{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T13:32:55Z","timestamp":1648906375136},"reference-count":27,"publisher":"Akademiai Kiado Zrt.","issue":"49","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,12,1]]},"abstract":"<jats:p>Az endoszk\u00f3pos kett\u0151s papillotomia m\u00e1r \u00e9vekkel ezel\u0151tt elfoglalta a seb\u00e9szi transduodenalis papillaplasztika hely\u00e9t a papilla betegs\u00e9geiben \u00e9s kr\u00f3nikus pancreatitisben. A pseudocyst\u00e1k endoszk\u00f3pos sz\u00e1jaztat\u00e1sa is helyettes\u00edtheti a kor\u00e1bban egyeduralkod\u00f3 seb\u00e9szi m\u00f3dszereket m\u00e9g az akut pancreatitis nekrotiz\u00e1l\u00f3 form\u00e1iban kialakul\u00f3 \u201ewalled of necrosis\u201d eset\u00e9ben is, ak\u00e1r fert\u0151z\u00f6tt, ak\u00e1r steril folyad\u00e9kgy\u00fclemr\u0151l van sz\u00f3. Kr\u00f3nikus pancreatitisben az endoter\u00e1pia els\u0151 beavatkoz\u00e1sk\u00e9nt aj\u00e1nlott a gyakran jobb k\u00e9s\u0151i f\u00e1jdalommentess\u00e9get eredm\u00e9nyez\u0151 seb\u00e9szi elj\u00e1r\u00e1sok el\u0151tt. A\u00a0k\u0151t\u00f6r\u00e9s, k\u0151old\u00e1s vagy -extrakci\u00f3 \u00e9s a t\u00f6bbsz\u00f6r\u00f6s pancreasstentek, lehet\u0151leg agressz\u00edv ballonos t\u00e1g\u00edt\u00e1s n\u00e9lk\u00fcl, fokozatosan kalibr\u00e1lj\u00e1k a domin\u00e1ns vezet\u00e9k sz\u0171k\u00fclet\u00e9t bereped\u00e9s, ischaemia \u00e9s oldal\u00e1gi obstrukci\u00f3 n\u00e9lk\u00fcl. A recid\u00edvamentes peri\u00f3dus megny\u00falik (stent n\u00e9lk\u00fcl is) az alkoholfogyaszt\u00e1s \u00e9s a doh\u00e1nyz\u00e1s teljes elhagy\u00e1sa eset\u00e9n. J\u00f3l kontroll\u00e1lt, randomiz\u00e1lt vizsg\u00e1lat sz\u00fcks\u00e9ges a t\u00f6bbsz\u00f6r\u00f6s pancreasstentek klinikai el\u0151ny\u00e9nek bizony\u00edt\u00e1s\u00e1ra a seb\u00e9szi technik\u00e1kkal szemben.<\/jats:p>","DOI":"10.1556\/oh.2008.28483","type":"journal-article","created":{"date-parts":[[2008,11,30]],"date-time":"2008-11-30T02:02:20Z","timestamp":1228010540000},"page":"2325-2328","source":"Crossref","is-referenced-by-count":0,"title":["Invasive endoscopy or surgery for pancreatic disorders?"],"prefix":"10.1556","volume":"149","author":[{"given":"\u00c1kos","family":"Pap","sequence":"first","affiliation":[{"name":"1 Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Gasztroenterol\u00f3gia\/Endoszk\u00f3pia Budapest R\u00e1th Gy\u00f6rgy u. 7\u20139. 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1159\/000067684","volume":"2","year":"2002","journal-title":"Pancreatology"},{"key":"atypb3","first-page":"1015","volume":"127","year":"2004","journal-title":"Gastroenterology"},{"key":"atypb4","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/01.mpa.0000153613.17643.b3","volume":"30","year":"2005","journal-title":"Pancreas"},{"key":"atypb5","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/0002-9610(91)90375-N","volume":"161","year":"1991","journal-title":"Am. 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