{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:39:09Z","timestamp":1760121549160},"reference-count":34,"publisher":"Akademiai Kiado Zrt.","issue":"34","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,8,1]]},"abstract":"<jats:p>A bevont f\u00e9mstentek benignus nyel\u0151cs\u0151-stenosisban \u00e9s -perforatioban val\u00f3 alkalmaz\u00e1sa, a stent okozta sz\u00f6veti reakci\u00f3 \u00e9s a stent elt\u00e1vol\u00edt\u00e1s neh\u00e9zs\u00e9gei miatt, kezdeti st\u00e1diumban van. A szerz\u0151k nyel\u0151cs\u0151-perforatioban egy \u00fajabb, bevont f\u00e9mstent ter\u00e1pi\u00e1s hat\u00e1s\u00e1t \u00e9s elt\u00e1vol\u00edt\u00e1s\u00e1ra kidolgozott m\u00f3dszer\u00fck hat\u00e9konys\u00e1g\u00e1t vizsg\u00e1lt\u00e1k 3 beteg kapcs\u00e1n. H\u00e1rom beteg k\u00f6z\u00fcl kett\u0151n\u00e9l corrosiv nyel\u0151cs\u0151stenosis t\u00e1g\u00edt\u00e1sakor perforatio l\u00e9pett fel. Emiatt az egyikn\u00e9l mediastinalis dren\u00e1zs \u00e9s jejunostomia, m\u00e1sikn\u00e1l prim\u00e9r sutura \u00e9s dren\u00e1zs t\u00f6rt\u00e9nt. Ezt k\u00f6vet\u0151en mindkett\u0151ben septicus \u00e1llapot, mediastinitis alakult ki. Ennek h\u00e1tter\u00e9ben egyikn\u00e9l perforatio mellett mediastinalis dr\u00e9n okozta nyel\u0151cs\u0151fistula, a m\u00e1sikn\u00e1l nyel\u0151cs\u0151varrat-el\u00e9gtelens\u00e9g \u00e1llt. A nyel\u0151cs\u0151 fal\u00e1nak defektus\u00e1t 8, illetve 10 nappal a perforatio, m\u0171t\u00e9t ut\u00e1n bevont f\u00e9mstenttel hidalt\u00e1k \u00e1t. A harmadik beteg inoperabilis nyel\u0151cs\u0151tumora okozta stenosis\u00e1nak t\u00e1g\u00edt\u00e1sa, stentel\u00e9si k\u00eds\u00e9rlete sor\u00e1n nyel\u0151cs\u0151ruptura l\u00e9pett fel, melyet k\u00e9t \u00f3r\u00e1n bel\u00fcl bevont f\u00e9mstenttel z\u00e1rta. Parenteralis t\u00e1pl\u00e1l\u00e1st, sz\u00e9les spectrum\u00fa antibioticus kezel\u00e9st alkalmaztak. H\u00e1rom nap m\u00falva ellen\u0151rizve mindh\u00e1rom stent t\u00f6lcs\u00e9re t\u00f6k\u00e9letesen z\u00e1rt. Nasogastricus szonda-, majd per os t\u00e1pl\u00e1l\u00e1sra t\u00e9rtek \u00e1t. \u00c1tmeneti mediastinalis dren\u00e1zs ut\u00e1n a stenteket 35, illetve 74 nappal a stentimplantatio ut\u00e1n endoscoposan t\u00e1vol\u00edtott\u00e1k el. Ez id\u0151 alatt a nyel\u0151cs\u0151fal-defectusok, a perforatios ny\u00edl\u00e1sok z\u00e1r\u00f3dtak. A stent fels\u0151 sz\u00e9l\u00e9n\u00e9l jelentkez\u0151 stenosist mindk\u00e9t betegn\u00e9l t\u00e1g\u00edtott\u00e1k. A 3. betegn\u00e9l a tumoros nyel\u0151cs\u0151ruptura korai, v\u00e9gleges stentel\u00e9se ut\u00e1n sz\u00f6v\u0151dm\u00e9ny nem l\u00e9pett fel. Itt dren\u00e1zsra nem volt sz\u00fcks\u00e9g. Nagy nyel\u0151cs\u0151-perforatio \u2013 k\u00eds\u00e9r\u0151 septicus \u00e1llapot, mediastinitis eset\u00e9n is \u2013 sikeresen gy\u00f3gy\u00edthat\u00f3 bevont, elt\u00e1vol\u00edthat\u00f3 f\u00e9mstenttel \u00e9s megfelel\u0151 mediastinalis dren\u00e1zzsal.<\/jats:p>","DOI":"10.1556\/oh.2007.28053","type":"journal-article","created":{"date-parts":[[2007,8,17]],"date-time":"2007-08-17T19:26:16Z","timestamp":1187378776000},"page":"1601-1607","source":"Crossref","is-referenced-by-count":2,"title":["Treatment of large, oesophageal perforations and mediastinitis with a covered, removable metallic endoprosthesis and mediastinal drainage"],"prefix":"10.1556","volume":"148","author":[{"given":"Jen\u0151","family":"Solt","sequence":"first","affiliation":[{"name":"1 Baranya Megyei K\u00f3rh\u00e1z Gasztroenterol\u00f3giai Oszt\u00e1ly P\u00e9cs R\u00e1k\u00f3czi u. 2. 7623"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e9za","family":"Sarl\u00f3s","sequence":"additional","affiliation":[{"name":"2 Baranya Megyei K\u00f3rh\u00e1z Radiol\u00f3giai Oszt\u00e1ly P\u00e9cs"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e9la","family":"Tab\u00e1r","sequence":"additional","affiliation":[{"name":"3 P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Seb\u00e9szeti Klinika P\u00e9cs"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Bertalan","sequence":"additional","affiliation":[{"name":"4 Baranya Megyei K\u00f3rh\u00e1z Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Betegell\u00e1t\u00f3 Oszt\u00e1ly P\u00e9cs"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1148\/radiology.204.2.9240548","volume":"204","year":"1997","journal-title":"Radiology"},{"key":"atypb2","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/S0016-5107(00)70407-X","volume":"51","year":"2000","journal-title":"Gastrointest. 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