{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T05:07:12Z","timestamp":1737436032014,"version":"3.33.0"},"reference-count":36,"publisher":"Akademiai Kiado Zrt.","issue":"32","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,8,1]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s \u00e9s c\u00e9lkit\u0171z\u00e9sek:<\/jats:italic>A portalis hypertensio k\u00f6vetkezt\u00e9ben kialakult v\u00e9konyb\u00e9lelt\u00e9r\u00e9sekr\u0151l kev\u00e9s irodalmi adat ismert. Retrospekt\u00edv, \u00f6sszehasonl\u00edt\u00f3 vizsg\u00e1latukban a szerz\u0151k a kapszul\u00e1s endoszk\u00f3pia diagnosztikus eredm\u00e9nyeit, valamint az \u00e9szlelt elv\u00e1ltoz\u00e1sokat elemezt\u00e9k cirrhosis hepatisban szenved\u0151 betegekben tiszt\u00e1zatlan eredet\u0171 gastrointestinalis v\u00e9rz\u00e9s eset\u00e9n.<jats:italic>Betegek \u00e9s m\u00f3dszer:<\/jats:italic>11 cirrhosis hepatisban \u00e9s portalis hypertensi\u00f3ban szenved\u0151 beteg \u00e9s 22 m\u00e1jbetegs\u00e9gben nem szenved\u0151 kapszul\u00e1s endoszk\u00f3pi\u00e1s vizsg\u00e1lat eredm\u00e9nyeit hasonl\u00edtott\u00e1k \u00f6ssze fels\u0151 panendoszk\u00f3pi\u00e1val \u00e9s kolonoszk\u00f3pi\u00e1val nem tiszt\u00e1zott eredet\u0171 gastrointestinalis v\u00e9rz\u00e9s eset\u00e9n. A filmeket k\u00e9t egym\u00e1st\u00f3l f\u00fcggetlen vizsg\u00e1l\u00f3 \u00e9rt\u00e9kelte. A kapszul\u00e1s endoszk\u00f3pi\u00e1val vizsg\u00e1lt betegeket \u00e1tlagosan 19 (1\u201342) h\u00f3napig k\u00f6vett\u00e9k.<jats:italic>Eredm\u00e9nyek:<\/jats:italic>K\u00e9t centrumban 48 h\u00f3nap alatt 7 f\u00e9rfit \u00e9s 5 n\u0151t vizsg\u00e1ltak, a betegek \u00e1tlag\u00e9letkora 66,2 (\u00b17,6) \u00e9v volt. Az els\u0151 klinikai t\u00fcnet \u00e9szlel\u00e9s\u00e9t\u0151l a vizsg\u00e1latig eltelt id\u0151 \u00e1tlagban 15,7 (\u00b114,9) h\u00f3nap. A betegek ez id\u0151 alatt 2,8 (\u00b11,3) alkalommal ker\u00fcltek k\u00f3rh\u00e1zi felv\u00e9telre; egy beteg eset\u00e9ben \u00e1tlagosan 7,9 vizsg\u00e1lat t\u00f6rt\u00e9nt a kapszul\u00e1s endoszk\u00f3pi\u00e1t megel\u0151z\u0151en. Mind a 11 betegn\u00e9l v\u00e9rz\u00e9sforr\u00e1st diagnosztiz\u00e1ltak kapszul\u00e1s endoszk\u00f3pia sor\u00e1n a v\u00e9konyb\u00e9lben. 7 betegben (63%) k\u00e9t definit\u00edv v\u00e9rz\u00e9sforr\u00e1st \u00e9szleltek. Az \u00f6sszes beteg eset\u00e9ben portalis hypertensi\u00f3val \u00f6sszef\u00fcgg\u0151 elv\u00e1ltoz\u00e1sokat tal\u00e1ltak (8 esetben angiodysplasia, 2 esetben portalis hypertensiv enteropathia \u00e9s 1 esetben b\u00e9lvaricositas igazol\u00f3dott). A k\u00f6vet\u00e9s sor\u00e1n az \u00fajrav\u00e9rz\u00e9sek ar\u00e1nya 27,3%-os volt; a kontrollcsoportban 18,2%-os.<jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>Portalis hypertensi\u00f3ban obsk\u00farus gastrointestinalis v\u00e9rz\u00e9s eset\u00e9n a kapszul\u00e1s endoszk\u00f3pia eredm\u00e9nyes vizsg\u00e1l\u00f3 elj\u00e1r\u00e1s negat\u00edv panendoszk\u00f3pi\u00e1t \u00e9s kolonoszk\u00f3pi\u00e1t k\u00f6vet\u0151en. A v\u00e9konyb\u00e9lv\u00e9rz\u00e9sek h\u00e1tter\u00e9ben leggyakrabban multiplex angiodysplasi\u00e1k \u00e1llnak, \u00e9s gyakoriak a t\u00f6bbsz\u00f6r\u00f6s v\u00e9rz\u00e9sforr\u00e1sok ebben a betegcsoportban.<\/jats:p>","DOI":"10.1556\/oh.2007.28170","type":"journal-article","created":{"date-parts":[[2007,8,14]],"date-time":"2007-08-14T19:14:00Z","timestamp":1187118840000},"page":"1491-1497","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of capsule endoscopy results in patients with portal hypertension and obscure gastrointestinal bleeding"],"prefix":"10.1556","volume":"148","author":[{"given":"M\u00e1rta","family":"Kov\u00e1cs","sequence":"first","affiliation":[{"name":"1 Vaszary Kolos K\u00f3rh\u00e1z II. 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