{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T11:40:13Z","timestamp":1707738013744},"reference-count":29,"publisher":"Akademiai Kiado Zrt.","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,3,1]]},"abstract":"<jats:p>Az extraoesophagealis varixv\u00e9rz\u00e9s kezel\u00e9s\u00e9re a varixokba adott N-butyl-2-cyanoacrylat (Histoacryl) injekci\u00f3 sz\u00e9les k\u00f6rben elterjedt m\u00f3dszer. Tanulm\u00e1nyukban a szerz\u0151k az \u00e1ltaluk alkalmazott kezel\u00e9si elj\u00e1r\u00e1st ismertetik. Bemutatj\u00e1k eredm\u00e9nyeiket \u00e9s a kezel\u00e9s kapcs\u00e1n \u00e9szlelt sz\u00f6v\u0151dm\u00e9nyeket is.<jats:italic>Betegek \u00e9s m\u00f3dszer:<\/jats:italic>\u00d6sszesen 8 betegben (f\u00e9rfi: n\u0151 = 3:5, \u00e1tlag\u00e9letkor: 65,5 \u00e9v) 11 alkalommal v\u00e9geztek cyanoacrylatos varixkezel\u00e9st. H\u00e9t betegben izol\u00e1lt fundus varix, 1 betegben duodenum varix volt a v\u00e9rz\u00e9sforr\u00e1s. A szubintenz\u00edv r\u00e9szlegen \u00e1polt betegeket korai elekt\u00edv id\u0151z\u00edt\u00e9ssel 1:1 ar\u00e1nyban kevert cyanoacrylat-lipiodol oldattal intravaricealisan kezelt\u00e9k standard endoszk\u00f3pon \u00e1t levezetett injektorral.<jats:italic>Eredm\u00e9nyek:<\/jats:italic>A korai haemostasist minden esetben (11\/11) siker\u00fclt biztos\u00edtani, korai \u00fajrav\u00e9rz\u00e9s nem fordult el\u0151. Egy betegben 3 alkalommal \u00e9szleltek k\u00e9s\u0151i v\u00e9rz\u00e9ski\u00fajul\u00e1st, emiatt megism\u00e9telt kezel\u00e9sekre volt sz\u00fcks\u00e9g. Egy betegben a kezel\u00e9s ut\u00e1ni \u00f3r\u00e1ban tranzitorikus ischaemi\u00e1s attack alakult ki. Egy esetben a kezel\u00e9s alatt az injekci\u00f3s t\u0171 a varixhoz ragadt. V\u00e9rz\u00e9ses mortalit\u00e1s a kezelt betegcsoportban nem volt, de a k\u00f6vet\u00e9s sor\u00e1n 2 beteg halt meg m\u00e1jel\u00e9gtelens\u00e9g miatt.<jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>A cyanoacrylat \u00e9s lipiodol elegy\u00e9nek intravarice\u00e1lis alkalmaz\u00e1sa hat\u00e9kony \u00e9s biztons\u00e1gos m\u00f3dszer az extraoesophagealis varixv\u00e9rz\u00e9s kezel\u00e9s\u00e9ben. A korai elekt\u00edv id\u0151z\u00edt\u00e9s\u0171 kezel\u00e9s a hagyom\u00e1nyos scleroter\u00e1pia eszk\u00f6zt\u00e1r\u00e1val elv\u00e9gezhet\u0151.<\/jats:p>","DOI":"10.1556\/oh.2007.27914","type":"journal-article","created":{"date-parts":[[2007,3,26]],"date-time":"2007-03-26T19:17:41Z","timestamp":1174936661000},"page":"503-508","source":"Crossref","is-referenced-by-count":2,"title":["Cyanoacrylate injection treatment for extraoesophageal variceal bleeding"],"prefix":"10.1556","volume":"148","author":[{"given":"Gyula","family":"P\u00e9csi","sequence":"first","affiliation":[{"name":"1 Petz Alad\u00e1r Megyei Oktat\u00f3 K\u00f3rh\u00e1z I. Belgy\u00f3gy\u00e1szat-Gasztroenterol\u00f3gia Gy\u0151r Vasv\u00e1ri P. u. 2. 9024"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"K\u00e1r\u00e1sz","sequence":"additional","affiliation":[{"name":"1 Petz Alad\u00e1r Megyei Oktat\u00f3 K\u00f3rh\u00e1z I. 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