{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T14:11:22Z","timestamp":1774879882989,"version":"3.50.1"},"reference-count":30,"publisher":"Akademiai Kiado Zrt.","issue":"13","license":[{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"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":[[2026,3,29]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n A b\u00e9l\u00e9rintetts\u00e9ggel j\u00e1r\u00f3 endometriosis, illetve annak\n seb\u00e9szi megold\u00e1sa is v\u00e1ltozatos gastrointestinalis t\u00fcneteket okozhat. A\n posztoperat\u00edv panaszok kialakul\u00e1s\u00e1ra hajlamos\u00edt\u00f3 t\u00e9nyez\u0151 lehet az alacsonyan\n v\u00e9gzett szegment\u00e1lis rectumresectio.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n Alacsony\n rectumresecti\u00f3n \u00e1tesett p\u00e1cienseink \u00e9letmin\u0151s\u00e9g\u00e9nek vizsg\u00e1lata.\n M\u00f3dszer:<\/jats:italic>\n Vizsg\u00e1latunkban annak a 10 betegnek a 24 h\u00f3napos\n ut\u00e1nk\u00f6vet\u00e9s\u00e9t v\u00e9gezt\u00fck, akikn\u00e9l a szegment\u00e1lis b\u00e9lresectio sor\u00e1n az anastomosis\n az anust\u00f3l sz\u00e1m\u00edtott 8 cm-en bel\u00fcl ker\u00fclt kialak\u00edt\u00e1sra. Megfigyel\u00e9s\u00fcnk sor\u00e1n\n el\u0151re meghat\u00e1rozott id\u0151pontokban (preoperat\u00edvan, posztoperat\u00edvan a 3., 6., 12.\n \u00e9s 24. h\u00f3napban) k\u00e9rd\u0151\u00edvek felv\u00e9tel\u00e9t v\u00e9gezt\u00fck. A betegek \u00e9letmin\u0151s\u00e9g\u00e9nek\n vizsg\u00e1lat\u00e1t a LARS (als\u00f3 anterior resecti\u00f3s szindr\u00f3ma) \u00e9s a BENS\n (b\u00e9lendometriosis-szindr\u00f3ma) k\u00e9rd\u0151\u00edvek seg\u00edts\u00e9g\u00e9vel r\u00f6gz\u00edtett\u00fck.\n Eredm\u00e9nyek:<\/jats:italic>\n A betegek LARS-pontsz\u00e1ma a posztoperat\u00edv 3.\n h\u00f3napban volt a legmagasabb, majd 5 betegn\u00e9l (50%) fokozatos javul\u00f3 tendenci\u00e1t\n mutatott a 24. h\u00f3napra. Az ut\u00e1nk\u00f6vet\u00e9si id\u0151szak v\u00e9g\u00e9re enyhe LARS 3 (30%),\n s\u00falyos LARS csak 1 betegn\u00e9l volt jelen (10%). 5 betegn\u00e9l (50%) preoperat\u00edvan is\n fenn\u00e1lt enyhe fok\u00fa BENS, a vizsg\u00e1lati id\u0151 v\u00e9g\u00e9re azonban 1 beteg (10%)\n kiv\u00e9tel\u00e9vel senkin\u00e9l sem volt kimutathat\u00f3. A megfigyel\u00e9si id\u0151szak alatt a\n BENS-t\u00fcnetek szignifik\u00e1ns javul\u00e1s\u00e1t \u00e9szlelt\u00fck (p = 0,037).\n Megbesz\u00e9l\u00e9s:<\/jats:italic>\n A preoperat\u00edvan is fenn\u00e1ll\u00f3 b\u00e9lrendszeri\n diszfunkci\u00f3 oka multifaktori\u00e1lis, h\u00e1tter\u00e9ben a b\u00e9lendometriosisb\u00f3l ad\u00f3d\u00f3\n anat\u00f3miai \u00e9s funkcion\u00e1lis elt\u00e9r\u00e9sek \u00e1llhatnak. Az endometriosis indik\u00e1ci\u00f3j\u00e1val\n v\u00e9gzett b\u00e9lresectio, k\u00fcl\u00f6n\u00f6sen az alacsony szegment\u00e1lis resectio, a\n posztoperat\u00edv gastrointestinalis \u00e9letmin\u0151s\u00e9g roml\u00e1s\u00e1hoz vezethet. Ugyanakkor\n hosszabb ut\u00e1nk\u00f6vet\u00e9s sor\u00e1n a t\u00fcnetekben spont\u00e1n javul\u00e1s \u00e9szlelhet\u0151.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n Az alacsony rectumresecti\u00f3n \u00e1tesett betegek\n nagy rizik\u00f3j\u00fa csoportot alkotnak a m\u0171t\u00e9t ut\u00e1ni b\u00e9lfunkci\u00f3s panaszok kialakul\u00e1sa\n szempontj\u00e1b\u00f3l. Orv Hetil. 2026; 167(13): 517\u2013525.\n <\/jats:p>","DOI":"10.1556\/650.2026.33504","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T13:20:19Z","timestamp":1774876819000},"page":"517-525","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["A gastrointestinalis \u00e9letmin\u0151s\u00e9g vizsg\u00e1lata b\u00e9lendometriosis miatt v\u00e9gzett alacsony szegment\u00e1lis rectumresecti\u00f3t k\u00f6vet\u0151en"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8852-1154","authenticated-orcid":true,"given":"S\u00e1ra","family":"Horv\u00e1th","sequence":"first","affiliation":[{"name":"D\u00e9l-budai Centrumk\u00f3rh\u00e1z \u2013 Szent Imre Egyetemi Oktat\u00f3k\u00f3rh\u00e1z Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, Doktori Iskola Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"No\u00e9mi","family":"Dob\u00f3","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00e9ka","family":"Brubel","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominika","family":"Mikl\u00f3s","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e1l","family":"S\u00edk","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D\u00f3ra","family":"Balogh","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00e1ndor","family":"\u00c1cs","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Bokor","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"No\u00e9mi","family":"Csibi","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Heinz-Partington S, Costa W, Martins WP, et al. Conservative vs\n radical bowel surgery for endometriosis: a systematic analysis of complications.\n Aust N Z J Obstet Gynaecol. 2021; 61: 169-176.\n https:\/\/doi.org\/10.1111\/ajo.13311","DOI":"10.1111\/ajo.13311"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Ceccaroni M, Ceccarello M, Clarizia R, et al. Nerve-sparing\n laparoscopic disc excision of deep endometriosis involving the bowel: a\n single-center experience on 371 consecutives cases. Surg Endosc. 2021; 35:\n 5991-6000.\n https:\/\/doi.org\/10.1007\/s00464-020-08084-4","DOI":"10.1007\/s00464-020-08084-4"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"F\u00fcl\u00f6p V, Lakatos K, V\u00e9gh Gy, et al. Endometriosis and microbiome.\n [Az endometriosis \u00e9s a mikrobiom.] Orv Hetil. 2024; 165: 3-13. [Hungarian]\n https:\/\/doi.org\/10.1556\/650.2024.32954","DOI":"10.1556\/650.2024.32954"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Brubel R, Dob\u00f3 N, Csibi N, et al. The effect of surgical treatment\n of bowel endometriosis on fertility. [A b\u00e9lendometriosis miatt v\u00e9gzett m\u0171t\u00e9tek\n hat\u00e1sa a fertilit\u00e1sra.] Orv Hetil. 2019; 160: 1633-1638. [Hungarian]\n https:\/\/doi.org\/10.1556\/650.2019.31514","DOI":"10.1556\/650.2019.31514"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Ip JC, Chua TC, Wong SW, et al. Rectal disc resection improves stool\n frequency in patients with deep infiltrating endometriosis: a prospective study.\n Aust N Z J Obstet Gynaecol. 2020; 60: 454-458.\n https:\/\/doi.org\/10.1111\/ajo.13145","DOI":"10.1111\/ajo.13145"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Nagy V. Endometriosis in the sigmoid colon causing obstruction with\n lymph node involvement. [Ileust okoz\u00f3 szigmab\u00e9l-endometriosis\n nyirokcsom\u00f3-\u00e9rintetts\u00e9ggel.] Orv Hetil. 2025; 166: 826-831. 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