{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T13:06:53Z","timestamp":1784725613443,"version":"3.55.0"},"reference-count":19,"publisher":"Akademiai Kiado Zrt.","issue":"1","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,1,7]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n A malignus megbeteged\u00e9sekben szenved\u0151 p\u00e1ciensek\n prehabilit\u00e1ci\u00f3j\u00e1nak \u00e9s rehabilit\u00e1ci\u00f3j\u00e1nak kiemelked\u0151en fontos eleme a t\u00e1pl\u00e1lts\u00e1g\n \u00e9s a fizikai \u00e1llapot felm\u00e9r\u00e9se \u00e9s nyomon k\u00f6vet\u00e9se. Az ERAS- (Enhanced Recovery\n After Surgery) protokoll fontos r\u00e9sze a posztoperat\u00edv korai, sz\u00e1jon kereszt\u00fcli\n t\u00e1pl\u00e1l\u00e1s megkezd\u00e9se. Az e t\u00e1pl\u00e1l\u00e1si met\u00f3dusnak a fels\u0151 gastrointestinalis\n traktus m\u0171t\u00e9tei ut\u00e1ni alkalmaz\u00e1s\u00e1ra vonatkoz\u00f3 adatok hi\u00e1nyosak.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n Annak igazol\u00e1s\u00e1ra, hogy a korai, sz\u00e1jon \u00e1t\n t\u00f6rt\u00e9n\u0151 t\u00e1pl\u00e1l\u00e1s nem jelent h\u00e1tr\u00e1nyt ebben a betegcsoportban, a P\u00e9csi\n Tudom\u00e1nyegyetem Seb\u00e9szeti Klinik\u00e1j\u00e1n a 2020 febru\u00e1rja \u00e9s 2022 j\u00faliusa k\u00f6z\u00f6tt\n ilyen m\u00f3don t\u00e1pl\u00e1lt betegek adatait vetett\u00fck \u00f6ssze egy becs\u00fclt r\u00e9szv\u00e9teli\n val\u00f3sz\u00edn\u0171s\u00e9g szerinti p\u00e1ros\u00edt\u00e1si tanulm\u00e1ny sor\u00e1n, a klasszikus m\u00f3don kezelt\n betegek adataival.\n M\u00f3dszer:<\/jats:italic>\n Vizsg\u00e1latunkba olyan betegeket\n vontunk be, akik fels\u0151 gastrointestinalis daganat miatti m\u0171t\u00e9ten estek \u00e1t,\n melynek sor\u00e1n nyel\u0151cs\u0151vel k\u00e9pzett anastomosis ker\u00fclt kialak\u00edt\u00e1sra (teljes\n gastrectomi\u00e1k \u00e9s nyel\u0151cs\u0151-resecci\u00f3k). A tanulm\u00e1ny 50 beteget foglalt mag\u00e1ban: 25\n beteget a korai oralis t\u00e1pl\u00e1l\u00e1si csoportba, m\u00edg 25 beteget a hagyom\u00e1nyos oralis\n t\u00e1pl\u00e1l\u00e1sban r\u00e9szes\u00fcl\u0151 csoportba soroltunk.\n Eredm\u00e9nyek:<\/jats:italic>\n Az\n oralis t\u00e1pl\u00e1l\u00e1s \u00e1tlagosan a korai t\u00e1pl\u00e1l\u00e1si csoportban a m\u0171t\u00e9t ut\u00e1ni 2,09.\n napon, m\u00edg a k\u00e9s\u0151i t\u00e1pl\u00e1l\u00e1si csoportban az 5,52. napon kezd\u0151d\u00f6tt. A korai\n csoportban a posztoperat\u00edv k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1si id\u0151 \u00e1tlagosan 8,875 nap volt,\n szemben a k\u00e9s\u0151i csoportban jegyzett 12,161 napos \u00e1tlaggal (p<0,05).\n Ugyanakkor nem volt kimutathat\u00f3 k\u00fcl\u00f6nbs\u00e9g a mortalit\u00e1si r\u00e1t\u00e1ban, illetve az\n anastomosissal \u00f6sszef\u00fcgg\u0151 sz\u00f6v\u0151dm\u00e9nyek el\u0151fordul\u00e1s\u00e1ban.\n Megbesz\u00e9l\u00e9s:<\/jats:italic>\n Meg\u00e1llap\u00edthat\u00f3, hogy a korai, sz\u00e1jon\n kereszt\u00fcli t\u00e1pl\u00e1l\u00e1si csoportban statisztikailag szignifik\u00e1ns cs\u00f6kken\u00e9s mutathat\u00f3\n ki a b\u00e9lm\u0171k\u00f6d\u00e9s megindul\u00e1s\u00e1ig eltelt id\u0151ben, a k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1si id\u0151t\n tekintve \u00e9s a posztoperat\u00edv parenteralis t\u00e1pl\u00e1l\u00e1s id\u0151tartam\u00e1ban.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n Elmondhat\u00f3, hogy a korai, sz\u00e1jon kereszt\u00fcli\n t\u00e1pl\u00e1l\u00e1s alkalmaz\u00e1sa a fels\u0151 gastrointestinalis traktus m\u0171t\u00e9tei ut\u00e1n is\n biztons\u00e1gos. Orv Hetil. 2024; 165(1): 24\u201329.\n <\/jats:p>","DOI":"10.1556\/650.2024.32936","type":"journal-article","created":{"date-parts":[[2024,1,7]],"date-time":"2024-01-07T12:04:07Z","timestamp":1704629047000},"page":"24-29","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["A korai, sz\u00e1jon kereszt\u00fcli t\u00e1pl\u00e1l\u00e1s nem jelent vesz\u00e9lyt a fels\u0151 t\u00e1pcsatornai m\u0171t\u00e9tek ut\u00e1n"],"prefix":"10.1556","volume":"165","author":[{"given":"D\u00f3ra Lili","family":"Sindler","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Csenge","family":"Papp","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armand","family":"Csontos","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lajos","family":"Szak\u00f3","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"Vereczkei","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Halvax","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"Palkovics","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"Papp","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J\n Clin. 2018; 68: 7\u201330.","DOI":"10.3322\/caac.21442"},{"key":"R2","unstructured":"National Cancer Registry. [Nemzeti R\u00e1kregiszter.] Available from:\n https:\/\/onkol.hu\/nemzeti-rakregiszter\/ [accessed: Oct 10, 2023].\n [Hungarian]"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Horv\u00e1th \u00d6P, Papp A, Cseke L, et al. Changes in surgical principles\n as a result of modern, effective, perioperative oncological treatments. [A\n seb\u00e9szeti elvek v\u00e1ltoz\u00e1sa a modern, hat\u00e9kony, perioperat\u00edv onkol\u00f3giai kezel\u00e9sek\n k\u00f6vetkezm\u00e9nyek\u00e9nt.] Orv Hetil. 2022; 163: 544\u2013550. [Hungarian]","DOI":"10.1556\/650.2022.32415"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Pham Van B, Nguyen Thi Thanh HA-O, Le Thi H, et al. Nutritional\n status and feeding regimen of patients with esophagus cancer. A study from\n Vietnam. 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Consensus guidelines for\n perioperative care in neonatal intestinal surgery: Enhanced Recovery After\n Surgery (ERAS\u00ae) Society recommendations. World J Surg. 2020; 44:\n 2482\u20132492.","DOI":"10.1007\/s00268-020-05530-1"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Stenberg E, Dos Reis Falc\u00e3o LF, O\u2019Kane M, et al. Guidelines for\n perioperative care in bariatric surgery: Enhanced Recovery After Surgery (ERAS)\n Society recommendations. A 2021 update. World J Surg. 2022; 46:\n 729\u2013751.","DOI":"10.1007\/s00268-021-06394-9"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Szak\u00f3 L, N\u00e9meth D, Farkas N, et al. Network meta-analysis of\n randomized controlled trials on esophagectomies in esophageal cancer. The\n superiority of minimally invasive surgery. World J Gastroenterol. 2022; 28:\n 4201\u20134210.","DOI":"10.3748\/wjg.v28.i30.4201"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Papp A, Palkovics A, Sindler DL, et al. 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