{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T21:26:40Z","timestamp":1648848400550},"reference-count":8,"publisher":"Akademiai Kiado Zrt.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2007,8,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>Vannak olyan sz\u00e9klet-visszatart\u00e1si \u00e9s -ki\u00fcr\u00edt\u00e9si zavarok, melyek sem konzervat\u00edv, sem seb\u00e9szi \u00faton nem kezelhet\u0151k eredm\u00e9nyesen. Ezen esetekben a beteg panaszait a vastagb\u00e9l rendszeres be\u00f6nt\u00e9seivel cs\u00f6kkenteni lehet, pseudocontinenti\u00e1t lehet kialak\u00edtani. A szerz\u0151k k\u00f6zlem\u00e9ny\u00fckben a colon ki\u00fcr\u00edt\u00e9s\u00e9nek egy hat\u00e9kony m\u00f3dj\u00e1t mutatj\u00e1k be. A m\u00f3dszert el\u0151sz\u00f6r Malone alkalmazta 1990-ben. Az elj\u00e1r\u00e1s l\u00e9nyege, hogy az appendicostom\u00e1n, illetve appendix hi\u00e1nya eset\u00e9n a coecumfalb\u00f3l kialak\u00edtott neoappendicostom\u00e1n kereszt\u00fcl anterograd b\u00e9l\u00e1tmos\u00e1st alkalmaznak. A betegek a v\u00e9kony kat\u00e9ter sz\u00e1m\u00e1ra \u00e1tj\u00e1rhat\u00f3 stom\u00e1n kereszt\u00fcl 300\u2013450 ml vizet fecskendeznek a b\u00e9lbe, majd a folyad\u00e9k bead\u00e1sa ut\u00e1n r\u00f6vid id\u0151vel sz\u00e9kletet \u00fcr\u00edtenek. A m\u00f3dszert 12 betegen, 5 n\u0151n \u00e9s 7 f\u00e9rfin alkalmazt\u00e1k (\u00e1tlag\u00e9letkor: 39 \u00e9v). A beavatkoz\u00e1st a k\u00f6vetkez\u0151 okok miatt v\u00e9gezt\u00e9k: 3 betegn\u00e9l a g\u00e1tizomzat denervati\u00f3ja, h\u00e1rom esetben az anus fejl\u0151d\u00e9si zavara, k\u00e9t esetben analis trauma miatt teljes sz\u00e9kletincontinentia alakult ki; 3 betegn\u00e9l a g\u00e1t beidegz\u00e9si zavara incontinentia \u00e9s obstipatio kevered\u00e9s\u00e9t okozta; 2 betegn\u00e9l kezelhetetlen obstipatio, illetve overflow incontinentia volt a panasz. A folyad\u00e9k bead\u00e1sa ut\u00e1n a sz\u00e9k\u00fcr\u00edt\u00e9s minden esetben megindult, azonban a funkcion\u00e1lis eredm\u00e9nyek v\u00e1ltoz\u00f3ak voltak. A 12 beteg k\u00f6z\u00fcl 8 beteg el\u00e9gedett volt az eredm\u00e9nnyel, 2 beteg javul\u00e1sr\u00f3l sz\u00e1molt be, 1 esetben az eredm\u00e9ny rossz volt. Egy m\u00e1sik esetben pedig seb\u00e9szi sz\u00f6v\u0151dm\u00e9ny miatt az appendicostom\u00e1t nem lehetett haszn\u00e1lni. A szerz\u0151k a (neo)appendicostoma m\u00e9rs\u00e9kelt besz\u0171k\u00fcl\u00e9s\u00e9t 2 esetben tapasztalt\u00e1k. Sz\u00e1mottev\u0151 visszacsorg\u00e1s csak 1 esetben jelentkezett. <jats:italic>\u00d6sszes\u00edtve,<\/jats:italic> a m\u00f3dszert megfelel\u0151 betegkiv\u00e1laszt\u00e1s ut\u00e1n sikerrel lehet alkalmazni.<\/jats:p>","DOI":"10.1556\/maseb.60.2007.4.3","type":"journal-article","created":{"date-parts":[[2007,10,19]],"date-time":"2007-10-19T12:59:32Z","timestamp":1192798772000},"page":"210-214","source":"Crossref","is-referenced-by-count":0,"title":["Anterograd vastagb\u00e9l\u00e1tmos\u00e1s az incontinentia \u00e9s az obstipatio kezel\u00e9s\u00e9nek egyik lehet\u0151s\u00e9ger"],"prefix":"10.1556","volume":"60","author":[{"given":"Lest\u00e1r","family":"B\u00e9la","sequence":"first","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, Szent R\u00f3kus K\u00f3rh\u00e1z, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pol\u00e1nyi","family":"Csaba","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, Szent R\u00f3kus K\u00f3rh\u00e1z, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bihari","family":"L\u00e1szl\u00f3","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, Szent R\u00f3kus K\u00f3rh\u00e1z, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garcia","family":"Jose","sequence":"additional","affiliation":[{"name":"2 Seb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Gy\u00f3gyint\u00e9zeti K\u00f6zpont, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V\u00f6r\u00f6s","family":"Attila","sequence":"additional","affiliation":[{"name":"2 Seb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Gy\u00f3gyint\u00e9zeti K\u00f6zpont, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"1490","DOI":"10.1002\/bjs.1800811030","article-title":"Antegrade enemas for the treatment of severe idiopathic constipation.","volume":"81","author":"Hill J","year":"1994","journal-title":"Br J Surg."},{"key":"2","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1002\/bjs.1800810847","article-title":"Caecal flap conduit for antegrade continence enemas.","volume":"81","author":"Kiely E","year":"1994","journal-title":"Br J Surg"},{"key":"3","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1046\/j.1365-2168.1998.00772.x","article-title":"Malone antegrade continence enema for faecal incontinence and constipation in adults.","volume":"85","author":"Krogh K","year":"1998","journal-title":"Br J Surg."},{"key":"4","volume-title":"Funkcion\u00e1lis gastroenterol\u00f3giai k\u00f3rk\u00e9pek","author":"Lest\u00e1r B","year":"1999"},{"key":"5","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1016\/0140-6736(90)92834-5","article-title":"Preliminary report: the antegrade continence enema.","volume":"336","author":"Malone P","year":"1990","journal-title":"Lancet."},{"key":"6","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1046\/j.1365-2168.1998.00733.x","article-title":"Functional results following the antegrade continence enema procedure.","volume":"85","author":"Shankar KR","year":"1998","journal-title":"Br J Surg."},{"key":"7","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1016\/j.gassur.2006.09.006","article-title":"Ileorectal anastomosis for slow transit constipation: long-term functional and quality of life results.","volume":"10","author":"Hassan I","year":"2006","journal-title":"J Gastrointest Surg."},{"key":"8","first-page":"1434","article-title":"Comparison of results of laparoscopic and open antegrade continence enema procedures. Pediatr.","volume":"15","author":"Lynch AC","year":"1999","journal-title":"Surg Int."}],"container-title":["Magyar Seb\u00e9szet"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/60\/4\/article-p210.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akademiai.com\/doi\/pdf\/10.1556\/maseb.60.2007.4.3","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T09:58:00Z","timestamp":1590141480000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/doi\/10.1556\/maseb.60.2007.4.3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,8,1]]},"references-count":8,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.1556\/maseb.60.2007.4.3","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,8,1]]}}}