TY - JOUR AU - Csontos, A. AU - Fazekas, A. AU - Szakó, Lajos AU - Borbásné Farkas, Kornélia AU - Papp, C. AU - Ferenczi, S. AU - Bellyei, Szabolcs AU - Hegyi, Péter AU - Papp, András TI - Effects of neoadjuvant chemotherapy vs chemoradiotherapy in the treatment of esophageal adenocarcinoma: A systematic review and meta-analysis JF - WORLD JOURNAL OF GASTROENTEROLOGY J2 - WORLD J LGASTROENTEROL VL - 30 PY - 2024 IS - 11 SP - 1621 EP - 1635 PG - 15 SN - 1007-9327 DO - 10.3748/wjg.v30.i11.1621 UR - https://m2.mtmt.hu/api/publication/34760835 ID - 34760835 N1 - Export Date: 2 April 2024 CODEN: WJGAF LA - English DB - MTMT ER - TY - JOUR AU - Sindler, Dóra Lili AU - Papp, Csenge AU - Csontos, Armand AU - Szakó, Lajos AU - Vereczkei, András AU - Halvax, Péter Ákos AU - Palkovics, András AU - Papp, András TI - A korai, szájon keresztüli táplálás nem jelent veszélyt a felső tápcsatornai műtétek után : Becsült részvételi valószínűség szerinti párosítási tanulmány JF - ORVOSI HETILAP J2 - ORV HETIL VL - 165 PY - 2024 IS - 1 SP - 24 EP - 29 PG - 6 SN - 0030-6002 DO - 10.1556/650.2024.32936 UR - https://m2.mtmt.hu/api/publication/34506134 ID - 34506134 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Sindler, Dóra Lili AU - Mátrai, Péter AU - Szakó, Lajos AU - Berki, Dávid AU - Berke, Gergő AU - Csontos, Armand AU - Papp, Csenge AU - Hegyi, Péter AU - Papp, András TI - Faster recovery and bowel movement after early oral feeding compared to late oral feeding after upper GI tumor resections: a meta-analysis JF - FRONTIERS IN SURGERY J2 - FRONT SURG VL - 10 PY - 2023 PG - 11 SN - 2296-875X DO - 10.3389/fsurg.2023.1092303 UR - https://m2.mtmt.hu/api/publication/34011864 ID - 34011864 LA - English DB - MTMT ER - TY - JOUR AU - Papp, András TI - Nyelőcsődaganatok sebészete – Elvárható standardok JF - MAGYAR SEBÉSZET J2 - MAGYAR SEBÉSZET VL - 76 PY - 2023 IS - 1 SP - 7 EP - 13 PG - 7 SN - 0025-0295 DO - 10.1556/1046.2023.10004 UR - https://m2.mtmt.hu/api/publication/33807172 ID - 33807172 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Papp, András AU - Palkovics, András AU - Sindler, Dóra Lili AU - Papp, Csenge AU - Halvax, Péter Ákos AU - Czimmer, József AU - Nagy, Bálint AU - Vereczkei, András TI - Achalasia miatt végzett robotasszisztált laparoszkópos cardiomyotomia és fundoplicatio (Heller–Dor-műtét) JF - ORVOSI HETILAP J2 - ORV HETIL VL - 164 PY - 2023 IS - 14 SP - 542 EP - 547 PG - 6 SN - 0030-6002 DO - 10.1556/650.2023.32748 UR - https://m2.mtmt.hu/api/publication/33754879 ID - 33754879 AB - 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. LA - Hungarian DB - MTMT ER - TY - CHAP AU - Papp, András ED - Horváth, Örs Péter ED - Oláh, Attila ED - Szijártó, Attila ED - Vereczkei, András ED - Kiss, János TI - A drainek használata T2 - Littmann Sebészeti műtéttan PB - Medicina Könyvkiadó CY - Budapest SN - 9789632268545 PY - 2023 SP - 48 EP - 51 PG - 4 UR - https://m2.mtmt.hu/api/publication/33719071 ID - 33719071 N1 - 3.4. Fejezet LA - Hungarian DB - MTMT ER - TY - JOUR AU - Horváth, Örs Péter AU - Cseke, László AU - Papp, András AU - Pavlovics, Gábor AU - Vereczkei, András TI - A nyelőcsőpótlás szövődményei JF - ORVOSI HETILAP J2 - ORV HETIL VL - 164 PY - 2023 IS - 7 SP - 243 EP - 252 PG - 10 SN - 0030-6002 DO - 10.1556/650.2023.32715 UR - https://m2.mtmt.hu/api/publication/33667151 ID - 33667151 AB - 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. LA - Hungarian DB - MTMT ER - TY - JOUR AU - Horváth, Örs Péter AU - Pavlovics, Gábor AU - Cseke, László AU - Vereczkei, András AU - Papp, András TI - Dysphagia After Esophageal Replacement and Its Treatment JF - DYSPHAGIA J2 - DYSPHAGIA VL - 38 PY - 2023 IS - 5 SP - 1323 EP - 1332 PG - 10 SN - 0179-051X DO - 10.1007/s00455-023-10557-2 UR - https://m2.mtmt.hu/api/publication/33625186 ID - 33625186 AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Halvax, Péter Ákos AU - Németh, Balázs AU - Kiss, István AU - Papp, András AU - Vereczkei, András TI - Endoluminal Suture-technique for the Stomach Closure of an Experimental Model JF - ANTICANCER RESEARCH J2 - ANTICANCER RES VL - 43 PY - 2023 IS - 1 SP - 59 EP - 61 PG - 3 SN - 0250-7005 DO - 10.21873/anticanres.16134 UR - https://m2.mtmt.hu/api/publication/33540276 ID - 33540276 LA - English DB - MTMT ER - TY - GEN AU - A., Csontos AU - Németh, Dávid AU - Szakó, Lajos AU - G., Berke AU - L., D. Sindler AU - Hegyi, Péter AU - Papp, András TI - The necessity of pyloric drainage in esophagectomies: protocol of a meta-analysis and a systematic review of randomized controlled trials. PY - 2022 UR - https://m2.mtmt.hu/api/publication/33588407 ID - 33588407 AB - 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. LA - English DB - MTMT ER -