{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:30:59Z","timestamp":1760574659250,"version":"build-2065373602"},"reference-count":32,"publisher":"Akademiai Kiado Zrt.","issue":"26","license":[{"start":{"date-parts":[[2025,6,29]],"date-time":"2025-06-29T00:00:00Z","timestamp":1751155200000},"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":[[2025,6,29]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> Az arany\u00e9rbetegs\u00e9g a leggyakoribb anorectalis\n                    betegs\u00e9g, prevalenci\u00e1ja az irodalmi adatok alapj\u00e1n 4\u201335%. Aranyeres betegek\n                    endovascularis ell\u00e1t\u00e1s\u00e1t 2014-ben v\u00e9gezt\u00e9k el\u0151sz\u00f6r, az\u00f3ta ennek a beavatkoz\u00e1snak\n                    az evidenci\u00e1j\u00e1t sz\u00e1mos \u00f6sszefoglal\u00f3 k\u00f6zlem\u00e9ny \u00e9s metaanal\u00edzis meger\u0151s\u00edtette.\n                        <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Tudom\u00e1sunk szerint Magyarorsz\u00e1gon el\u0151sz\u00f6r\n                    kezdt\u00fck el alkalmazni ezt a kezel\u00e9st. K\u00f6zlem\u00e9ny\u00fcnkben bemutatjuk az arany\u00e9r\n                    art\u00e9ri\u00e1s v\u00e9rell\u00e1t\u00e1s\u00e1t, kialakul\u00e1s\u00e1nak okait, k\u00f3r\u00e9lettan\u00e1t, konzervat\u00edv, seb\u00e9szi\n                    \u00e9s endovascularis ell\u00e1t\u00e1s\u00e1t. Bemutatjuk az arteria (a.) rectalis superior\n                    embolisati\u00f3j\u00e1nak technikai r\u00e9szleteit. Els\u0151 15 kezelt beteg\u00fcnk radiol\u00f3giai \u00e9s\n                    klinikai eredm\u00e9nye mellett bemutatjuk a kezel\u00e9si elj\u00e1r\u00e1s irodalm\u00e1t,\n                    evidenci\u00e1j\u00e1t. <jats:italic>M\u00f3dszer:<\/jats:italic> Klinikai vizsg\u00e1latunk elemz\u00e9s\u00e9t\n                    prospekt\u00edv klinikai terv alapj\u00e1n, etikai enged\u00e9ly birtok\u00e1ban v\u00e9gezt\u00fck. Goligher\n                    beoszt\u00e1sa szerint betegeink 20%-a 2. st\u00e1dium\u00fa, 80%-a 3. st\u00e1dium\u00fa volt a\n                    beavatkoz\u00e1s el\u0151tt. Betegeink 80%-\u00e1nak f\u00e1jdalmat okozott, 80%-\u00e1nak v\u00e9rzett,\n                    harmad\u00e1nak viszket\u00e9st \u00e9s diszkomfort\u00e9rz\u00e9st okozott az aranyeress\u00e9g\u00fck. 1 beteget\n                    nagyon s\u00falyos an\u00e9mia, 1 beteget s\u00falyos an\u00e9mia miatt kezelt\u00fcnk. Angiogr\u00e1fi\u00e1s\n                    laborunkban lok\u00e1lis \u00e9rz\u00e9stelen\u00edt\u00e9sben a. femoralis punkci\u00f3b\u00f3l v\u00e9gezt\u00fck az a.\n                    mesenterica superior \u00e1gak szuperszelekt\u00edv embolisati\u00f3j\u00e1t sz\u0151r\u00f6s coilokkal.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Minden beavatkoz\u00e1sunk technikailag sikeres\n                    volt, sz\u00f6v\u0151dm\u00e9nyt egyetlen esetben sem \u00e9szlelt\u00fcnk. A korai kontroll sor\u00e1n az\n                    arany\u00e9r v\u00e9rz\u00e9ses sk\u00e1la \u00e1tlaga 0,23 volt, \u00e9s a 12 hetes kontroll sor\u00e1n is 0,23\n                    \u00e1tlag\u00e9rt\u00e9ket m\u00e9rt\u00fcnk. 15 betegb\u0151l 14 teljesen t\u00fcnet- \u00e9s panaszmentess\u00e9 v\u00e1lt, 1\n                    beteg arany\u00e9rv\u00e9rz\u00e9si sk\u00e1la szerinti \u00e9rt\u00e9ke 6-r\u00f3l 3-ra cs\u00f6kkent a kontrollok\n                    sor\u00e1n. <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> Az endovascularis beavatkoz\u00e1s el\u0151nye, hogy\n                    f\u00e1jdalommentes, sz\u00f6v\u0151dm\u00e9nymentes, \u00e9s altat\u00e1s n\u00e9lk\u00fcl egynapos beavatkoz\u00e1sk\u00e9nt\n                    kivitelezhet\u0151. A beavatkoz\u00e1s m\u00e1snapj\u00e1t\u00f3l a betegek teljes \u00e9letet \u00e9lhetnek. Els\u0151\n                    15 beteg\u00fcnk kezel\u00e9se sor\u00e1n el\u00e9rt technikai \u00e9s klinikai eredm\u00e9nyeink a nemzetk\u00f6zi\n                    eredm\u00e9nyekhez hasonl\u00f3 sikeress\u00e9get mutatnak. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Az\n                    a. rectalis superior erek embolisati\u00f3ja mint minim\u00e1linvaz\u00edv beavatkoz\u00e1s az\n                    aranyeres betegs\u00e9g 2. \u00e9s 3. fokozat\u00e1nak kezel\u00e9s\u00e9ben a m\u0171t\u00e9ti elj\u00e1r\u00e1sok\n                    alternat\u00edv\u00e1jak\u00e9nt j\u00f6n sz\u00f3ba. Orv Hetil. 2025; 166(26): 1025\u20131030.<\/jats:p>","DOI":"10.1556\/650.2025.33303","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:09:05Z","timestamp":1751242145000},"page":"1025-1030","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Az arany\u00e9r kezel\u00e9se a rectalis art\u00e9ri\u00e1k embolisati\u00f3j\u00e1val"],"prefix":"10.1556","volume":"166","author":[{"given":"Zs\u00f3fia","family":"Sipos","sequence":"first","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z Miskolc, Szentp\u00e9teri kapu 72\u201376., 3526 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1kos","family":"Botos","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z Miskolc, Szentp\u00e9teri kapu 72\u201376., 3526 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba Zsolt","family":"Ol\u00e1h","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z Miskolc, Szentp\u00e9teri kapu 72\u201376., 3526 Magyarorsz\u00e1g"},{"name":"Tokaj-Hegyalja Egyetem S\u00e1rospatak Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 Madoff RD, Fleshman JW. 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