{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:11:39Z","timestamp":1760955099090},"reference-count":11,"publisher":"Akademiai Kiado Zrt.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2007,4,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> Sz\u00e1mos rosszindulat\u00fa megbeteged\u00e9s okozhat gyomor\u00fcr\u00fcl\u00e9si akad\u00e1lyt. A m\u0171t\u00e9ti gastro-enteralis bypass \u2013 amellett, hogy narcosist ig\u00e9nyel \u2013 a gyenge \u00e1ltal\u00e1nos \u00e1llapot\u00fa betegekn\u00e9l nagy kock\u00e1zat\u00fa beavatkoz\u00e1snak sz\u00e1m\u00edt. Az endoscopos \u00f6nt\u00e1gul\u00f3 f\u00e9mstent behelyez\u00e9se kev\u00e9sb\u00e9 invas\u00edv ugyan, de gyakoriak a sz\u00f6v\u0151dm\u00e9nyek. Az ut\u00f3bbi \u00e9vekben egy \u00faj minim\u00e1lisan invas\u00edv technik\u00e1r\u00f3l jelent meg k\u00f6zl\u00e9s, melyben a gastro-enteralis anastomosis k\u00e9sz\u00edt\u00e9s\u00e9hez m\u00e1gneseket haszn\u00e1ltak fel.<\/jats:p>\n        <jats:p>\n          <jats:italic>Anyag \u00e9s m\u00f3dszer:<\/jats:italic> H\u00e1zi sert\u00e9s gyomor-b\u00e9l traktus\u00e1nak felhaszn\u00e1l\u00e1s\u00e1val bioszintetikus modellt k\u00e9sz\u00edtett\u00fcnk. A beavatkoz\u00e1st endoscop \u00e9s r\u00f6ntgen k\u00e9per\u0151s\u00edt\u0151 ellen\u0151rz\u00e9se mellett v\u00e9gezt\u00fck, a r\u00f6ntgen kontraszt fokoz\u00e1s\u00e1ra a modellt fiziol\u00f3gi\u00e1s s\u00f3oldatba helyezt\u00fck. A k\u00e9t, k\u00f6zep\u00e9n lyukkal b\u00edr\u00f3 ritka f\u00f6ldf\u00e9m m\u00e1gnest (remanencia 2500 Gauss, D : 10 mm) vezet\u0151dr\u00f3t \u00e9s duodenumszonda seg\u00edts\u00e9g\u00e9vel helyezt\u00fck be. Az els\u0151 m\u00e1gnest az els\u0151 jejunumkacsba, m\u00edg a m\u00e1sodikat a gyomorba vezett\u00fck, pozicion\u00e1l\u00e1sukhoz az endoscopot haszn\u00e1ltuk. Amikor a m\u00e1gnesek a megfelel\u0151 helyzetbe ker\u00fcltek, a vezet\u0151dr\u00f3tokat elt\u00e1vol\u00edtottuk, \u00e9s a m\u00e1gnesek \u00f6sszetapadtak. A m\u00e1gnesek k\u00f6z\u00f6tti nyom\u00e1s \u2013 \u00e9l\u0151 sz\u00f6veten \u2013 steril gyullad\u00e1shoz vezet, mely adhesiot hoz l\u00e9tre a belek k\u00f6z\u00f6tt, majd 7\u201310 nappal k\u00e9s\u0151bb a necrosis k\u00f6vetkezt\u00e9ben l\u00e9trej\u00f6n az anastomosis.<\/jats:p>\n        <jats:p>\n          <jats:italic>Eredm\u00e9ny:<\/jats:italic> A bioszintetikus modellen \u2013 \u00e9l\u0151 \u00e1llat n\u00e9lk\u00fcl \u2013 begyakorolhat\u00f3 volt az endoscopos m\u00f3dszer. A 10 alkalommal v\u00e9gzett beavatkoz\u00e1s sor\u00e1n a m\u00e1gnesek sikeresen \u00f6sszetapadtak a gyomor \u00e9s a jejunum fal\u00e1n kereszt\u00fcl. Gyakorl\u00e1ssal a beavatkoz\u00e1shoz sz\u00fcks\u00e9ges id\u0151 40 percr\u0151l 20 percre volt cs\u00f6kkenthet\u0151.<\/jats:p>\n        <jats:p>\n          <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A hagyom\u00e1nyos endoscoppal \u00e9s eszk\u00f6z\u00f6kkel kivitelezhet\u0151 beavatkoz\u00e1s \u00e9s \u00e9l\u0151 \u00e1llatokon t\u00f6rt\u00e9nt gyakorl\u00e1st k\u00f6vet\u0151en hasznos megold\u00e1sa lehet a gyomor\u00fcr\u00fcl\u00e9si panaszoknak.<\/jats:p>","DOI":"10.1556\/maseb.60.2007.2.7","type":"journal-article","created":{"date-parts":[[2008,11,1]],"date-time":"2008-11-01T02:03:47Z","timestamp":1225505027000},"page":"99-102","source":"Crossref","is-referenced-by-count":2,"title":["Flexibilis endoscoppal k\u00e9sz\u00edtett gastro-entero anastomosis ritkaf\u00f6ldf\u00e9m m\u00e1gnesek seg\u00edts\u00e9g\u00e9vel sert\u00e9s gyomorb\u00e9l traktus felhaszn\u00e1l\u00e1s\u00e1val k\u00e9sz\u00edtett bioszintetikus modellenr"],"prefix":"10.1556","volume":"60","author":[{"given":"P\u00e9ter","family":"Lukovich","sequence":"first","affiliation":[{"name":"1 I. sz. 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