{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T04:06:48Z","timestamp":1789531608174,"version":"build-2803163510"},"reference-count":26,"publisher":"Akademiai Kiado Zrt.","issue":"37","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,9,13]]},"abstract":"A k\u00f3ros k\u00f6v\u00e9rs\u00e9g kezel\u00e9s\u00e9ben a metabolikus-bari\u00e1triai seb\u00e9szeti beavatkoz\u00e1sok\n nemcsak eredm\u00e9nyesebbek a konzervat\u00edv modalit\u00e1sokkal szemben, hanem hossz\u00fa t\u00e1von\n k\u00f6lts\u00e9ghat\u00e9konyabbak is. K\u00f6vetkez\u00e9sk\u00e9ppen a j\u00f6v\u0151ben a tests\u00falycs\u00f6kkent\u0151\n m\u0171t\u00e9teken \u00e1tesett betegek gyarapod\u00e1sa v\u00e1rhat\u00f3, s ezzel a potenci\u00e1lis\n sz\u00f6v\u0151dm\u00e9nyek ismerete is egyre fontosabb\u00e1 v\u00e1lik a mindennapi orvosi\n gyakorlatban. A leggyakrabban v\u00e9grehajtott bari\u00e1triai m\u0171t\u00e9t a laparoszk\u00f3pos\n cs\u0151gyomork\u00e9pz\u00e9s, amely technikailag k\u00f6nnyen kivitelezhet\u0151, eredm\u00e9nyei kiv\u00e1l\u00f3ak,\n \u00e9s komplik\u00e1ci\u00f3ar\u00e1nya is kedvez\u0151. A szerz\u0151k a sleeve gastrectomia egy k\u00fcl\u00f6n\u00f6s,\n seb\u00e9szileg sikeresen kezelt gastro-oesophagea refluxbetegs\u00e9ggel \u00e9s dysphagi\u00e1val\n j\u00e1r\u00f3 sz\u00f6v\u0151dm\u00e9ny\u00e9t ismertetik. A kor\u00e1bban cs\u0151gyomork\u00e9pz\u00e9sen \u00e1tesett beteg\n kivizsg\u00e1l\u00e1sa 4 \u00e9ves panaszmentes id\u0151szakot k\u00f6vet\u0151en mellkasi panaszok, reflux,\n h\u00e1nyinger, h\u00e1ny\u00e1s miatt indult. A b\u00e1riumnyel\u00e9ses r\u00f6ntgenvizsg\u00e1lat \u00e9s a\n gyomort\u00fckr\u00f6z\u00e9s alapj\u00e1n a cs\u0151gyomor proximalis r\u00e9sz\u00e9b\u0151l kiindul\u00f3, tasakszer\u0171, a\n rekeszizmon kereszt\u00fcl a mellkasba herni\u00e1l\u00f3dott, a nyel\u0151cs\u0151 als\u00f3 szakasz\u00e1n\n kompresszi\u00f3t okoz\u00f3 elv\u00e1ltoz\u00e1s igazol\u00f3dott. Laparoszk\u00f3pos seb\u00e9szi rev\u00edzi\u00f3 sor\u00e1n a\n herniatum elt\u00e1vol\u00edt\u00e1sa \u00e9s a kialakult rekeszs\u00e9rv rekonstrukci\u00f3ja t\u00f6rt\u00e9nt,\n tov\u00e1bb\u00e1 a cs\u0151gyomor a s\u00falyos gastro-oesophagealis refluxra val\u00f3 tekintettel\n Roux-en-Y bypass\u00e1 lett \u00e1talak\u00edtva. A beteg esem\u00e9nytelen posztoperat\u00edvum ut\u00e1n\n otthon\u00e1ba t\u00e1vozott, a m\u0171t\u00e9t \u00f3ta panaszai megsz\u0171ntek, visszah\u00edz\u00e1s nem t\u00f6rt\u00e9nt. A\n laparoszk\u00f3pos sleeve gastrectomi\u00e1t k\u00f6vet\u0151 dysphagia h\u00e1tter\u00e9ben k\u00fcl\u00f6nb\u00f6z\u0151 okok\n \u00e1llhatnak, melyek elk\u00fcl\u00f6n\u00edt\u00e9se kulcsfontoss\u00e1g\u00fa a definit\u00edv megold\u00e1st biztos\u00edt\u00f3\n ter\u00e1pi\u00e1s d\u00f6nt\u00e9s meghozatal\u00e1ban. Orv Hetil. 2026; 167(37): 1488\u20131492.<\/jats:p>","DOI":"10.1556\/650.2026.33633","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T03:24:06Z","timestamp":1789529046000},"page":"1488-1492","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["A gyomorfundus mediastinalis herniati\u00f3ja: a laparoszk\u00f3pos cs\u0151gyomork\u00e9pz\u00e9s egy szokatlan sz\u00f6v\u0151dm\u00e9nye"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9681-9220","authenticated-orcid":true,"given":"Bence J\u00e1nos","family":"Varga","sequence":"first","affiliation":[{"name":"J\u00e1sz-Nagykun-Szolnok V\u00e1rmegyei Het\u00e9nyi G\u00e9za K\u00f3rh\u00e1z-Rendel\u0151int\u00e9zet, \u00c1ltal\u00e1nos- \u00e9s Mellkasseb\u00e9szeti Oszt\u00e1ly Szolnok Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edit","family":"Lad\u00e1r","sequence":"additional","affiliation":[{"name":"J\u00e1sz-Nagykun-Szolnok V\u00e1rmegyei Het\u00e9nyi G\u00e9za K\u00f3rh\u00e1z-Rendel\u0151int\u00e9zet, \u00c1ltal\u00e1nos- \u00e9s Mellkasseb\u00e9szeti Oszt\u00e1ly Szolnok Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1rp\u00e1d","family":"Juh\u00e1sz","sequence":"additional","affiliation":[{"name":"J\u00e1sz-Nagykun-Szolnok V\u00e1rmegyei Het\u00e9nyi G\u00e9za K\u00f3rh\u00e1z-Rendel\u0151int\u00e9zet, \u00c1ltal\u00e1nos- \u00e9s Mellkasseb\u00e9szeti Oszt\u00e1ly Szolnok Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Sipt\u00e1r M, T\u00f3th K, Csongor A, et al. Efficacy of laparoscopic sleeve\n gastrectomy on morbidly obese patients. [K\u00f3rosan elh\u00edzott betegeken v\u00e9gzett\n laparoszk\u00f3pos cs\u0151gyomork\u00e9pz\u00e9s eredm\u00e9nyess\u00e9g\u00e9nek vizsg\u00e1lata.] Orv Hetil. 2023;\n 164: 1749-1754. [Hungarian]\n https:\/\/doi.org\/10.1556\/650.2023.32918","DOI":"10.1556\/650.2023.32918"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Rurik I, Ungv\u00e1ri 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. [Hungarian]\n https:\/\/doi.org\/10.1556\/650.2016.30389","DOI":"10.1556\/650.2016.30389"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Boutari C, Mantzoros CS. A 2022 update on the epidemiology of\n obesity and a call to action: as its twin COVID-19 pandemic appears to be\n receding, the obesity and dysmetabolism pandemic continues to rage on.\n Metabolism 2022; 133: 155217.\n https:\/\/doi.org\/10.1016\/j.metabol.2022.155217","DOI":"10.1016\/j.metabol.2022.155217"},{"key":"R4","unstructured":"Eurostat. Body mass index (BMI) by sex, age and educational\n attainment level. Available from: https:\/\/ec.europa.eu\/eurostat\n [accessed: May 1, 2026]."},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic:\n shaped by global drivers and local environments. Lancet 2011; 378: 804-814.\n https:\/\/doi.org\/10.1016\/S0140-6736(11)60813-1","DOI":"10.1016\/S0140-6736(11)60813-1"},{"key":"R6","unstructured":"D\u00f3zsa Cs, Ill\u00e9s L, L\u00e1z\u00e1r Gy, et al. Cost-utility analysis of\n different bariatric surgeries in Hungary. [Bari\u00e1triai m\u0171t\u00e9tek k\u00f6lts\u00e9g-hasznoss\u00e1g\n elemz\u00e9se Magyarorsz\u00e1gon.] IME 2018; 17: 57-62. [Hungarian]"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Rurik I, Apor P, Barna M, et al. Therapy and prevention of obesity:\n nutrition, physical activity and medical treatment. Recommendations of Hungarian\n professionals. [Az elh\u00edz\u00e1s kezel\u00e9se \u00e9s megel\u0151z\u00e9se: t\u00e1pl\u00e1lkoz\u00e1s, testmozg\u00e1s,\n orvosi lehet\u0151s\u00e9gek. Hazai szakmak\u00f6zi aj\u00e1nl\u00e1s.] Orv Hetil. 2021; 162: 323-335.\n [Hungarian] https:\/\/doi.org\/10.1556\/650.2021.32020","DOI":"10.1556\/650.2021.32020"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Barrett TS, Hafermann JO, Richards S, et al. Obesity treatment with\n bariatric surgery vs GLP-1 receptor agonists. JAMA Surg. 2025; 160: 1232-1239.\n https:\/\/doi.org\/10.1001\/jamasurg.2025.3590","DOI":"10.1001\/jamasurg.2025.3590"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Brown A, Patel SS, Li E, et al. Bariatric surgery vs. GLP-1 receptor\n agonists among primarily medicare and medicaid patients with diabetes: a 3-year\n analysis. Surg Endosc. 2026; 40: 671-678.\n https:\/\/doi.org\/10.1007\/s00464-025-12403-y","DOI":"10.1007\/s00464-025-12403-y"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Brown WA, Liem R, Al-Sabah S, et al. Metabolic bariatric surgery\n across the IFSO chapters: key insights on the baseline patient demographics,\n procedure types, and mortality from the eighth IFSO global registry report. Obes\n Surg. 2024; 34: 1764-1777.\n https:\/\/doi.org\/10.1007\/s11695-024-07196-3","DOI":"10.1007\/s11695-024-07196-3"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Sista F, Abruzzese V, Clementi M, et al. Resolution of type 2\n diabetes after sleeve gastrectomy: a 2-step hypothesis. Surg Obes Relat Dis.\n 2018; 14: 284-290.\n https:\/\/doi.org\/10.1016\/j.soard.2017.12.009","DOI":"10.1016\/j.soard.2017.12.009"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Major P, Kowalczuk A, Wysocki M, et al. Effects of bariatric surgery\n on cardiovascular risk factors among morbidly obese patients. Pol Przegl Chir.\n 2017; 89: 41-49.\n https:\/\/doi.org\/10.5604\/01.3001.0009.7176","DOI":"10.5604\/01.3001.0009.7176"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Vitiello A, Abu-Abeid A, Dayan D, et al. Long-term results of\n laparoscopic sleeve gastrectomy: a review of studies reporting 10+ years\n outcomes. Obes Surg. 2023; 33: 3565-3570.\n https:\/\/doi.org\/10.1007\/s11695-023-06824-8","DOI":"10.1007\/s11695-023-06824-8"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Huang R, Ding X, Fu H, et al. Potential mechanisms of sleeve\n gastrectomy for reducing weight and improving metabolism in patients with\n obesity. Surg Obes Relat Dis. 2019; 15: 1861-1871.\n https:\/\/doi.org\/10.1016\/j.soard.2019.06.022","DOI":"10.1016\/j.soard.2019.06.022"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Wo\u017aniewska P, Diemieszczyk I, Hady HR. Complications associated with\n laparoscopic sleeve gastrectomy - a review. Prz Gastroenterol. 2021; 16: 5-9.\n https:\/\/doi.org\/10.5114\/pg.2021.104733","DOI":"10.5114\/pg.2021.104733"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Melissas J, Braghetto I, Molina JC, et al. Gastroesophageal reflux\n disease and sleeve gastrectomy. Obes Surg. 2015; 25: 2430-2435.\n https:\/\/doi.org\/10.1007\/s11695-015-1906-1","DOI":"10.1007\/s11695-015-1906-1"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Nath A, Yewale S, Tran T, et al. Dysphagia after vertical sleeve\n gastrectomy: evaluation of risk factors and assessment of endoscopic\n intervention. World J Gastroenterol. 2016; 22: 10371-10379.\n https:\/\/doi.org\/10.3748\/wjg.v22.i47.10371","DOI":"10.3748\/wjg.v22.i47.10371"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"DeMeester TR, Wang CI, Wernly JA, et al. Technique, indications, and\n clinical use of 24 hour esophageal pH monitoring. J Thorac Cardiovasc Surg.\n 1980; 79: 656-670.\n https:\/\/doi.org\/10.1016\/S0022-5223(19)37879-1","DOI":"10.1016\/S0022-5223(19)37879-1"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Na HK, Li AA, Gottfried-Blackmore A, et al. Pyloric dysfunction: a\n review of the mechanisms, diagnosis, and treatment. Gut Liver 2025; 19: 327-345.\n https:\/\/doi.org\/10.5009\/gnl240421","DOI":"10.5009\/gnl240421"},{"key":"R20","doi-asserted-by":"crossref","unstructured":"B\u00e1nky B, Juh\u00e1sz \u00c1, K\u00e1poszt\u00e1s Zs, et al. Guidance of Metabolic\n Surgery - 2025. [Metabolikus seb\u00e9szeti ir\u00e1nyelvek - 2025.] Magy Seb. 2025; 78:\n 21-29. [Hungarian]\n https:\/\/doi.org\/10.1556\/1046.2025.20002","DOI":"10.1556\/1046.2025.20002"},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Levy JL, Levine MS, Rubesin SE, et al. Stenosis of gastric sleeve\n after laparoscopic sleeve gastrectomy: clinical, radiographic and endoscopic\n findings. Br J Radiol. 2018; 91(Suppl 1089): 20170702.\n https:\/\/doi.org\/10.1259\/bjr.20170702","DOI":"10.1259\/bjr.20170702"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Siqueira LT, Santa-Cruz F, Pontual JP, et al. Gastric twist after\n sleeve gastrectomy: a proposal for endoscopic classification. Arq Bras Cir Dig.\n 2022; 35: e1665.\n https:\/\/doi.org\/10.1590\/0102-672020210002e1665","DOI":"10.1590\/0102-672020210002e1665"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Zafar M, Parvin J, Mcwhirter A, et al. Gastric volvulus: diagnosis\n and successful endoscopic de-rotation towards conservative management in a\n patient with multiple comorbidities. Cureus 2022; 14: e26862.\n https:\/\/doi.org\/10.7759\/cureus.26862","DOI":"10.7759\/cureus.26862"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Chen-Goodspeed A, Kim A, Schmiederer I, et al. Gastric fundus\n obstruction from hiatal hernia after sleeve gastrectomy: a case report. Cureus\n 2025; 17: e88018.\n https:\/\/doi.org\/10.7759\/cureus.88018","DOI":"10.7759\/cureus.88018"},{"key":"R25","unstructured":"Cortina CS, Sheppard SM, Bonomo SR. An atypical cause of colonic\n obstruction: a hiatal hernia after sleeve gastrectomy containing the transverse\n colon. ACS Case Rev Surg. 2018; 1: 6-9."},{"key":"R26","doi-asserted-by":"crossref","unstructured":"Teshaev OR, Ruziyev US. Laparoscopic sleeve gastrectomy: efficacy\n and safety of classic vs. hard techniques in long-term weight loss: a\n retrospective cohort study. J Metab Bariatr Surg. 2025; 14: 150-156.\n https:\/\/doi.org\/10.17476\/jmbs.2025.14.2.150","DOI":"10.17476\/jmbs.2025.14.2.150"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/167\/37\/article-p1488.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/167\/37\/article-p1488.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/167\/37\/article-p1488.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T03:24:30Z","timestamp":1789529070000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/167\/37\/article-p1488.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,13]]},"references-count":26,"journal-issue":{"issue":"37"},"URL":"https:\/\/doi.org\/10.1556\/650.2026.33633","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,13]]}}}