{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:24:46Z","timestamp":1762431886134},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"32","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"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":[[2020,8]]},"abstract":"<jats:title>Absztrakt: <\/jats:title>\n                <jats:p>Az invaginatio az egyik leggyakoribb gyermekkori akut hasi k\u00f3rk\u00e9p, melynek\n                    \u00e9rtelmez\u00e9se, kezel\u00e9se l\u00e9nyegesen v\u00e1ltozott az elm\u00falt \u00e9vtizedekben.\n                    Patogenezis\u00e9ben kor\u00e1bban a hypertrophi\u00e1s Peyer-plakkok \u00e9s polipok\n                    tehetetlens\u00e9g\u00e9nek tulajdon\u00edtottak els\u0151dleges szerepet. A lipopoliszacharid\n                    induk\u00e1lta invaginatio \u00e1llatmodellj\u00e9nek megjelen\u00e9s\u00e9vel, a rotav\u00edrus-vakcina\n                    bevezet\u00e9s\u00e9vel, a szezonalit\u00e1ssal \u00e9s az enteralis idegrendszer postnatalis\n                    v\u00e1ltoz\u00e1saival nyert \u00fajabb ismeretek nyilv\u00e1nval\u00f3v\u00e1 tett\u00e9k, hogy a b\u00e9lmotilitasnak\n                    is szerepe van az etiol\u00f3gi\u00e1ban. A kezel\u00e9sben alapvet\u0151en a konzervat\u00edv elj\u00e1r\u00e1sok\n                    v\u00e1ltak domin\u00e1nss\u00e1, melyek hat\u00e9konys\u00e1ga egyre n\u00f6vekedett. A kor\u00e1bban\n                    r\u00f6ntgen-k\u00e9per\u0151s\u00edt\u0151 alatt v\u00e9gzett hidrosztatikus desinvaginati\u00f3t kiv\u00e1ltotta a\n                    biztons\u00e1gosabbnak \u00e9s hat\u00e9konyabbnak tartott pneumatikus desinvaginatio, majd a\n                    sug\u00e1rterhel\u00e9s kiv\u00e1lt\u00e1sa c\u00e9lj\u00e1b\u00f3l az ultrahangkontroll alatt v\u00e9gzett\n                    hidrosztatikus m\u00f3dszerhez t\u00e9rtek vissza. A k\u00f3rh\u00e1zi felv\u00e9tel helyett egyre t\u00f6bb\n                    int\u00e9zetben az ambul\u00e1ns ell\u00e1t\u00e1st prefer\u00e1lj\u00e1k. Vitatott a desinvaginati\u00f3s man\u0151ver\n                    alatt alkalmazott gy\u00f3gyszerek \u2013 p\u00e9ld\u00e1ul a gl\u00fckagon \u00e9s a ciklooxigen\u00e1zg\u00e1tl\u00f3k \u2013\n                    szerepe a hat\u00e9konys\u00e1g n\u00f6vel\u00e9s\u00e9ben \u00e9s a recid\u00edva kiv\u00e9d\u00e9s\u00e9ben. A m\u0171t\u00e9ti kezel\u00e9sben\n                    a ny\u00edlt m\u0171t\u00e9t helyett a minim\u00e1linvaz\u00edv laparoszk\u00f3pos elj\u00e1r\u00e1s t\u00f6r el\u0151re. A\n                    szerz\u0151k az irodalmi adatok \u00e1ttekint\u00e9s\u00e9vel elemzik az invaginatio \u00e9rtelmez\u00e9s\u00e9ben\n                    \u00e9s kezel\u00e9s\u00e9ben t\u00f6rt\u00e9nt v\u00e1ltoz\u00e1sokat \u00e9s az aktu\u00e1lis trendet. Orv Hetil. 2020;\n                    161(32): 1331\u20131338.<\/jats:p>","DOI":"10.1556\/650.2020.31779","type":"journal-article","created":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T01:02:11Z","timestamp":1595984531000},"page":"1331-1338","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":3,"title":["A gyermekkori invaginatio modern \u00e9rtelmez\u00e9se \u00e9s kezel\u00e9se"],"prefix":"10.1556","volume":"161","author":[{"given":"D\u00f3ra","family":"Bodn\u00e1r","sequence":"first","affiliation":[{"name":"Gyermekseb\u00e9szeti, Traumatol\u00f3giai \u00e9s \u00c9g\u00e9si Oszt\u00e1ly, Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Miskolc"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1kos Levente","family":"Kiss","sequence":"additional","affiliation":[{"name":"Gyermekseb\u00e9szeti, Traumatol\u00f3giai \u00e9s \u00c9g\u00e9si Oszt\u00e1ly, Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Miskolc"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gyula","family":"R\u00e9ti","sequence":"additional","affiliation":[{"name":"Gyermekseb\u00e9szeti, Traumatol\u00f3giai \u00e9s \u00c9g\u00e9si Oszt\u00e1ly, Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Miskolc"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/32\/article-p1331.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/32\/article-p1331.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:13:55Z","timestamp":1633914835000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/32\/article-p1331.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":0,"journal-issue":{"issue":"32"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31779","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}