Page 38 - Magyar Gasztroenterológiai Társaság 2020. november 6–7. – ONLINE KONGRESSZUS

Előadáskivonatok / Abstracts

without a second toxin test we introduced parenteral Bleeding Registry. Data on history of smoking, alcohol
cyclosporine in 3mg/bwkg dose. Serum drug concentration consumption and comorbidities such as diabetes,
was checked regularly. Bowel movements decreased hypertension, heart and kidney diseases,
rapidly, we were able to discharge this patient in a good cirrhosis,malignancies, previous GIB were collected for all
clinical condition and with improved laboratory parameters participants. In addition we acquired data about
on the 25th day after her admission. There was no any gastroprotective medications (PPIs, H2RA, sucralfates,
complication of cyclosporin during her hospitalisation. antacides) and drugs that increase the risk of GIB for
Conclusion: Guidelines states that immunosuppressants example OAC, DOAC, clopidogrel, steroids, etc.
could be continued in concomitant CDI. Based on expert Results: Of the 100 patients, 48 drank alcohol, 26 smoked.
opinion it is advised to treat CDI before initiating or dose 30 patients had diabetes and 68 suffered from hypertension.
increasing of corticosteroids or biologicals, but data 18 patients had cirrhosis and 31 had malignant disorder. Out
regarding cyclosporine induction was lacking in this situation. of 100 patients 32 had previous episode of GIB. We
Based on our experience we offer to use the same approach examined the heart involvement too and we found that 20
in case of cyclosporine rescue in ASUC complicated with had atrial fibrillation, 23 had IHF, 33 had valve disease and
CDI. 15 patients suffered from heart failure. 27 patients had
chronic kidney failure. 39 patients took gastroprotective
7. A ZENKER DIVERTICULUM ELLÁTÁSI LEHETŐSÉGEI medicine, while 57 patients used drugs that increased the
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Benke M. , Répássy G. , Bán K. , Baranyai Z. , Balázs Á. , risk of GIB.
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Vass T. , Szijártó A. Conclusion: Here we demonstrated that accurate data is
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1. Semmelweis Egyetem, I. sz. Sebészeti Klinika; 2. collected in our registry. In future analysis we will use this
Semmelweis Egyetem, Fül-Orr-Gégészeti és Fej- data to determine the role of different risk factors for the
Nyaksebészeti Klinika outcomes and severity of GIB.

Bevezetés: A Zenker diverticulum felső nyelőcső sphincter 9. QUALITY INDICATORS AND RESULTS OF
működési zavara kapcsán kialakult nyálkahártya és COLONOSCOPY EXAMINATIONS IN THE FIRST YEAR
submucosa előboltosulás a Killian háromszög területén. OF HUNGARIAN POPULATION-BASED COLORECTAL
Ritka betegség, prevalenciája 0,01-0,11% közé tehető. CANCER SCREENING PROGRAM – A NATIONWIDE
Ellátására számos módszert kidolgoztak, de jelenleg COHORT STUDY
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egyértelműen ajánlható „legjobb” módszer nem létezik. Bor R. , Fábián A. , Vasas B. , Tóth T. , Szántó K. , Farkas
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Célkitűzések: A szerzők célja egy speciális eset kapcsán K. , Molnár T. , Kardos V. , Rutka M. , Milassin A. , Bálint
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bemutatni a Zenker diverticulum ellátásának lehetőségeit, A. , Szepes Z.
átbeszélni a különböző terápiás metódusok közötti választás 1. First Department of Medicine, University of Szeged; 2.
szempontjait. Department of Pathology, University of Szeged
Esetismertetés: A 82 éves férfibetegnek évek óta fennálló
nyelési panaszai hátterében egy nagy méretű, Introduction: Hungarian population-based colorectal cancer
mediastinumba terjedő, táplálkozási képtelenséget és (CRC) screening program was launched in 2019 among
rendszeres aspirációk miatt tüdőtályogot okozó Zenker asymptomatic individuals between the ages of 50 and 70 with
diverticulumot találtunk. A magas műtéti kockázatra és a average risk of CRC.
diverticulum méretére tekintettel transoralis stapler Aims: To assess the quality indicators and results of
divericulotomiát végeztünk. A per oralis táplálást a műtét colonoscopies performed during the first year of screening
napján megkezdtük, a beteget második postoperatív napon program.
emittáltuk. Methods: Our non-interventional, observational cohort study
Következtetések: A jelenleg Magyarországon retrospectively analyzed clinical records of screening
leggyakrabban alkalmazott transcervicalis műtét mellett mind colonoscopies which were prospectively collected in the
a flexibilis endoscopos, mind a transoralis rigid eszközös registry of National Public Health Institute.
eljárások jó eredményhez vezetnek. Alacsony morbiditási Results: Total of 6407 colonoscopies were performed during
mutatók és elfogadható recidíva arány eléréséhez the first year of screening program (6318 first and 88 second
elengedhetetlen a megfelelő betegválasztás. Az alkalmazott examination). Cecal intubation rate was 93.48% (range:
módszer kiválasztása gastroenterológusból, sebészből és 88.67-98.21%), from which 67.19% (range: 1.81-98.21%) of
fül-orr-gégészből álló team közös döntése kell, hogy legyen. cases were confirmed by cecal image documentations. The
reasons for incomplete colonoscopies were inadequate
8. RISK FACTORS IN THE GASTROINTESTINAL bowel cleansing (18.60%), anatomical reasons (26.60%),
BLEEDING - ANALYSIS OF 100 GASTROINTESTINAL malignant colonic obstruction (10.60%) and discontinued
BLEEDING CASES FROM A PROSPECTIVE COHORT examination due to patient intolerance (7.60%). 65.88%
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Berki D. , Csontos A. , Firm L. , Vörhendi N. , Vincze A. , (range: 1.31-96.99%) of participants received sedation. The
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Szabó I. , Hegyi P. , Erőss B. , Hágendorn R. result of colonoscopy was non-negative in 84.27% (range:
1. Institute for Translational Medicine, Medical School, 76.92-94.89%) of cases. At least one polyp was found in
University of Pécs, Pécs, Hungary; 2. Division of 64.13% of participants (average 2 polyps, range 2-50)
Gastroenterology, First Department of Medicine, Medical among which the largest polyp was in the left colon in 74.88%
School, University of Pécs, Pécs, Hungary of cases and the polyp size was >1 cm in 39.16% of cases.
Polypectomy has been reported in 3574 cases with 86.98%
Introduction:Gastrointestinal bleeding (GIB) is common histological examination rate. Adenoma detection rate was
cause for hospitalisation in gastroenterology, with a reported 38.80%. CRC was found in 6.82% of participants.
10% hospital mortality. Conclusion: Cecal intubation, polyp and adenoma detection
Aims: Our aims were to examine the connection between the rates of screening colonoscopies are satisfactory according
common risk factors and the gastrointestinal bleeding. to the guideline of ESGE; however, the description of polyp
Methods: From 07/10/2019 to 07/20/2020, 100 patients morphology, polyp retrieval rate and the image
consented to participate in The Hungarian Gastrointestinal documentation are inappropriate yet. Differences between
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36 Central European Journal of Gastroenterology and Hepatology
Volume 6, Supplementum 2 / November 2020