{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T10:00:13Z","timestamp":1785492013174,"version":"3.56.0"},"reference-count":22,"publisher":"Akademiai Kiado Zrt.","issue":"46","license":[{"start":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T00:00:00Z","timestamp":1763251200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,11,16]]},"abstract":"A sleeve gastrectomia \u00e9vek \u00f3ta a legnagyobb sz\u00e1mban elv\u00e9gzett metabolikus\n seb\u00e9szeti beavatkoz\u00e1s. A m\u0171t\u00e9t ritka, de s\u00falyos posztoperat\u00edv sz\u00f6v\u0151dm\u00e9nye a\n kapocssor-el\u00e9gtelens\u00e9g. A cs\u0151gyomorban uralkod\u00f3 nagy nyom\u00e1s miatt ell\u00e1t\u00e1sa\n technikailag nem egyszer\u0171. Az \u00e9vek sor\u00e1n a ter\u00e1pia fokozatosan eltol\u00f3dott a\n seb\u00e9szeti megk\u00f6zel\u00edt\u00e9st\u0151l az intervenci\u00f3s radiol\u00f3giai \u00e9s endoszk\u00f3pos m\u00f3dszerek\n ir\u00e1ny\u00e1ba. K\u00f6zlem\u00e9ny\u00fcnkben egy 37 \u00e9ves n\u0151beteg eset\u00e9t ismertetj\u00fck, aki k\u00f3ros\n elh\u00edz\u00e1s miatt sleeve gastrectomi\u00e1n esett \u00e1t. A m\u0171t\u00e9tet k\u00f6vet\u0151en jelentkez\u0151\n panaszok miatt hasi CT-vizsg\u00e1lat t\u00f6rt\u00e9nt, amely el\u0151sz\u00f6r a cs\u0151gyomor mellett\n elhelyezked\u0151 haematom\u00e1t v\u00e9lem\u00e9nyezett, melyet intervenci\u00f3s radiol\u00f3gus dren\u00e1lt. A\n dr\u00e9n elt\u00e1vol\u00edt\u00e1s\u00e1t \u00e9s \u00e1tmeneti javul\u00e1st k\u00f6vet\u0151en azonban a beteg ism\u00e9t\n panaszoss\u00e1 v\u00e1lt. A megism\u00e9telt CT-vizsg\u00e1lat kontrasztkil\u00e9p\u00e9st \u00e9s a kapocssor\n melletti \u00fcreget igazolt. Intervenci\u00f3s radiol\u00f3giai m\u00f3dszerrel \u00fajabb k\u00fcls\u0151 dr\u00e9n\n ker\u00fclt behelyez\u00e9sre. Ezt k\u00f6vet\u0151en utalt\u00e1k a beteget k\u00f3rh\u00e1zunk bari\u00e1triai\n r\u00e9szleg\u00e9re, ahol tervezetten, intub\u00e1ci\u00f3s nark\u00f3zisban z\u00e1rtuk a defektust\n endoszk\u00f3pos varrat behelyez\u00e9s\u00e9vel, majd \u00f6nt\u00e1gul\u00f3 f\u00e9msztentes \u00e1thidal\u00e1st\n v\u00e9gezt\u00fcnk. A beteg a sztentet j\u00f3l toler\u00e1lta, sztentmigr\u00e1ci\u00f3 nem k\u00f6vetkezett be.\n 5 h\u00e9t eltelt\u00e9vel a f\u00e9msztent elt\u00e1vol\u00edthat\u00f3 volt. Ezt k\u00f6vet\u0151en kontrasztkil\u00e9p\u00e9s\n m\u00e1r nem jelentkezett a CT-vizsg\u00e1lat sor\u00e1n. A beteg jelenleg panaszmentes,\n fogy\u00e1sa \u00fctem\u00e9vel \u00e9s \u00e9letmin\u0151s\u00e9g\u00e9vel el\u00e9gedett. Eset\u00fcnk r\u00e1vil\u00e1g\u00edt arra, hogy a\n sleeve gastrectomia ut\u00e1n jelentkez\u0151 kapocssor-el\u00e9gtelens\u00e9g ell\u00e1t\u00e1s\u00e1ban m\u00e1ra a\n kev\u00e9sb\u00e9 invaz\u00edv ter\u00e1pi\u00e1s m\u00f3dozatok (intervenci\u00f3s radiol\u00f3gia, endoszk\u00f3pia),\n illetve ezek kombin\u00e1ci\u00f3i ker\u00fcltek el\u0151t\u00e9rbe. Orv Hetil. 2025; 166(46):\n 1827\u20131832.<\/jats:p>","DOI":"10.1556\/650.2025.33402","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T06:14:39Z","timestamp":1763446479000},"page":"1827-1832","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Sleeve gastrectomi\u00e1t (cs\u0151gyomor kialak\u00edt\u00e1s\u00e1t) k\u00f6vet\u0151en kialakult kapocssor-el\u00e9gtelens\u00e9g megold\u00e1sa endoszk\u00f3pos varrattal \u00e9s sztentbe\u00fcltet\u00e9ssel"],"prefix":"10.1556","volume":"166","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6054-5751","authenticated-orcid":true,"given":"G\u00e1bor","family":"Barcs\u00e1k","sequence":"first","affiliation":[{"name":"Fej\u00e9r V\u00e1rmegyei Szent Gy\u00f6rgy Egyetemi Oktat\u00f3 K\u00f3rh\u00e1z Sz\u00e9kesfeh\u00e9rv\u00e1r Magyarorsz\u00e1g"},{"name":"University Health Network \u2013 Toronto Western Hospital Toronto, Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Jackson","sequence":"additional","affiliation":[{"name":"University Health Network \u2013 Toronto Western Hospital Toronto, Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Intekhab","family":"Hossain","sequence":"additional","affiliation":[{"name":"University Health Network \u2013 Toronto Western Hospital Toronto, Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viktor","family":"Reich","sequence":"additional","affiliation":[{"name":"Fej\u00e9r V\u00e1rmegyei Szent Gy\u00f6rgy Egyetemi Oktat\u00f3 K\u00f3rh\u00e1z Sz\u00e9kesfeh\u00e9rv\u00e1r Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s Botond","family":"Fecs\u0151","sequence":"additional","affiliation":[{"name":"University Health Network \u2013 Toronto Western Hospital Toronto, Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Rurik I, Ungvari T, Szidor J, et al. Obese Hungary. Trend and\n prevalence of overweight and obesity in Hungary, 2015. [Elh\u00edz\u00f3 Magyarorsz\u00e1g. A\n t\u00fals\u00faly \u00e9s az elh\u00edz\u00e1s trendje \u00e9s prevalenci\u00e1ja Magyarorsz\u00e1gon, 2015.] Orv Hetil.\n 2016; 157: 1248-1255.\n https:\/\/doi.org\/10.1556\/650.2016.30389","DOI":"10.1556\/650.2016.30389"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Koller \u00c1, M\u00e1rkus E, Ferenci T, et al. Determining factors of\n survival in patients with severe coronavirus infection admitted to intensive\n care unit in the third and fourth waves of COVID-19 pandemic. [A k\u00f3rh\u00e1zi\n t\u00fal\u00e9l\u00e9st meghat\u00e1roz\u00f3 t\u00e9nyez\u0151k a COVID-19-j\u00e1rv\u00e1ny 3. \u00e9s 4. hull\u00e1ma idej\u00e9n s\u00falyos\n koronav\u00edrus-fert\u0151z\u00e9ssel intenz\u00edv oszt\u00e1lyra felvett betegekben.] Orv Hetil. 2023;\n 164: 651-658. 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[A\n tests\u00falycs\u00f6kkent\u00e9s seb\u00e9szi lehet\u0151s\u00e9gei.] Orv Hetil. 2014; 155: 971-977.\n [Hungarian] https:\/\/doi.org\/10.1556\/OH.2014.29844","DOI":"10.1556\/OH.2014.29844"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Salminen P, Gr\u00f6nroos S, Helmi\u00f6 M, et al. Effect of laparoscopic\n sleeve gastrectomy vs Roux-en-Y gastric bypass on weight loss, comorbidities,\n and reflux at 10 years in adult patients with obesity: the sleevepass randomized\n clinical trial. JAMA Surg. 2022; 157: 656-666.\n https:\/\/doi.org\/10.1001\/jamasurg.2022.2229","DOI":"10.1001\/jamasurg.2022.2229"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Gagner M, Deitel M, Erickson AL, et al. Survey on laparoscopic\n sleeve gastrectomy (LSG) at the fourth international consensus summit on sleeve\n gastrectomy. 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Surgical strategies that may\n decrease leak after laparoscopic sleeve gastrectomy: a systematic review and\n meta-analysis of 9991 cases. Ann Surg. 2013; 257: 231-237.\n https:\/\/doi.org\/10.1097\/SLA.0b013e31826cc714","DOI":"10.1097\/SLA.0b013e31826cc714"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Wang Y, Yi XY, Gong LL, et al. The effectiveness and safety of\n laparoscopic sleeve gastrectomy with different sizes of bougie calibration: a\n systematic review and meta-analysis. Int J Surg. 2018; 49: 32-38.\n https:\/\/doi.org\/10.1016\/j.ijsu.2017.12.005","DOI":"10.1016\/j.ijsu.2017.12.005"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Diab AF, Sher T, Awshah S, et al. Oversewing\/suturing of the staple\n line during sleeve gastrectomy is an effective and affordable staple line\n reinforcement method: a meta-analysis of randomized controlled trials. 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