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Orvosi Hetilap
Authors: Tamás Zágoni, Eszter Daniella Juhász, Ferenc Sipos, and Zsolt Tulassay

Az endoszkópos vizsgálat indikációjának elbírálása és a vizsgálat elvégzése terhességben különösen nehéz feladat, amely tapasztalt vizsgálót kíván.Bár egyrészt helyes a vizsgálatot halasztani a harmadik trimeszter vagy akár a szülés utáni időszakra, mégis bizonyos klinikai helyzetekben (pl.: akut felső tápcsatornai vérzés vagy biliaris pancreatitis esetén) az endoszkópos beavatkozást ugyanúgy azonnal el kell végezni, mint azokban az esetekben, ahol nem várandós betegről van szó.A szakirodalomban viszonylag kevés a fellelhető adat, amire támaszkodhatunk, s ezek az adatok is mind retrospektívek. A helyes döntést az is nehezíti, hogy egy-egy gasztroenterológus valószínűleg legfeljebb évente egy alkalommal kerül hasonló döntési helyzetbe Magyarországon.Nem választhatjuk a védekező álláspontot ezekben az esetekben, fontos, hogy mindig a magzat és az anya érdekeinek figyelembevételével is döntsünk.

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Irodalomjegyzék 1. Talukdar R , Clemens M , Vege SS : Moderately severe acute pancreatitis: prospective validation of this new subgroup of acute

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The morphology of canine platelets (changes in size, shape, staining characteristics, degree of activation and clump formation, distribution of granules, appearance of vacuoles on Giemsa-stained smears) was investigated in 20 healthy control and 181 diseased dogs. In the group of the sick dogs 84 animals suffered from disorders affecting directly the haematological parameters or the haematopoietic organs such as bleeding, thymic haemorrhage, haemolytic disorders, lymphoma, immune-mediated thrombocytopenia, and other 97 dogs were affected by other diseases (hepatopathy, nephropathy, hepatic, splenic or intestinal neoplasm, skin diseases, diabetes mellitus, Cushing'ssyndrome, sepsis). The alterations found in platelet morphology were not specific for any disorder. The most common platelet abnormalities were polychromasia and the presence of giant platelets. These changes occurred in a high number in disorders accompanied by bleeding or haemolysis. Anisocytosis was the most frequent finding in hepatic, splenic or intestinal neoplasms and in certain endocrinopathies. Microcytosis was observed in immune-mediated thrombocytopenia, hepatic neoplasms and endocrine disorders. Extreme platelet activation was common in haemolysis, hepatopathies, neoplastic diseases and sepsis. Vacuolisation was present in thymic haemorrhage, pancreatitis, diabetes mellitus and Cushing's syndrome. A new morphologic phenomenon, i.e. a ring-like formation of granules, was described in the cytoplasm of the platelets both in healthy and diseased animals. In addition, two forms of pathologic granulation were also described for the first time in Giemsa-stained blood smears: the pseudonuclear and the spot-like formation of granules, which were observed especially in disorders affecting the blood cells. The granulation and morphological characteristics of platelets on smears stained by periodic acid-Schiff reaction (PAS) were also studied. Three localisations of granulation were observed, such as peripheral, eccentric and diffuse. The ratio of PAS-positive and -negative platelets was evaluated in several diseases. Our findings support the diagnostic value of platelet evaluation by light microscopy and help clinicians/clinical pathologists to understand why morphologic changes of thrombocytes might be expected in several diseases.

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endoscopic ultrasonography in patients with idiopathic acute pancreatitis. Scand. J. Gastroenterol., 2010, 45 , 375–381. Irisarri R. Diagnostic yield and reliability of endoscopic

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Magyar Sebészet
Authors: László Mészáros, Zita Kajdácsi, Miklós Tóth, Tamás Révai, and Pál Vadász

Ectopic paraesophageal mediastinal parathyreoida denoma, a rare cause of acute pancreatitis World J Surg Oncol 30 2 41 . 4

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Orvosi Hetilap
Authors: Péter Lukovich, András Papp, Péter Fuszek, Tibor Glasz, Hajnalka Győrffy, László Lakatos, and László Harsányi

1024 Altman, H. S., Phillips, G., Bank, S. és mtsa: Pancreatitis associated with duodenal Crohn’s disease. Am. J. Gastroenterol., 1983, 78 , 174

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Parekh, D.: Laparoscopic-assisted pancreatic necrosectomy. A new surgical option for treatment of severe necrotizing pancreatitis. Arch. Surg., 2006, 141 , 895–903. Parekh D

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Acta Veterinaria Hungarica
Authors: Ján Varga, Pavel Staško, Štefan Tóth, Zuzana Pristášová, Zuzana Jonecová, Jarmila Veselá, and Mikuláš Pomfy

Mole, D. J., Taylor, M. A., McFerran, N. V. and Diamond, T. (2005): The isolated perfused liver response to a ’second hit’ of portal endotoxin during severe acute pancreatitis. Pancreatology 5 , 475

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Magyar Sebészet
Authors: Dezső Kelemen, Róbert Papp, László Cseke, and Örs Péter Horváth

Irodalomjegyzék 1. P Guillemin M Bessot 1957 Chronic calcifying pancreatitis

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2001 Acute pancreatitis with few symptoms and extensive necrosis Orvosi Hetilap 26 1403 1404 . 5. K

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