{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T00:13:48Z","timestamp":1721952828940},"reference-count":42,"publisher":"Akademiai Kiado Zrt.","issue":"15","license":[{"start":{"date-parts":[[2024,4,14]],"date-time":"2024-04-14T00:00:00Z","timestamp":1713052800000},"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":[[2024,4,14]]},"abstract":"<jats:p>Az akut pancreatitis seb\u00e9szi kezel\u00e9se az ut\u00f3bbi id\u0151kben jelent\u0151sen megv\u00e1ltozott.\n                    A s\u00fcrg\u0151ss\u00e9gi m\u0171t\u00e9tek indik\u00e1ci\u00f3ja \u00e9s seb\u00e9szi technik\u00e1ja alapvet\u0151en hasonl\u00f3 a\n                    kor\u00e1bbi gyakorlathoz, azonban \u00fajabb indik\u00e1ci\u00f3s ter\u00fclet jelent meg. Az\n                    abdominalis kompartment szindr\u00f3ma s\u00fcrg\u0151s m\u0171t\u00e9ti indik\u00e1ci\u00f3t k\u00e9pez, ha a\n                    konzervat\u00edv \u00e9s szemikonzervat\u00edv kezel\u00e9s eredm\u00e9nytelen. Ilyenkor napjainkban a\n                    dekompresszi\u00f3s laparotomia \u00e9s a negat\u00edvnyom\u00e1s-ter\u00e1pi\u00e1val kombin\u00e1lt\n                    nyitotthas-kezel\u00e9s javasolt. A hagyom\u00e1nyos seb\u00e9szi necrosectomia helyett a\n                    minim\u00e1lisan invaz\u00edv seb\u00e9szi kezel\u00e9sek terjedtek el, melyek csak a betegs\u00e9g k\u00e9s\u0151i\n                    st\u00e1dium\u00e1ban kialakul\u00f3, fert\u0151z\u00f6tt, demark\u00e1lt pancreasnecrosis eset\u00e9n javasoltak.\n                    Napjainkban a demark\u00e1lt necrosis els\u0151 vonalbeli kezel\u00e9se az endoszk\u00f3pos\n                    endoluminalis transgastricus necrosectomia, de kiterjedt esetekben, \u00e9s ha a\n                    necroticus \u00fcreg fala t\u00fal vastag, valamint ha cholecystectomia is sz\u00fcks\u00e9ges, a\n                    laparoszk\u00f3pos vagy nyitott transgastricus necrosectomia indokolt. A szerz\u0151k\n                    elemzik a seb\u00e9szi kezel\u00e9sben be\u00e1llt v\u00e1ltoz\u00e1sokat, kit\u00e9rnek a javallatok \u00e9s a\n                    m\u0171t\u00e9ti technika k\u00e9rd\u00e9seire is. Orv Hetil. 2024; 165(15): 563\u2013567.<\/jats:p>","DOI":"10.1556\/650.2024.33032","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T04:26:37Z","timestamp":1713673597000},"page":"563-567","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Az akut pancreatitis kezel\u00e9s\u00e9nek aktu\u00e1lis k\u00e9rd\u00e9sei a seb\u00e9sz szemsz\u00f6g\u00e9b\u0151l"],"prefix":"10.1556","volume":"165","author":[{"given":"Zsolt","family":"Szentkereszty","sequence":"first","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet Debrecen, M\u00f3ricz Zs. krt. 22., 4032 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaudia","family":"Balog","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet Debrecen, M\u00f3ricz Zs. krt. 22., 4032 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Sass","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet Debrecen, M\u00f3ricz Zs. krt. 22., 4032 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dezs\u0151","family":"T\u00f3th","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet Debrecen, M\u00f3ricz Zs. krt. 22., 4032 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"3383","DOI":"10.3748\/wjg.v28.i27.3383","article-title":"Interventional strategies in infected necrotizing pancreatitis: indications, timing, and outcomes","volume":"28","author":"1 Purschke","year":"2022","unstructured":"1 Purschke B, Bolm L, Meyer MN, et al. 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