{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-LOKZEJAU/33bc2be8-5a5c-40ff-b4df-15e6cb94fcd8/HTML","dcterms:extent":"28 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-LOKZEJAU/ec23267f-8ef3-4518-b9eb-28dcd90f4e10/PDF","dcterms:extent":"504 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-LOKZEJAU/a54e4d4b-196a-4294-8861-22cb66def35f/TEXT","dcterms:extent":"24 KB"}],"edm:TimeSpan":{"@rdf:about":"1929-2026","edm:begin":{"@xml:lang":"en","#text":"1929"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:DOC-LOKZEJAU","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-a30mfzkp"},{"@xml:lang":"sl","#text":"Zdravniški vestnik"}],"dcterms:issued":"2011","dc:creator":["Adamič, Katja","Štupnik, Tomaž"],"dc:format":[{"@xml:lang":"sl","#text":"številka:10"},{"@xml:lang":"sl","#text":"letnik:80"},{"@xml:lang":"sl","#text":"str. 740-747"}],"dc:identifier":["ISSN:1318-0347","COBISSID:28986585","URN:URN:NBN:SI:doc-LOKZEJAU"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"dc:subject":[{"@xml:lang":"en","#text":"Adverse Effects"},{"@xml:lang":"en","#text":"Balloon Dilatation"},{"@xml:lang":"sl","#text":"Balonska dilatacija"},{"@xml:lang":"en","#text":"Deglutition Disorders"},{"@xml:lang":"en","#text":"Esophageal Achalasia"},{"@xml:lang":"en","#text":"Esophageal Perforation"},{"@xml:lang":"en","#text":"Methods"},{"@xml:lang":"sl","#text":"motnje"},{"@xml:lang":"sl","#text":"požiralnik"},{"@xml:lang":"sl","#text":"Požiralnik, ahalazija"},{"@xml:lang":"sl","#text":"Požiralnik, perforacija"},{"@xml:lang":"sl","#text":"požiranje"},{"@xml:lang":"sl","#text":"Požiranje, motnje"},{"@xml:lang":"en","#text":"Retrospective Studies"},{"@xml:lang":"sl","#text":"Retrospektivne študije"},{"@xml:lang":"en","#text":"Surgery"},{"@xml:lang":"en","#text":"Surgery, Laparoscopic"},{"@xml:lang":"en","#text":"Therapy"},{"@xml:lang":"en","#text":"Treatment Outcome"},{"@xml:lang":"sl","#text":"zdravljenje"},{"@xml:lang":"sl","#text":"Zdravljenje, izid"}],"dcterms:temporal":{"@rdf:resource":"1929-2026"},"dc:title":{"@xml:lang":"sl","#text":"Ahalazija požiralnika| Esophageal achalasia| retrospective analysis of treatment during 2000-2010| retrospektivna analiza zdravljenja v letih 2000-2010|"},"dc:description":{"@xml:lang":"sl","#text":"Background: Esophageal achalasia (EA) is a primary esophageal motility disorder of unclear aetiology. Standard treatments of EA are: pneumatic balloon dilation (PBD) of the lower esophageal sphyncter (LES) and surgical cleaving of the muscle by Heller myotomy. Although the treatment effectively cures dysphagia, the symptoms recur in about a half of the patients. Our pointof interest was long-term effectiveness of EA treatment at our department. Methods: We made a retrospective analysis of EA patients treated at our department of thoracic surgery during the 2000-2010 period. Results: In11 years we performed 187 PBD and 22 laparoscopic myotomies (LM) in 148 patients. Three years after the procedure 65 % of patients after PBD and 90 % of patients after LM showed no signs of disease. The risk of recurrence was 3.56-times greater (p = 0.03) after PBD (in comparison to LM), whereas patients older than 50 years bear 0.51-times lower risk (p = 0.02). The most significant complicatios were esophageal perforation in 3 patients (1.6 %) after PBD and gastroesophageal reflux in 3 patients (15 %) after LM. Conclusions: PBD is a fast, simple, inexpensive and very efficient method of EA treatment, which can be safely performed in almost every patient. LM is farmore expensive and a more complicated method that is more suitable for younger patients, in whom PBD is less effective"},"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:DOC-LOKZEJAU","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:DOC-LOKZEJAU"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:DOC-LOKZEJAU/ec23267f-8ef3-4518-b9eb-28dcd90f4e10/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:DOC-LOKZEJAU/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:DOC-LOKZEJAU"}}}}