{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T20:31:24Z","timestamp":1785184284485,"version":"3.55.0"},"reference-count":20,"publisher":"Akademiai Kiado Zrt.","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,3,1]]},"abstract":"<jats:p>A duodenumra lokaliz\u00e1lt Crohn-betegs\u00e9g az \u00f6sszes Crohn-betegs\u00e9g kb. 0,5\u20134%-\u00e1t teszi ki. Leggyakoribb t\u00fcnete a gyomor\u00fcr\u00fcl\u00e9si zavar \u00e9s a jelent\u0151s fogy\u00e1s. Az endoszk\u00f3pos biopszia eredm\u00e9nye gyakran bizonytalan, ami megnehez\u00edti az egy\u00e9b benignus sz\u0171k\u00fcletekt\u0151l val\u00f3 elk\u00fcl\u00f6n\u00edt\u00e9s\u00e9t. A m\u0171t\u00e9tet ig\u00e9nyl\u0151 megbeteged\u00e9s kezel\u00e9se tekintet\u00e9ben a betegs\u00e9ggel foglalkoz\u00f3 eur\u00f3pai konszenzusos nyilatkozat sem ad pontos ir\u00e1nyelveket. \n <jats:italic>Beteganyag:<\/jats:italic>\n Eredm\u00e9nytelen konzervat\u00edv kezel\u00e9s miatt a Semmelweis Egyetem I. Seb\u00e9szeti Klinik\u00e1j\u00e1n 2002\u20132007 k\u00f6z\u00f6tt h\u00e1rom betegn\u00e9l a gyomor\u00fcr\u00fcl\u00e9si panasz megold\u00e1s\u00e1ra m\u0171t\u00e9tre volt sz\u00fcks\u00e9g. Mindegyik betegnek a m\u0171t\u00e9t el\u0151tt jelent\u0151s s\u00falyveszt\u00e9se (13\u201330 kg) volt. K\u00e9t esetben siker\u00fclt a gyulladt b\u00e9lszakasz elt\u00e1vol\u00edt\u00e1sa a duodenum parci\u00e1lis reszekci\u00f3j\u00e1val, \u00e9s az em\u00e9szt\u0151traktus Billroth-II. szerint v\u00e9gzett rekonstrukci\u00f3j\u00e1val, egy esetben a lesz\u00e1ll\u00f3 duodenum \u00e9rintetts\u00e9ge miatt csak bypassm\u0171t\u00e9tre (gastro-jejunostomia) ny\u00edlt lehet\u0151s\u00e9g. \n <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n A betegek a m\u0171t\u00e9t \u00f3ta eltelt 45\/24\/9 h\u00f3nap \u00f3ta panaszmentesek, m\u0171t\u00e9t el\u0151tti s\u00falyukat visszanyert\u00e9k. Sem korai, sem k\u00e9s\u0151i sz\u00f6v\u0151dm\u00e9nyt nem \u00e9szlelt\u00fcnk. \n <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>\n A konzervat\u00edv kezel\u00e9sre tart\u00f3san nem reag\u00e1l\u00f3, sz\u0171k\u00fcletet okoz\u00f3 duodenalis Crohn-betegs\u00e9g m\u0171t\u00e9ti javallatot k\u00e9pez, azonban a fenn\u00e1ll\u00f3 malnutritio a m\u0171t\u00e9t el\u0151tt kezel\u00e9st ig\u00e9nyel. A m\u0171t\u00e9t t\u00edpusa el\u0151re nem tervezhet\u0151, a kell\u0151en el\u0151k\u00e9sz\u00edtett patk\u00f3b\u00e9l-Crohn-beteg gy\u00f3gyhajlama nem rosszabb, mint egy\u00e9b lokaliz\u00e1ci\u00f3j\u00fa sorst\u00e1rsai\u00e9.<\/jats:p>","DOI":"10.1556\/oh.2008.28302","type":"journal-article","created":{"date-parts":[[2008,3,15]],"date-time":"2008-03-15T00:07:06Z","timestamp":1205539626000},"page":"505-508","source":"Crossref","is-referenced-by-count":4,"title":["Crohn\u2019s disease of the duodenum. Clinical signs, diagnosis, conservative and surgical treatment"],"prefix":"10.1556","volume":"149","author":[{"given":"P\u00e9ter","family":"Lukovich","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. Seb\u00e9szeti Klinika Budapest \u00dcll\u0151i \u00fat 78. 1082"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"Papp","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. Seb\u00e9szeti Klinika Budapest \u00dcll\u0151i \u00fat 78. 1082"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Fuszek","sequence":"additional","affiliation":[{"name":"2 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. 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