{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T14:00:23Z","timestamp":1779890423459,"version":"3.53.1"},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"7","license":[{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"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":["OH"],"published-print":{"date-parts":[[2020,2]]},"abstract":"Absztrakt: <\/jats:title>\n A leg\u00fajabb defin\u00edci\u00f3 szerint r\u00f6vidb\u00e9l-szindr\u00f3m\u00e1nak nevezz\u00fck a b\u00e9l jelent\u0151s\n hossz\u00e1nak elveszt\u00e9se ut\u00e1n kialakul\u00f3 el\u00e9gtelen b\u00e9lm\u0171k\u00f6d\u00e9s t\u00fcnetegy\u00fcttes\u00e9t,\n melyben a homeostasis \u00e9s fejl\u0151d\u00e9s-n\u00f6veked\u00e9s csak a hi\u00e1nyz\u00f3 v\u00edz \u00e9s elektrolit,\n illetve makrot\u00e1panyagok parenteralis p\u00f3tl\u00e1s\u00e1val tarthat\u00f3 fenn. A r\u00f6vid b\u00e9lben\n lezajl\u00f3 lass\u00fa term\u00e9szetes adapt\u00e1ci\u00f3s folyamat a vesztes\u00e9get csak bizonyos\n m\u00e9rt\u00e9kben k\u00e9pes kompenz\u00e1lni. Ennek megfelel\u0151en megk\u00fcl\u00f6nb\u00f6ztet\u00fcnk (1) akut, (2)\n elh\u00faz\u00f3d\u00f3 \u00e9s (3) kr\u00f3nikus t\u00edpust. A k\u00f3rk\u00e9p a leggyakrabban gyermekkorban\n jelentkezik nekrotiz\u00e1l\u00f3 enterocolitis, malrotatio, volvulus, hasfalz\u00e1r\u00f3d\u00e1si\n rendelleness\u00e9g \u00e9s ilealis atresia k\u00f6vetkezm\u00e9nyek\u00e9nt. A legnagyobb kih\u00edv\u00e1st a\n kr\u00f3nikus t\u00edpus ell\u00e1t\u00e1sa okozza, b\u00e1r a multidiszciplin\u00e1ris szeml\u00e9letnek\n k\u00f6sz\u00f6nhet\u0151en folyamatosan javul a betegek hossz\u00fa t\u00e1v\u00fa t\u00fal\u00e9l\u00e9se \u00e9s \u00e9letmin\u0151s\u00e9ge,\n b\u00e9ltranszplant\u00e1ci\u00f3ra egyre ritk\u00e1bban van sz\u00fcks\u00e9g. A szerz\u0151k c\u00e9lja az\n intestinalis rehabilit\u00e1ci\u00f3 legfontosabb szempontjainak \u2013 fokozott\n gasztrinszekr\u00e9ci\u00f3, \u201ehigh-output\u201d stoma, cs\u00f6kkent tranzitid\u0151, a centr\u00e1lis v\u00e9n\u00e1s\n kan\u00fcl\u00f6k \u00e1pol\u00e1sa, az enteralis, illetve parenteralis t\u00e1pl\u00e1l\u00e1s \u00e9s az adapt\u00e1ci\u00f3\n serkent\u00e9se \u2013 \u00f6sszegz\u00e9se mellett a leg\u00fajabb seb\u00e9szi kezel\u00e9si lehet\u0151s\u00e9gek, k\u00f6zt\u00fck\n az autol\u00f3g intestinalis rekonstrukci\u00f3 (AIRS) m\u00f3dszereinek, a passz\u00e1zslass\u00edt\u00e1snak\n (az ileocoecalis billenty\u0171 p\u00f3tl\u00e1sa), a \u201eb\u00e9lhosszabb\u00edt\u00e1s\u201d-nak (LILT, STEP, SILT)\n \u00e9s a felsz\u00edv\u00f3felsz\u00ednt n\u00f6vel\u0151 elj\u00e1r\u00e1soknak (kontroll\u00e1lt b\u00e9lexpanzi\u00f3) az\n \u00e1ttekint\u00e9se volt. Ezeken t\u00fal a szerz\u0151k \u00e9rintik a jelenlegi kutat\u00e1sok\n (disztrakci\u00f3s enterogenezis, \u2019tissue engineering\u2019) leg\u00fajabb eredm\u00e9nyeit. Orv\n Hetil. 2020; 161(7): 243\u2013251.<\/jats:p>","DOI":"10.1556\/650.2020.31655","type":"journal-article","created":{"date-parts":[[2020,2,9]],"date-time":"2020-02-09T07:43:11Z","timestamp":1581234191000},"page":"243-251","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["A r\u00f6vidb\u00e9l-szindr\u00f3ma korszer\u0171 seb\u00e9szi kezel\u00e9se: autol\u00f3g rekonstrukci\u00f3 \u00e9s intestinalis rehabilit\u00e1ci\u00f3"],"prefix":"10.1556","volume":"161","author":[{"given":"D\u00e1niel","family":"Urb\u00e1n","sequence":"first","affiliation":[{"name":"1 Seb\u00e9szeti \u00e9s Mellkasseb\u00e9szeti Oszt\u00e1ly, J\u00e1sz-Nagykun-Szolnok Megyei Het\u00e9nyi G\u00e9za K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zetSzolnok"},{"name":"2 Seb\u00e9szeti M\u0171t\u00e9ttani Int\u00e9zet, Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi KarSzeged"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00f3bert","family":"K\u0151nig","sequence":"additional","affiliation":[{"name":"3 \u00daj Szent J\u00e1nos K\u00f3rh\u00e1z \u00e9s Szakrendel\u0151, Gyermekseb\u00e9szeti \u00e9s Traumatol\u00f3giai Oszt\u00e1ly, \u00c9szak-K\u00f6z\u00e9p-budai CentrumBudapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tam\u00e1s","family":"Cserni","sequence":"additional","affiliation":[{"name":"2 Seb\u00e9szeti M\u0171t\u00e9ttani Int\u00e9zet, Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi KarSzeged"},{"name":"4 Gyermekseb\u00e9szeti r\u00e9szleg, J\u00f3sa Andr\u00e1s K\u00f3rh\u00e1zNy\u00edregyh\u00e1za"},{"name":"5 Royal Manchester Children\u2019s Hospital Manchester, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/7\/article-p243.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/7\/article-p243.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:12:50Z","timestamp":1633914770000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/7\/article-p243.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2]]},"references-count":0,"journal-issue":{"issue":"7"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31655","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2]]}}}