{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T23:29:48Z","timestamp":1648942188843},"reference-count":16,"publisher":"Akademiai Kiado Zrt.","issue":"16","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,4,1]]},"abstract":"<jats:p>Az intraluminalis invaz\u00edv endoszk\u00f3pia fejl\u0151d\u00e9s\u00e9vel a nagy, sessilis polipok, a muscularis mucosa r\u00e9teg\u00e9t nem meghalad\u00f3 malignus tumorok elt\u00e1vol\u00edt\u00e1sa jelent napjainkban kih\u00edv\u00e1st. A kor\u00e1bban ilyen indik\u00e1ci\u00f3val v\u00e9gzett mucosectomi\u00e1k k\u00fcl\u00f6nb\u00f6z\u0151 form\u00e1in\u00e1l neh\u00e9zs\u00e9get okozott a m\u00e9lys\u00e9gi \u00e9s later\u00e1lis reszekci\u00f3s sz\u00e9lek kontrollja, a 20 mm-n\u00e9l nagyobb elv\u00e1ltoz\u00e1sok pedig csak piecemealtechnik\u00e1val voltak elt\u00e1vol\u00edthat\u00f3k. \n <jats:italic>Beteganyag:<\/jats:italic>\n 64 \u00e9ves n\u0151beteg nagy, kor\u00e1bban piecemealtechnik\u00e1val, majd mucosectomi\u00e1val elt\u00e1vol\u00edtott sessilis rectumpolipj\u00e1nak hely\u00e9n \u00e9szlelt recid\u00edv elv\u00e1ltoz\u00e1s elt\u00e1vol\u00edt\u00e1s\u00e1t v\u00e9gezt\u00fck endoszk\u00f3pos submucosus dissecti\u00f3t alkalmazva. \n <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n Az 55 percig tart\u00f3 beavatkoz\u00e1s sor\u00e1n csak minim\u00e1lis v\u00e9rz\u00e9s jelentkezett. A beavatkoz\u00e1s sor\u00e1n sz\u00f6v\u0151dm\u00e9nyt nem \u00e9szlelt\u00fcnk, a beteg egynapos obszerv\u00e1ci\u00f3 ut\u00e1n panaszmentesen t\u00e1vozott. A sz\u00f6vettani vizsg\u00e1lat szerint az elv\u00e1ltoz\u00e1s elt\u00e1vol\u00edt\u00e1sa vertik\u00e1lisan \u00e9s later\u00e1lisan is az \u00e9pben t\u00f6rt\u00e9nt. \n <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n Az endoszk\u00f3pos submucosus dissectio olyan elv\u00e1ltoz\u00e1sok radik\u00e1lis elt\u00e1vol\u00edt\u00e1s\u00e1ra is alkalmas, melyek a kor\u00e1bban alkalmazott technik\u00e1kkal nem voltak sikeresen reszek\u00e1lhat\u00f3k.<\/jats:p>","DOI":"10.1556\/oh.2008.28318","type":"journal-article","created":{"date-parts":[[2008,4,21]],"date-time":"2008-04-21T16:59:31Z","timestamp":1208797171000},"page":"751-754","source":"Crossref","is-referenced-by-count":0,"title":["Removal of sessile recidiv rectal polyp with endoscopic submucosal dissection. 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