{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T04:31:26Z","timestamp":1648960286957},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"18","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"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":[[2020,5]]},"abstract":"<jats:title>Absztrakt: <\/jats:title>\n                <jats:p>A seb\u00e9szi \u00e9s az intenz\u00edv ter\u00e1pia jelent\u0151s fejl\u0151d\u00e9se ellen\u00e9re a\n                    nyel\u0151cs\u0151-perforatio napjainkban is s\u00falyos, \u00e9letet vesz\u00e9lyeztet\u0151 \u00e1llapot. A\n                    h\u00e1tt\u00e9rben \u00e1ll\u00f3 kiv\u00e1lt\u00f3 okok, a k\u00eds\u00e9r\u0151 betegs\u00e9gek, a lokaliz\u00e1ci\u00f3 \u00e9s a kialakul\u00f3\n                    gyullad\u00e1s elt\u00e9r\u0151 m\u00e9rt\u00e9ke miatt n\u00e9ha v\u00e1ratlan szitu\u00e1ci\u00f3val tal\u00e1lkozik a seb\u00e9sz.\n                    Az 58 \u00e9ves n\u0151betegn\u00e9l a gyomor mell\u0171ri inkarcer\u00e1lt herni\u00e1ja miatt kialakult\n                    oesophagusperforatio \u00e9s a k\u00f6vetkezm\u00e9nyes nekrotiz\u00e1l\u00f3 mediastinitis miatt\n                    v\u00e9gezt\u00fcnk oesophagusexstirpati\u00f3t, cervicalis oesophagostomi\u00e1t alak\u00edtottunk ki. A\n                    t\u00e1pcsatorna rekonstrukci\u00f3ja sor\u00e1n a nyel\u0151cs\u0151csonk ismeretlen eredet\u0171, teljes\n                    hossz\u00e1t \u00e9rint\u0151 \u201ezsugorod\u00e1s\u00e1t\u201d tal\u00e1ltuk. A cs\u0151gyomrot a hypopharynxra\n                    anasztomiz\u00e1ltuk, a kialakult insufficientia konzervat\u00edv ter\u00e1pi\u00e1ra szan\u00e1l\u00f3dott. A\n                    beteg komplex nyel\u00e9ster\u00e1pia ut\u00e1n visszanyerte r\u00e9szleges nyel\u00e9si k\u00e9pess\u00e9g\u00e9t. A\n                    nem tumoros alapbetegs\u00e9g miatt k\u00e9pzett hypopharyngogastrostoma irodalmi\n                    ritkas\u00e1g. K\u00e9nyszerhelyzetben, mint amilyen az eset\u00fcnk is volt, v\u00e1laszthat\u00f3\n                    m\u0171t\u00e9ti megold\u00e1s. A beavatkoz\u00e1st azonban teammunk\u00e1n alapul\u00f3 rehabilit\u00e1ci\u00f3nak kell\n                    k\u00f6vetnie, amelynek sor\u00e1n kiemelt szerepe van a nyel\u00e9si ter\u00e1pi\u00e1nak. Orv Hetil.\n                    2020; 161(18): 756\u2013760.<\/jats:p>","DOI":"10.1556\/650.2020.31717","type":"journal-article","created":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T11:20:11Z","timestamp":1587986411000},"page":"756-760","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Nyel\u0151cs\u0151-perforatio miatt v\u00e9gzett oesophagusexstirpatio rekonstrukci\u00f3ja hypopharyngogastrostoma k\u00e9pz\u00e9s\u00e9vel"],"prefix":"10.1556","volume":"161","author":[{"given":"Zsolt","family":"Baranyai","sequence":"first","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, I. Seb\u00e9szeti Klinika, Semmelweis Egyetem Budapest, \u00dcll\u0151i \u00fat 78., 1082"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"R\u00e9p\u00e1ssy Jr.","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikt\u00f3ria","family":"Moln\u00e1r","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Forg\u00e1cs","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Hacki","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Val\u00e9ria","family":"J\u00f3sa","sequence":"additional","affiliation":[{"name":"3 F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Oszt\u00e1ly, Jahn Ferenc D\u00e9l-pesti K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1kos","family":"Bal\u00e1zs","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, I. 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