{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T22:40:03Z","timestamp":1649198403131},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"2","license":[{"start":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T00:00:00Z","timestamp":1625011200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2021,6,30]]},"abstract":"\u00d6sszefoglal\u00f3.<\/jats:bold>\n Esetismertet\u00e9s:<\/jats:italic> A gyomor subepitheli\u00e1lis tumorainak\n laparoszk\u00f3pos \u00e9kresecti\u00f3ja egy sz\u00e9lesk\u00f6r\u0171en elfogadott \u00e9s alkalmazott elj\u00e1r\u00e1s. A\n gastro-oesophagealis junctio (GOJ) k\u00f6zeli elv\u00e1ltoz\u00e1sok eset\u00e9n ez a technika\n azonban a gyomorbemenet sz\u0171k\u00fclet\u00e9nek magas kock\u00e1zata miatt er\u0151sen korl\u00e1tozott.\n Ilyen lokaliz\u00e1ci\u00f3 eset\u00e9n megfelel\u0151 technika lehet a laparoszk\u00f3pos transgastricus\n resectio. Eset\u00fcnkben egy 44 \u00e9ves f\u00e9rfi dysphagi\u00e1j\u00e1nak h\u00e1tter\u00e9ben azonos\u00edtott\n subepitheli\u00e1lis tumor resecti\u00f3j\u00e1t v\u00e9gezt\u00fck el ilyen m\u00f3don. A m\u0171t\u00e9t sor\u00e1n a\n pneumoperitoneum k\u00e9sz\u00edt\u00e9s\u00e9t k\u00f6vet\u0151en a gyomrot orogastricus szonda seg\u00edts\u00e9g\u00e9vel\n insuffl\u00e1ltuk, majd 3 darab ballonnal rendelkez\u0151 portot vezett\u00fcnk a gyomorba. A 6\n \u00d7 3 \u00d7 3 cm-es elv\u00e1ltoz\u00e1s intragastricus kimetsz\u00e9s\u00e9t k\u00f6vet\u0151en a ny\u00e1lkah\u00e1rty\u00e1t\n tovafut\u00f3 \u00f6lt\u00e9ssorral z\u00e1rtuk. A speciment zs\u00e1kba helyezt\u00fck, majd a gyomorb\u00f3l \u00e9s a\n has\u00fcregb\u0151l elt\u00e1vol\u00edtottuk. A portok gastrotomi\u00e1s ny\u00edl\u00e1sait z\u00e1rtuk. 24 \u00f3r\u00e1n \u00e1t\n nasogastricus szond\u00e1t hagytunk h\u00e1tra, has\u0171ri draint nem hagytunk vissza. A\n pneumoperitoneum id\u0151 115 perc volt, v\u00e9rvesztes\u00e9get vagy intraoperat\u00edv\n sz\u00f6v\u0151dm\u00e9nyt nem \u00e9szlelt\u00fcnk. Esem\u00e9nytelen posztoperat\u00edv szak ut\u00e1n a beteget a\n m\u0171t\u00e9tet k\u00f6vet\u0151 harmadik napon otthon\u00e1ba bocs\u00e1tottuk. A sz\u00f6vettani vizsg\u00e1lat\n leiomyom\u00e1t igazolt. Megbesz\u00e9l\u00e9s:<\/jats:italic> B\u00e1r a p\u00e1ciens ut\u00e1nk\u00f6vet\u00e9se m\u00e9g\n folyamatban van, az irodalmi adatok alap\u00e1n GOJ k\u00f6zeli elv\u00e1ltoz\u00e1sok eset\u00e9n a\n transgastricus technika biztons\u00e1gos, hat\u00e9kony, valamint j\u00f3 funkcion\u00e1lis\n eredm\u00e9nyt biztos\u00edt\u00f3 elj\u00e1r\u00e1s, a ki\u00fajul\u00e1s magasabb kock\u00e1zata n\u00e9lk\u00fcl.<\/jats:p>\n Summary.<\/jats:bold>\n Case report:<\/jats:italic> Laparoscopic wedge resection of the subepithelial\n tumors of the stomach is a widely accepted and utilized approach. The use of\n this technique for lesions located near the gastroesophageal junction (GEJ) is\n rather limited by the high risk of consequential stenosis of the gastric inlet.\n The laparoscopic transgastric resection can be a feasible choice for this\n location. A 44-year-old male patient had been investigated for dysphagia, which\n confirmed a subepithelial gastric lesion. We performed the resection of the\n tumor using this technique. After the creation of pneumoperitoneum, the stomach\n was insufflated using an orogastric tube, then 3 balloon-type ports were\n inserted intragastrically. The 6\u00d73\u00d73 cm large tumor was resected and the mucosa\n was closed by running sutures. The specimen was placed into a plastic bag, then\n retrieved from the stomach and the abdominal cavity. The gastrotomy sites of the\n ports on the stomach were closed. A nasogastric tube was left in situ for\n 24-hours without any intraabdominal drains. The pneumoperitoneum time was 115\n minutes long, blood loss or intraoperative complication was not noticed. The\n postoperative period was uneventful, and the patient was discharged from the\n hospital three days after surgery. The histological examination confirmed the\n diagnosis of leiomyoma. Summary:<\/jats:italic> Even though the follow-up of\n the patient is ongoing, according to the scientific literature, transgastric\n resection of subepithelial tumors located near the GEJ is a safe and effective\n technique, which provides good functional results, without having a higher risk\n for recurrence.<\/jats:p>","DOI":"10.1556\/1046.74.2021.2.3","type":"journal-article","created":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T16:29:18Z","timestamp":1623860958000},"page":"43-48","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Vissza a j\u00f6v\u0151be: gastro-oesophagealis junctio subepitheli\u00e1lis tumor\u00e1nak laparoszk\u00f3pos transgastricus resecti\u00f3ja"],"prefix":"10.1556","volume":"74","author":[{"given":"Zsolt","family":"Varga","sequence":"first","affiliation":[{"name":"1 Debreceni Egyetem Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika, 4032 Debrecen, M\u00f3rizs Zsigmond k\u00f6r\u00fat 22."},{"name":"2 Borsod-Aba\u00faj Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Seb\u00e9szeti Oszt\u00e1ly, Miskolc"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"S\u00e1rk\u00e1ny","sequence":"additional","affiliation":[{"name":"3 Borsod-Aba\u00faj Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, K\u00f6zponti Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly, Miskolc"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dezs\u0151","family":"T\u00f3th","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika, 4032 Debrecen, M\u00f3rizs Zsigmond k\u00f6r\u00fat 22."},{"name":"2 Borsod-Aba\u00faj Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Seb\u00e9szeti Oszt\u00e1ly, Miskolc"}],"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\/74\/2\/article-p43.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/74\/2\/article-p43.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T16:29:22Z","timestamp":1623860962000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/74\/2\/article-p43.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,30]]},"references-count":0,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.1556\/1046.74.2021.2.3","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,30]]}}}