@article{MTMT:34760835, title = {Effects of neoadjuvant chemotherapy vs chemoradiotherapy in the treatment of esophageal adenocarcinoma: A systematic review and meta-analysis}, url = {https://m2.mtmt.hu/api/publication/34760835}, author = {Csontos, A. and Fazekas, A. and Szakó, Lajos and Borbásné Farkas, Kornélia and Papp, C. and Ferenczi, S. and Bellyei, Szabolcs and Hegyi, Péter and Papp, András}, doi = {10.3748/wjg.v30.i11.1621}, journal-iso = {WORLD J LGASTROENTEROL}, journal = {WORLD JOURNAL OF GASTROENTEROLOGY}, volume = {30}, unique-id = {34760835}, issn = {1007-9327}, keywords = {[Meta-analysis]}, year = {2024}, eissn = {2219-2840}, pages = {1621-1635}, orcid-numbers = {Borbásné Farkas, Kornélia/0000-0002-5349-6527; Hegyi, Péter/0000-0003-0399-7259} } @article{MTMT:34506134, title = {A korai, szájon keresztüli táplálás nem jelent veszélyt a felső tápcsatornai műtétek után : Becsült részvételi valószínűség szerinti párosítási tanulmány}, url = {https://m2.mtmt.hu/api/publication/34506134}, author = {Sindler, Dóra Lili and Papp, Csenge and Csontos, Armand and Szakó, Lajos and Vereczkei, András and Halvax, Péter Ákos and Palkovics, András and Papp, András}, doi = {10.1556/650.2024.32936}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {165}, unique-id = {34506134}, issn = {0030-6002}, keywords = {anastomosis; oesophagus; nyelőcső; ERAS; Oral feeding; peroralis táplálás}, year = {2024}, eissn = {1788-6120}, pages = {24-29} } @article{MTMT:34011864, title = {Faster recovery and bowel movement after early oral feeding compared to late oral feeding after upper GI tumor resections: a meta-analysis}, url = {https://m2.mtmt.hu/api/publication/34011864}, author = {Sindler, Dóra Lili and Mátrai, Péter and Szakó, Lajos and Berki, Dávid and Berke, Gergő and Csontos, Armand and Papp, Csenge and Hegyi, Péter and Papp, András}, doi = {10.3389/fsurg.2023.1092303}, journal-iso = {FRONT SURG}, journal = {FRONTIERS IN SURGERY}, volume = {10}, unique-id = {34011864}, keywords = {[Meta-analysis]}, year = {2023}, eissn = {2296-875X}, orcid-numbers = {Hegyi, Péter/0000-0003-0399-7259} } @article{MTMT:33807172, title = {Nyelőcsődaganatok sebészete – Elvárható standardok}, url = {https://m2.mtmt.hu/api/publication/33807172}, author = {Papp, András}, doi = {10.1556/1046.2023.10004}, journal-iso = {MAGYAR SEBÉSZET}, journal = {MAGYAR SEBÉSZET}, volume = {76}, unique-id = {33807172}, issn = {0025-0295}, year = {2023}, eissn = {1789-4301}, pages = {7-13} } @article{MTMT:33754879, title = {Achalasia miatt végzett robotasszisztált laparoszkópos cardiomyotomia és fundoplicatio (Heller–Dor-műtét)}, url = {https://m2.mtmt.hu/api/publication/33754879}, author = {Papp, András and Palkovics, András and Sindler, Dóra Lili and Papp, Csenge and Halvax, Péter Ákos and Czimmer, József and Nagy, Bálint and Vereczkei, András}, doi = {10.1556/650.2023.32748}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {164}, unique-id = {33754879}, issn = {0030-6002}, abstract = {The outcomes of surgical interventions for achalasia treatment improved with the advent of minimally invasive surgery. Robotic-assisted Heller-Dor's (RAHD) procedure established over the last years, provides important advantages to surgeons, such as binocular three-dimensional vision and improvement of fine motor control.Between October and December of 2022, first in Hungary, 3 patients (37-year-old man, 55- and 72-year-old women) underwent RAHD procedure for achalasia at the Clinical Centre of the University of Pécs using the da Vinci Xi system.RAHD procedure was feasible without any particular problems and the postoperative course of all three patients was uneventful. The operation times were 198, 204 and 238 minutes, including 23, 19 and 14 minutes for the setup time of the robot. By the last patient, due to an accompanying hiatal hernia, an additional hiatal reconstruction was also performed. In the first 2 cases, the patients were discharged on the 4th postoperative day, while in the last case, with the additional hiatal reconstruction, the patient was emitted on the 6th postoperative day.There are several published studies about RAHD cardiomyotomy. The general conclusion is that, in experienced hands, RAHD procedure is easy to perform, ensures a meticulous esophageal and gastric myotomy, allowing to visualize and divide each muscle fiber with a significantly lower rate of mucosal perforations. However, by RAHD procedure, the overall costs are higher, including a longer operation time during the learning curve. At the same time, the avoidance of mucosal lacerations and their possible consequences has to be weighed against the higher overall costs.Laparoscopic cardiomyotomy is the first standard upper-gastrointestinal operation where a clear advantage of the use of a surgical robot has been proven. Thus, wherever this equipment is available, it should be preferred for this procedure. Orv Hetil. 2023; 164(14): 542-547.}, keywords = {Heller–Dor cardiomyotomy; Heller–Dor-műtét; RAHD; achalasia cardiae; cardiomyotomia; robotasszisztált műtét; robotic-assisted operation}, year = {2023}, eissn = {1788-6120}, pages = {542-547}, orcid-numbers = {Czimmer, József/0000-0001-7831-3523} } @{MTMT:33719071, title = {A drainek használata}, url = {https://m2.mtmt.hu/api/publication/33719071}, author = {Papp, András}, booktitle = {Littmann Sebészeti műtéttan}, unique-id = {33719071}, year = {2023}, pages = {48-51} } @article{MTMT:33667151, title = {A nyelőcsőpótlás szövődményei}, url = {https://m2.mtmt.hu/api/publication/33667151}, author = {Horváth, Örs Péter and Cseke, László and Papp, András and Pavlovics, Gábor and Vereczkei, András}, doi = {10.1556/650.2023.32715}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {164}, unique-id = {33667151}, issn = {0030-6002}, abstract = {Esophageal cancer is the most common cause of esophageal resections. Esophageal replacement is still a significant challenge for surgeons, because complications can be expected in over 50% and death also occurs between 4-7%. Complications can be divided into early and late categories and into general and specific complications. From a surgical point of view, early and late specific complications are the most important aspects. Between 1993 and 2012, 540 esophageal resections were performed due to malignant tumors at the Department of Surgery, Medical Center of the University of Pécs. Stomach was used for replacement in 445 cases, colon in 38 cases, and jejunum in 57 cases. The anastomosis with stomach replacement was located to the neck in 275 cases and to the thorax in 170 cases. The colon was pulled up to the neck in each case. There were 29 cases of free jejunal replacements located to the neck, and 28 cases with a Roux-loop reconstruction located to the thorax. In the case of gastric replacement, anastomotic insufficiency developed in 55 cases, graft necrosis occurred in 8 cases, and early anastomosis stricture developed in 30 cases. These numbers are 3 conduit necrosis and 2 strictures in cases of colonic replacements. There was one anastomosis failure in the case of a thoracic jejunum replacement. Also one conduit necrosis was observed in the free jejunal neck transplantation group. Among late special complications, dysphagia is the most important, the causes of which were found in the order of frequency: anastomotic stricture, conduit obstruction, peptic and ischemic stricture, foreign body, local recurrence, functional causes, new malignant tumor in the esophageal remnant after resection and malignant tumor emerging in the replaced organ. Causes may overlap each other, and their treatment may be conservative, endoscopic or surgical. Surgical treatment is usually the last option to restore the ability to swallow and can present a significant challenge even to experienced centers. Orv Hetil. 2023; 164(7): 243-252.}, keywords = {COMPLICATIONS; dysphagia; szövődmények; nyelőcsőpótlás; anastomotic insufficiency; anastomosiselégtelenség; replacement of esophagus}, year = {2023}, eissn = {1788-6120}, pages = {243-252} } @article{MTMT:33625186, title = {Dysphagia After Esophageal Replacement and Its Treatment}, url = {https://m2.mtmt.hu/api/publication/33625186}, author = {Horváth, Örs Péter and Pavlovics, Gábor and Cseke, László and Vereczkei, András and Papp, András}, doi = {10.1007/s00455-023-10557-2}, journal-iso = {DYSPHAGIA}, journal = {DYSPHAGIA}, volume = {38}, unique-id = {33625186}, issn = {0179-051X}, abstract = {Dysphagia occurs temporarily or permanently following esophageal replacement in at least half of the cases. Swallowing disorder, in addition to severe decline in the quality of life, can lead to a deterioration of the general condition, which may lead to death if left untreated. For this reason, their early detection and treatment are a matter of importance. Between 1993 and 2012, 540 esophageal resections were performed due to malignant tumors at the Department of Surgery, Medical Center of the University of Pécs. Stomach was used for replacement in 445 cases, colon in 38 cases, and jejunum in 57 cases. The anastomosis with a stomach replacement was located to the neck in 275 cases and to the thorax in 170 cases. The colon was pulled up to the neck in each case. There were 29 cases of free jejunal replacements located to the neck and 28 cases with a Roux loop reconstruction located to the thorax. Based on the literature data and own experience, the following were found to be the causes of dysphagia in the order of frequency: anastomotic stenosis, conduit obstruction, peptic and ischemic stricture, foreign body, local recurrence, functional causes, new malignant tumor in the esophageal remnant, and malignant tumor in the organ used for replacement. Causes may overlap each other, and their treatment may be conservative or surgical. The causes of many dysphagic complications might be prevented by improving the anastomosis technique, by better preservation the blood supply of the substitute organ, by consistently applying a functional approach, and by regular follow-up.}, keywords = {COMPLICATIONS; treatment; dysphagia; Esophageal replacement}, year = {2023}, eissn = {1432-0460}, pages = {1323-1332} } @article{MTMT:33540276, title = {Endoluminal Suture-technique for the Stomach Closure of an Experimental Model}, url = {https://m2.mtmt.hu/api/publication/33540276}, author = {Halvax, Péter Ákos and Németh, Balázs and Kiss, István and Papp, András and Vereczkei, András}, doi = {10.21873/anticanres.16134}, journal-iso = {ANTICANCER RES}, journal = {ANTICANCER RESEARCH}, volume = {43}, unique-id = {33540276}, issn = {0250-7005}, year = {2023}, eissn = {1791-7530}, pages = {59-61}, orcid-numbers = {Németh, Balázs/0000-0002-4914-9872} } @misc{MTMT:33588407, title = {The necessity of pyloric drainage in esophagectomies: protocol of a meta-analysis and a systematic review of randomized controlled trials.}, url = {https://m2.mtmt.hu/api/publication/33588407}, author = {A., Csontos and Németh, Dávid and Szakó, Lajos and G., Berke and L., D. Sindler and Hegyi, Péter and Papp, András}, unique-id = {33588407}, abstract = {Background: Esophageal carcinoma is the 8th most common malignant tumour in the world with more than 600 000 cases (3.1% of all), while being the 6th most common reason of tumour mortality, causing more than 500 000 deaths (5.5% of all) annually. The 1, 3 and 5 year-prevalence are 2.4%, 1.6% and 1.3% respectively. The question of this meta-analysis is whether pyloric drainage is preferable over the lack of pyloric drainage during elective esophagectomies in patients suffering from esophageal cancer, regarding mortality, anastomosis leakage, respiratory morbidity, vomiting, gastric emptying time. Methods: We plan to identify randomized controlled trials to investigate the question by performing extensive search in multiple databases. Based on of predefined criteria, two independent authors will perform the steps of selection, after which appropriate statistical analysis will be performed to identify potential significant differences. Cochrane Risk of Bias Tool 2, and GRADE approach will be used to estimate the risk of bias and quality of results. Dissemination plans: We plan to distribute our results in peer-reviewed journal.}, year = {2022}, orcid-numbers = {Hegyi, Péter/0000-0003-0399-7259} }