:<\/jats:italic> 1990. m\u00e1rciust\u00f3l 2016. szeptemberig 117 beteg ker\u00fclt\n                    oszt\u00e1lyunkon CU vagy FAP miatt J-pouchcsal k\u00e9sz\u00edtett \u00e9s ileoanalis\n                    anastomosissal rekonstru\u00e1lt proctocolectomi\u00e1ra. Az els\u0151 id\u0151szakban k\u00e9zi\n                    anastomosist k\u00e9sz\u00edtett\u00fcnk (29 beteg), majd 2000-t\u0151l haszn\u00e1ltuk rutinszer\u0171en a\n                    PPH-g\u00e9pet (88 beteg). Tehermentes\u00edt\u0151 ileostom\u00e1t t\u00f6bbnyire alkalmaztunk. A 117\n                    beteg adatait k\u00f3rh\u00e1zunk adatb\u00e1zis\u00e1b\u00f3l dolgoztuk fel, k\u00f6z\u00fcl\u00fck 45 jelent meg\n                    kontrollvizsg\u00e1laton \u00e9s tov\u00e1bbi 31-et telefonon \u00e9rt\u00fcnk el, \u00edgy 76 beteg (65%)\n                    volt ut\u00e1nk\u00f6vethet\u0151. Detekt\u00e1ltuk a sz\u00e9klet\u00fcr\u00edt\u00e9s gyakoris\u00e1g\u00e1t, a\n                    loperamidszed\u00e9st, az inkontinencia fok\u00e1t (Wexner-score), valamint a perianalis\n                    dermatitist. Az \u00e1tlagos k\u00f6vet\u00e9si id\u0151 a k\u00e9zi varrattal k\u00e9sz\u00edtett anastomosis\n                    csoportban 18,6 \u00e9v, a PPH-g\u00e9ppel k\u00e9sz\u00edtett csoportban 7,6 \u00e9v volt.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A k\u00e9zzel varrt anastomosis csoportban 4\/29\n                    betegn\u00e9l (13,8%) k\u00e9nyszer\u00fclt\u00fcnk a pouch exstirpati\u00f3j\u00e1ra \u00e9s v\u00e9gleges ileostoma\n                    k\u00e9sz\u00edt\u00e9s\u00e9re (k\u00e9t pouchitis, egy pouchelhal\u00e1s \u00e9s egy recid\u00edv rectumtumor), a napi\n                    \u00e1tlagos sz\u00e9klet\u00fcr\u00edt\u00e9s sz\u00e1ma: 4,3, a Wexner-score 8,5 volt, 2\/15 beteg \u00e9l (13,3%)\n                    inkontinencia miatt ileostom\u00e1val. A PPH-g\u00e9ppel k\u00e9sz\u00edtett anastomosis csoportban\n                    4\/88 betegn\u00e9l (4,5%) t\u00e1vol\u00edtottuk el a pouchot (pouchitis), \u00e1tlagosan 4,0\n                    alkalommal volt naponta sz\u00e9klet\u00fck, az inkontinenciascore 7,6 volt, 4\/61 betegn\u00e9l\n                    (6,6%) maradt inkontinencia miatt az ileostoma v\u00e9gleges.\n                        <jats:italic>Konkl\u00fazi\u00f3:<\/jats:italic> Tapasztalataink alapj\u00e1n a PPH-g\u00e9ppel k\u00e9sz\u00edtett\n                    anastomosis technikailag j\u00f3l kivitelezhet\u0151, elvi okok miatt a rectumny\u00e1lkah\u00e1rtya\n                    elt\u00e1vol\u00edt\u00e1s\u00e1nak vonatkoz\u00e1s\u00e1ban hat\u00e9kony, a funkcion\u00e1lis eredm\u00e9nyek szempontj\u00e1b\u00f3l\n                    pedig jobb eredm\u00e9nyt \u00e9szlelt\u00fcnk, mint a k\u00e9zzel varrt anastomosis eset\u00e9n.\n                    Adataink a kis esetsz\u00e1m miatt tov\u00e1bbi meger\u0151s\u00edt\u00e9sre szorulnak.<\/jats:p>","DOI":"10.1556\/1046.69.2016.4.3","type":"journal-article","created":{"date-parts":[[2016,12,17]],"date-time":"2016-12-17T15:35:26Z","timestamp":1481988926000},"page":"159-164","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["J-pouchcsal rekonstru\u00e1lt proctocolectomia sor\u00e1n PPH-g\u00e9ppel k\u00e9sz\u00edtett ileoanalis anastomosis. Tapasztalataink 88 eset kapcs\u00e1n"],"prefix":"10.1556","volume":"69","author":[{"given":"Csaba","family":"Berki","sequence":"first","affiliation":[{"name":"\u00c1ltal\u00e1nos \u00e9s \u00c9rseb\u00e9szeti Centrum, Veszpr\u00e9m Megyei Csolnoky Ferenc K\u00f3rh\u00e1z8200 Veszpr\u00e9m, K\u00f3rh\u00e1z u. 1."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elem\u00e9r","family":"Mohos","sequence":"additional","affiliation":[{"name":"\u00c1ltal\u00e1nos \u00e9s \u00c9rseb\u00e9szeti Centrum, Veszpr\u00e9m Megyei Csolnoky Ferenc K\u00f3rh\u00e1z8200 Veszpr\u00e9m, K\u00f3rh\u00e1z u. 1."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy","family":"R\u00e9ti","sequence":"additional","affiliation":[{"name":"\u00c1ltal\u00e1nos \u00e9s \u00c9rseb\u00e9szeti Centrum, Veszpr\u00e9m Megyei Csolnoky Ferenc K\u00f3rh\u00e1z8200 Veszpr\u00e9m, K\u00f3rh\u00e1z u. 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