{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T10:43:33Z","timestamp":1698317013776},"reference-count":18,"publisher":"Akademiai Kiado Zrt.","issue":"3","license":[{"start":{"date-parts":[[2022,1,16]],"date-time":"2022-01-16T00:00:00Z","timestamp":1642291200000},"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":["OH"],"published-print":{"date-parts":[[2022,1,16]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold> Fej-nyaki daganattal diagnosztiz\u00e1lt \u00e9s kezelt\n                    betegekn\u00e9l a sz\u00e1jon kereszt\u00fcli t\u00e1pl\u00e1l\u00e1s gyakran nem lehets\u00e9ges vagy nehez\u00edtett\u00e9\n                    v\u00e1lik a kezel\u00e9s valamelyik f\u00e1zis\u00e1ban. A beteg enteralis t\u00e1pl\u00e1l\u00e1s\u00e1nak\n                    biztos\u00edt\u00e1s\u00e1ra tart\u00f3s \u00e9s hat\u00e9kony megold\u00e1st kell ny\u00fajtanunk, erre megfelel\u0151\n                    v\u00e1laszt\u00e1s lehet a percutan endoszk\u00f3pos gastrostomia. A fej-nyaki r\u00e9gi\u00f3ban a\n                    daganat elhelyezked\u00e9se, kiterjedts\u00e9ge \u00e9s a m\u0171t\u00e9tek miatt megv\u00e1ltozott anat\u00f3miai\n                    viszonyok sokszor g\u00e1tat szabnak a gasztroszk\u00f3p hagyom\u00e1nyos, sz\u00e1jon \u00e1t t\u00f6rt\u00e9n\u0151\n                    sikeres levezet\u00e9s\u00e9nek, \u00e9s \u00edgy k\u00fcl\u00f6nleges megold\u00e1sokra lehet sz\u00fcks\u00e9g.\n                    K\u00f6zlem\u00e9ny\u00fcnkben egy, a szakirodalomban is ritk\u00e1n alkalmazott percutan\n                    endoszk\u00f3pos gastrostomak\u00e9sz\u00edt\u00e9sr\u0151l sz\u00e1molunk be. A bemutatott esetben egy\n                    kiterjedt, rosszindulat\u00fa fej-nyaki daganat miatt tot\u00e1lis maxillectomi\u00e1n \u00e9s\n                    orbitaexenterati\u00f3n \u00e1tesett betegben a m\u0171t\u00e9t k\u00f6vetkezt\u00e9ben kialakult\n                    arcdefektuson \u00e1t t\u00f6rt\u00e9nt a gastroscopia \u00e9s a t\u00e1pszonda levezet\u00e9se, ugyanis\n                    komplett sz\u00e1jz\u00e1r k\u00f6vetkezt\u00e9ben a beteg a t\u00e1pl\u00e1lkoz\u00e1sra k\u00e9ptelen volt. A fent\n                    eml\u00edtett m\u00f3dszerrel siker\u00fclt a beteg hossz\u00fa t\u00e1v\u00fa enteralis t\u00e1pl\u00e1l\u00e1s\u00e1t megoldani\n                    minim\u00e1linvaz\u00edv m\u00f3don. Az \u00f6sszetett k\u00f3ros esetek gyakran \u00e1ll\u00edtj\u00e1k kih\u00edv\u00e1sok el\u00e9 a\n                    gyakorl\u00f3 klinikust. Esetbemutat\u00e1sunkkal szeretn\u00e9nk felh\u00edvni a figyelmet a\n                    hagyom\u00e1nyos, megszokott m\u00f3dszerek helyett sokszor nagyobb sikerrel alkalmazhat\u00f3,\n                    szem\u00e9lyre szabott ter\u00e1pi\u00e1s lehet\u0151s\u00e9gekre. Orv Hetil. 2022; 163(3): 116\u2013119.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold> Peroral, enteral feeding is often impossible in patients\n                    with head and neck cancer. Percutaneous endoscopic gastrostomy is a\n                    well-established, quick, minimally invasive, and safe procedure for providing\n                    long-term enteral feeding. Space-occupying tumour mass and altered anatomy due\n                    to surgery inhibit the gastroscope\u2019s peroral introduction and the feeding tube\u2019s\n                    placement in some instances. Various access routes and modified insertion\n                    techniques are recommended to overcome the feeding tube insertion challenges. We\n                    present a rare case of a 64-year-old head and neck cancer patient who was unable\n                    to eat orally due to trismus and had a facial soft tissue defect following total\n                    maxillectomy and orbital exenteration. A complete oesophago-gastro-duodenoscopy\n                    and feeding tube insertion were performed transfacially. Percutaneous endoscopic\n                    gastrostomy was successful and uneventful <jats:italic>via<\/jats:italic> the maxillary and\n                    orbital soft tissue facial defect. No complication was noted, and long-term\n                    enteral feeding of the patient was provided in a minimally invasive way.\n                    Surgeons often face challenging cases when treating patients with head and neck\n                    cancer. The modification of standard procedures is sometimes required to adapt\n                    surgical techniques to the patient\u2019s specific case. Orv Hetil. 2022; 163(3):\n                    116\u2013119.<\/jats:p>","DOI":"10.1556\/650.2022.32286","type":"journal-article","created":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T22:02:31Z","timestamp":1642543351000},"page":"116-119","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Transorbitomaxillaris percutan endoszk\u00f3pos gastrostomia"],"prefix":"10.1556","volume":"163","author":[{"given":"Istv\u00e1n","family":"Pap","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, F\u00fcl-, Orr-, G\u00e9g\u00e9szeti \u00e9s Fej-, Nyakseb\u00e9szeti Klinika P\u00e9cs, Munk\u00e1csy M. u. 2., 7621"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kinga","family":"Jakab-P\u00e9ter","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, F\u00fcl-, Orr-, G\u00e9g\u00e9szeti \u00e9s Fej-, Nyakseb\u00e9szeti Klinika P\u00e9cs, Munk\u00e1csy M. u. 2., 7621"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e1nos","family":"Uzsaly","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, F\u00fcl-, Orr-, G\u00e9g\u00e9szeti \u00e9s Fej-, Nyakseb\u00e9szeti Klinika P\u00e9cs, Munk\u00e1csy M. u. 2., 7621"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Istv\u00e1n","family":"T\u00f3th","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, F\u00fcl-, Orr-, G\u00e9g\u00e9szeti \u00e9s Fej-, Nyakseb\u00e9szeti Klinika P\u00e9cs, Munk\u00e1csy M. u. 2., 7621"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rta-Andrea","family":"Barab\u00e1s","sequence":"additional","affiliation":[{"name":"Dr. Fogoly\u00e1n Krist\u00f3f Megyei S\u00fcrg\u0151ss\u00e9gi K\u00f3rh\u00e1z Sepsiszentgy\u00f6rgy, Rom\u00e1nia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy","family":"F\u00e1bi\u00e1n","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, II. Belgy\u00f3gy\u00e1szati Klinika \u00e9s Nephrol\u00f3giai, Diabetol\u00f3giai Centrum P\u00e9cs"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Lujber","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, F\u00fcl-, Orr-, G\u00e9g\u00e9szeti \u00e9s Fej-, Nyakseb\u00e9szeti Klinika P\u00e9cs, Munk\u00e1csy M. u. 2., 7621"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"7739","DOI":"10.3748\/wjg.v20.i24.7739","article-title":"Percutaneous endoscopic gastrostomy: indications, technique, complications and management","volume":"20","author":"1 Rahnemai-Azar","year":"2014","unstructured":"1 Rahnemai-Azar AA, Rahnemaiazar AA, Naghshizadian R, et al. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. 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Gastrointest Endosc. 1994; 40: 778-779.","journal-title":"Gastrointest Endosc"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/163\/3\/article-p116.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/163\/3\/article-p116.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/163\/3\/article-p116.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T08:43:32Z","timestamp":1698223412000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/163\/3\/article-p116.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,16]]},"references-count":18,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.1556\/650.2022.32286","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,16]]}}}