{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:04:59Z","timestamp":1704326699085},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"1","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"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":[[2019,3]]},"abstract":"Absztrakt: <\/jats:title>\n \n Bevezet\u00e9s:<\/jats:italic> A seb\u00e9szi \u00e9s az intenz\u00edv ter\u00e1pia jelent\u0151s fejl\u0151d\u00e9se\n ellen\u00e9re a nyel\u0151cs\u0151-perfor\u00e1ci\u00f3 napjainkban is s\u00falyos, \u00e9letet vesz\u00e9lyeztet\u0151\n \u00e1llapot. A sikeres kezel\u00e9s f\u00fcgg a k\u00fcl\u00f6nb\u00f6z\u0151 klinikai t\u00e9nyez\u0151kt\u0151l, az\n eg\u00e9szs\u00e9g\u00fcgyi felszerelts\u00e9gt\u0151l, de legink\u00e1bb a rendelkez\u00e9sre \u00e1ll\u00f3 szaktud\u00e1st\u00f3l,\n tapasztalatt\u00f3l. Betegek \u00e9s m\u00f3dszerek:<\/jats:italic> Retrospekt\u00edv m\u00f3don\n elemezt\u00fck a Semmelweis Egyetem I. sz. Seb\u00e9szeti Klinik\u00e1j\u00e1n 2005 \u00e9s 2017 k\u00f6z\u00f6tt\n nem tumoros eredet\u0171 nyel\u0151cs\u0151-perfor\u00e1ci\u00f3 miatt m\u0171t\u00e9ttel kezelt betegek adatait.\n Eredm\u00e9nyek:<\/jats:italic> A fenti id\u0151szak alatt 77 beteget kezelt\u00fcnk,\n mindegyik\u00fck k\u00fcls\u0151 int\u00e9zetb\u0151l ker\u00fclt \u00e1tv\u00e9telre. 15 beteg (19%) sokkos \u00e1llapotban\n \u00e9rkezett. A perfor\u00e1ci\u00f3 29 (38%) esetben spont\u00e1n, 32 (41%) alkalommal endoszk\u00f3pia\n sor\u00e1n, 12 (16%) betegn\u00e9l idegentest-elakad\u00e1s miatt, 4 (5%) esetben pedig\n nyel\u0151cs\u0151varix-v\u00e9rz\u00e9s ballon-kompresszi\u00f3s ter\u00e1pi\u00e1ja ut\u00e1n alakult ki. A betegek a\n t\u00fcnetek kialakul\u00e1sa ut\u00e1n \u00e1tlagosan 2,7 nappal ker\u00fcltek klinik\u00e1nkra. 11 (14%)\n betegn\u00e9l drainage-t, 6 (8%) alkalommal sutur\u00e1t, 8 (10%) funduplicati\u00f3t, illetve\n 19 (25%) betegn\u00e9l nyel\u0151cs\u0151-kirekeszt\u00e9st alkalmaztunk. Reoper\u00e1ci\u00f3kkal egy\u00fctt 33\n (43%) betegn\u00e9l pedig teljes oesophagus exstirpati\u00f3ra k\u00e9nyszer\u00fclt\u00fcnk. 27 (36%)\n beteget vesztett\u00fcnk el. Megbesz\u00e9l\u00e9s, k\u00f6vetkeztet\u00e9sek:<\/jats:italic> A\n nyel\u0151cs\u0151s\u00e9r\u00fcl\u00e9sek seb\u00e9szi ell\u00e1t\u00e1s\u00e1t alapvet\u0151 k\u00e9t t\u00e9nyez\u0151 befoly\u00e1solja: a m\u0171t\u00e9t\n el\u0151tti \u00e9szlel\u00e9si id\u0151 hossza \u00e9s a szeptikus t\u00fcnetek fenn\u00e1ll\u00e1sa. Alapvet\u0151en a\n k\u00e9sedelem miatt k\u00e9nyszer\u00fcl\u00fcnk radik\u00e1lis \u2013 csonk\u00edt\u00f3 \u2013 m\u0171t\u00e9tekre. Az id\u0151vesztes\u00e9g\n oka a nem egys\u00e9ges diagnosztikai strat\u00e9gi\u00e1ban, a val\u00f3s diagn\u00f3zis felismer\u00e9s\u00e9nek\n k\u00e9sedelm\u00e9ben rejlik.<\/jats:p>","DOI":"10.1556\/1046.72.2019.1.1","type":"journal-article","created":{"date-parts":[[2019,3,14]],"date-time":"2019-03-14T12:49:42Z","timestamp":1552567782000},"page":"3-7","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["Nem tumoros nyel\u0151cs\u0151-perfor\u00e1ci\u00f3 m\u0171t\u00e9ti kezel\u00e9s\u00e9vel szerzett tapasztalataink"],"prefix":"10.1556","volume":"72","author":[{"given":"Zsolt","family":"Baranyai","sequence":"first","affiliation":[{"name":"I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem1082 Budapest, \u00dcll\u0151i \u00fat 78."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1kos","family":"Bal\u00e1zs","sequence":"additional","affiliation":[{"name":"I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem1082 Budapest, \u00dcll\u0151i \u00fat 78."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Kupcsulik","sequence":"additional","affiliation":[{"name":"I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem1082 Budapest, \u00dcll\u0151i \u00fat 78."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Hars\u00e1nyi","sequence":"additional","affiliation":[{"name":"I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem1082 Budapest, \u00dcll\u0151i \u00fat 78."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Magyar Seb\u00e9szet (Hungarian Journal of Surgery)"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/72\/1\/article-p3.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/72\/1\/article-p3.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/72\/1\/article-p3.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T16:50:08Z","timestamp":1704300608000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/72\/1\/article-p3.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":0,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.1556\/1046.72.2019.1.1","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}