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1.

001-es BibID:BIBFORM033468
035-os BibID:(dekdb)bibMOK00739022
Első szerző:Cserni Tamás (gyermeksebész)
Cím:Mindennapi gyermeksebészet / Cserni Tamás, Rákóczy György
Dátum:2012
Megjelenés:Budapest : Melánia Kiadó Kft., 2012
Terjedelem:440 p.
ISBN:978 963 9740 27 3
Tárgyszavak:Orvostudományok Klinikai orvostudományok szakkönyv
mitotikus sejtmag fragmentáció
mictiós cysto-urethrographia
necrotizáló enterocolitis
neuron specific enolase
További szerzők:Rákóczy György
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM019865
Első szerző:Cserni Tamás (gyermeksebész)
Cím:New idea of intestinal lengthening and tailoring / Tamas Cserni, Hajime Takayasu, Zoltan Muzsnay, Gabriella Varga, Fiona Murphy, Semiu Eniola Folaranmi, George Rakoczy
Dátum:2011
ISSN:0179-0358
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
egyetemen (Magyarországon) készült közlemény
Megjelenés:Pediatric Surgery International. - 27 : 9 (2011), p. 1009-1013. -
További szerzők:Takayasu Hajime Muzsnay Zoltán (1968-) (matematikus) Varga Gabriella Murphy, Fiona Folaranmi, Semiu Eniola (1981-) (gyermeksebész) Rákóczy György
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DOI
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3.

001-es BibID:BIBFORM032385
Első szerző:Folaranmi, Semiu Eniola (gyermeksebész)
Cím:Proximal large bowel volvulus in children : 6 new cases and 3 review of the literature / Semiu Eniola Folaranmi, Alex Cho, Farhan Tareen, Antonino Morabito, George Rakoczy, Tamas Cserni
Dátum:2012
ISSN:0022-3468
Megjegyzések:Background: Proximal large bowel volvulus is considered as an extremely rare surgical emergency in children. Approximately 40 cases have been reported, and because of its rarity, the diagnosis is often missed or delayed. The purpose of this study was to review the presentation, treatment, and clinical outcome of proximal large bowel volvulus.Methods: A systematic review and analysis of the data relating to 6 patients from the author's practice and cases published in the English literature from 1965 to 2010 was performed. Detailed information regarding demographics, clinical presentation and methods of diagnosis, surgical procedure, complications, and outcome were recorded.Results: Thirty-six cases of proximal large bowel volvulus were retrieved from the English literature, and 6 cases, from the author's practice. The male-female ratio was 1:1, with a median age of 7 years. There were 29 (69%) cases with neurodevelopmental delay. Clinical presentation included 29 (69%) cases with constipation, 41 (98%) with colicky abdominal pain, 42 (100%) with abdominal distension, and 35 (83%) with vomiting. Plain radiography was specific in 64% (27/42) of cases, barium enema in 100% (15/15), and computed tomography in 100% (2/2). All patients underwent surgery, with resection and primary anastomosis in 24 (57%) cases, stoma formation in 11 (26%), and detorsion of volvulus without resection in 7 (17%) cases. Six patients (14%) died postoperatively. Conclusion: A child with neurodevelopmental delay and a history of constipation presenting with an acute onset of colicky abdominal pain and progressive abdominal distension with vomiting should be suspected of having a cecal and proximal large bowel volvulus.
Tárgyszavak:Orvostudományok Klinikai orvostudományok esettanulmány
large bowel volvulus
cecal volvulus
neurodevelopmental delay
chronic constipation
külföldön készült közlemény
Megjelenés:Journal of Pediatric Surgery. - 47 : 8 (2012), p. 1572-1575. -
További szerzők:Cho, Alex Tareen, Farhan Morabito, Antonino Rákóczy György Cserni Tamás (1967-) (gyermeksebész)
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4.

001-es BibID:BIBFORM031159
Első szerző:Folaranmi, Semiu Eniola (gyermeksebész)
Cím:Ileocaecal valve : how important is it? / S. Folaranmi, G. Rakoczy, J. Bruce, G. Humphrey, J. Bowen, A. Morabito, P. Kapur, J. Morecroft, R. Craigie, T. Cserni
Dátum:2011
ISSN:0179-0358
Megjegyzések:Our aim was to investigate the importance of the ileocaecal valve and its reconstruction in patients that are not suffering from short bowel syndrome and Crohn's disease. METHODS: Casenotes of 99 children with hemicolectomy and 24 children with terminal ileal resection were reviewed and sorted into three groups. Group 1: ileocaecal valve resection (limited hemicolectomy), Group 2: hemicolectomy, Group 3: terminal ileal resection between 10 and 25 cm. Patients with Crohn's, short bowel syndrome and incomplete follow-up were excluded. RESULTS: Chronic diarrhoea was documented in 7/26 cases (27%) in Group 1, 6/23 patients (26%) in Group 2, and none of the 13 patients had diarrhoea in Group 3. Pearson Chi-square test showed significant difference between Group 1 and Group 3 (p = 0.038) and between Group 2 and Group 3 (p = 0.043). But there was no significant difference between Group 1 and Group 2 (p = 0.947). CONCLUSION: Chronic diarrhoea is a significant complication after limited hemicolectomy not only in Crohn's disease and short bowel syndrome. This is likely to originate from the loss of the ileocaecal valve itself rather than the loss of the ileal or colonic segment. Our results justify attempts to reconstruct the ileocaecal valve.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
külföldön készült közlemény
Megjelenés:Pediatric Surgery International. - 27 : 6 (2011), p. 613-615. -
További szerzők:Rákóczy György Bruce, J. Humphrey, Gill Bowen, J. Morabito, A. Kapur, P. Morecroft, J. Craigie, Ross J. Cserni Tamás (1967-) (gyermeksebész)
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5.

001-es BibID:BIBFORM008845
Első szerző:Józsa Tamás (gyermeksebész, urológus)
Cím:Short-term adaptation of rat intestine to ileostomy : implication for pediatric practice / Józsa T., Magyar A., Cserni T., Szentmiklósi J. A., Erdélyi K., Kincses Z., Rákóczy G., Balla G., Roszer T.
Dátum:2009
ISSN:0894-1939
Megjegyzések:Surgical neonates with complex intestinal conditions, such as enterocolitis, midgut volvulus with bowel loss and multiple atresias, often require temporary stomas. Little is known on the postsurgical response of the altered gut segments, although adaptation is an important consideration in neonatal postoperative care, particularly after stoma closure. MATERIALS AND METHODS: Rats underwent bowel resection at a point 15 cm proximal to the ileocecal valve, and a split ileostomy was performed. On the 6th postoperative day the mucosal thickness was calculated with Soft Imaging System Analysis Pro, the rate of proliferation was measured following Ki67 immunohistochemistry and the apoptotic index was determined on sections stained with ApopTag Plus. The intestinal motor activity was recorded on isolated gut segments. Neuronal nitric oxide synthase (nNOS) expression and distribution was examined with NADPH-diaphorase histochemistry and Western blot analysis. RESULTS: An increased wet weight of the mucosa and a pronounced mucosal thickening were observed in the proximal functional bowel segment. Enterocyte proliferation rate was increased significantly, while the apoptotic index remained unchanged in the epithelial layer. The dilation of the gut lumen resulted in a morphological change in the nitrergic myenteric network with an overexpression of nNOS. As a consequence of the surgical procedure, the functional proximal gut segment showed strong and frequent contraction waves, with an enhanced responsiveness to cholinergic stimuli. CONCLUSIONS: The dilated functional bowel segment was characterized by hyperplasic changes in the mucosa and stronger mechanical activity with overproduction of nNOS. Although early restoration of intestinal continuity is recommended, our observations on adaptive changes may partly explain intestinal motility disorders after early stoma closure, suggesting the need for a careful approach to a redo-laparotomy.
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
rat intestine to ileostomy
ileostomy
short bowel syndrome
intestinal adaptation
neonate
gastrointestinal nervous system
egyetemen (Magyarországon) készült közlemény
Megjelenés:Journal of Investigative Surgery. - 22 : 4 (2009), p. 292-300. -
További szerzők:Magyar Ágnes (1979-) (gyermeksebész) Cserni Tamás (1967-) (gyermeksebész) Szentmiklósi József András (1948-) (farmakológus, klinikai laboratóriumi szakorvos) Erdélyi Katalin (1978-) (molekuláris biológus, biokémikus) Kincses Zsolt (1961-) (orvos) Rákóczy György Balla György (1953-) (csecsemő és gyermekgyógyász, neonatológus) Röszer Tamás (1979-) (orvos, biológus)
Internet cím:elektronikus változat
DOI
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6.

001-es BibID:BIBFORM050653
035-os BibID:PMID:23480916
Első szerző:Pataki István (csecsemő és gyermekgyógyász, neonatológus)
Cím:Recycling of bowel content : the importance of the right timing / Istvan Pataki, Judit Szabo, Petra Varga, Andrea Berkes, Andrea Nagy, Fiona Murphy, Antonino Morabito, George Rakoczy, Tamas Cserni
Dátum:2013
ISSN:0022-3468
Megjegyzések:Extracorporeal stool transport (recycling of chyme discharged from the proximal stoma end to the distal end of a high jejunostomy or ileostomy) is thought to be beneficial in preventing malabsoprtion, sodium loss, cholestasis and atrophy of the distal intestine until restoration of the intestinal continuity becomes possible. However little is known about its adverse effects. Our aim was to investigate the microbiological safety of recycling. MATERIAL AND METHOD: Native samples were taken from the proximal stoma in 5 premature neonates who underwent an ileostomy or a jejunostomy due to necrotising enterocolitis, for qualitative culture. The first sample was drawn immediately after the change of the stoma bag, further samples were sent from the stoma bag at 30, 60, 90, 120, 150, and 180min later. The samples were inoculated by calibrated loops onto blood agar (5% sheep blood), eosin-methylene blue agar and anaerobic blood agar, respectively (Oxoid). The aerobic plates were incubated for 18-20 h at 5% CO2, whereas the anaerobic plates were incubated for 24-48 h in an anaerobic chamber (Concept 400). The bacterial strains were identified to species level by specific biochemical reactions, RapID-ANA II system (Oxoid) and ID32E, Rapid ID 32 Strep ATB automatic system cards (bioMérieux). RESULTS: The number of colony forming unit (CFU) of Gram-negative bacteria (mainly E. coli) exponentially increased after 30 min and reached 10(5)/ml after 120 min. Gram-positive strains (primarily E. faecalis) were detected after 60 min and CFU increased to 10(5)/ml after 120 min. The number of anaerobic (principally Bacteroides fragilis) CFU started to increase after 120 min. In two cases coagulase negative Staphylococcus strains were isolated the earliest in the chyme. The average of total CFU approached 10(5)/ml after 90 min and exceeded 10(5)/ml after 120 min. CONCLUSION: The chyme in the stoma bag is colonized by commensal facultative pathogenic enteral/colonic as well as skin flora species after 120 min. Recycling of stoma bag content may be dangerous after 90 min.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Journal of Pediatric Surgery. - 48 : 3 (2013), p. 579-584. -
További szerzők:Szabó Judit (1963-) (szakorvos, klinikai mikrobiológus) Varga Petra (1981-) (orvos) Berkes Andrea (1973-) (csecsemő- és gyermekgyógyász) Nagy Andrea (1958-) (csecsemő és gyermekgyógyász, neonatológus) Murphy, Fiona Morabito, Antonino Rákóczy György Cserni Tamás (1967-) (gyermeksebész)
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