{"?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-WLKBUMHV/5856fa68-1c1e-4c85-a297-5564e3b5b231/HTML","dcterms:extent":"20 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-WLKBUMHV/a473af0d-fef7-44f5-810a-b913c8d6dc5f/PDF","dcterms:extent":"173 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-WLKBUMHV/35178237-6c5e-4e73-9fe4-40261d2538cc/TEXT","dcterms:extent":"19 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-WLKBUMHV","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-a30mfzkp"},{"@xml:lang":"sl","#text":"Zdravniški vestnik"}],"dcterms:issued":"2006","dc:creator":["Godec Novak, Manca","Skalicky, Marjan"],"dc:format":[{"@xml:lang":"sl","#text":"letnik:75"},{"@xml:lang":"sl","#text":"str. II-27-II-31"},{"@xml:lang":"sl","#text":"številka:supl. 2"}],"dc:identifier":["ISSN:1318-0347","COBISSID:2494527","URN:URN:NBN:SI:doc-WLKBUMHV"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"dc:subject":[{"@xml:lang":"en","#text":"Cholelithiasis"},{"@xml:lang":"en","#text":"Common Bile Duct"},{"@xml:lang":"en","#text":"diagnosis"},{"@xml:lang":"en","#text":"Diagnostika"},{"@xml:lang":"sl","#text":"Dispepsija"},{"@xml:lang":"en","#text":"Dyspepsia"},{"@xml:lang":"en","#text":"endoscopy"},{"@xml:lang":"sl","#text":"endoskopija"},{"@xml:lang":"sl","#text":"Endosonografija"},{"@xml:lang":"en","#text":"Endosonography"},{"@xml:lang":"sl","#text":"Skupni žolčni vod"},{"@xml:lang":"sl","#text":"ultrazvočna diagnostika"},{"@xml:lang":"sl","#text":"Žolčni kamni"}],"dcterms:temporal":{"@rdf:resource":"1929-2026"},"dc:title":{"@xml:lang":"sl","#text":"Uporaba endoskopskega ultrazvoka pri bolnikih z dispepsijo| Usefulness of endoscopic ultrasound in patients with dyspepsia|"},"dc:description":[{"@xml:lang":"sl","#text":"Background. Dyspepsia is a common symptom occuring in 25-40 % of the general population. Treatment of dyspeptic patients is a diagnostic and therapeutic challenge. Endoscopic ultrasound is one of diagnostic methods when treating dyspeptic patients. The purpose of this retrospective analysis was to evaluate the usefulness of endosonography in patients with dyspeptic complaints. Patients and methods. Between June 2003 and May 2005 we performed endoscopic ultrasound in 133 patients. Despite accurate anamnesis, clinical examination, laboratory tests, abdominal ultrasound and upper endoscopy the cause of upper abdominal pain in these patients during the diagnostic procedures could not be established. Results. Pathology in the common bile duct, papilla of Vater, gallblader and pancreas were verified in 93 patients (70 %). The most common diagnosis was choledocholithiasis, in 40 % of patients, followed by cholecystolithiasis, in 13 % of patients. Enlarged papilla of Vater with a normal common bile duct was noticed in 12 % of patients and a widened common bile duct with a diameter larger than 7 mm without any signs of gallstones was found in 3 % of patients. In two patients (1 %) we found a tumour formation in front of papilla of Vater growing outwardly from the bile duct wall. Also in two patients (1 %) we noticed just enlarged lymph nodes in the surroundings without any other pathology. In three patients (1.5 %) we noticed chronic changes of the pancreas that were not described with the previously performed ultrasound. Conclusions. Endoscopic ultrasound proved to be an excellent supplementary diagnostic method for patients with dyspepsia when other tests and examinations do not explain the cause of complaints. The use of this imaging method enables more selective use of invasive and risky examinations"},{"@xml:lang":"sl","#text":"Izhodišča. Dispepsija prizadene od 25-40 % oseb ter je za zdravnika diagnostični in terapevtski izziv. Endoskopski ultrazvok je ena od diagnostičnih metod pri obravnavi bolnikov z dispepsijo. Namen retrospektivne analize je bil oceniti učinkovitost endosonografije pri bolnikih z dispeptičnimi težavami. Bolniki in metode. V obdobju od junija 2003 do maja 2005 smo v naši ustanovi endosonografsko pregledali 133 bolnikov, 93 žensk in 40 moških. Pri bolnikih kljub natančni anamnezi, kliničnemu pregledu, izvidom laboratorijskih preiskav, opravljenim ultrazvokom trebuha in endoskopiji zgornjih prebavil nismo pojasnili vzroka za bolečine v zgornjem delu trebuha. Rezultati. Bolezenske spremembe v skupnem žolčnem vodu, papili Vateri, žolčniku ali trebušni slinavki smo potrdili pri 93 bolnikih (70 %). Najpogosteje smo ugotovili prisotnost žolčnih kamnov v skupnem žolčnem vodu, holedoholitiazo, pri 40 % bolnikov. Med drugimi čestimi vzroki smo ugotovili žolčne kamne v žolčniku pri 13 % bolnikov, povečano papilo Vateri ob normalnem skupnem žolčnem vodu smo ugotovili pri 12 % bolnikov. Med redkejšimi vzroki smo potrdili razširjen skupni žolčni vod s premerom, večjim od 7 mm, brez znakov za žolčne kamne, pri 3 % bolnikov, pri 1 % bolnikov pa smo ugotovili tumorsko spremembo pred papilo Vateri, ki je izraščala iz stene žolčevoda. Pri dveh (1 %) preiskovancih smo ugotovili le povečane bezgavke v okolici brez druge patologije. Pri treh bolnikih (1,5 %) smo ugotovili kronične spremembe trebušne slinavke, ki jih prej nismo potrdili. Zaključki. Endoskopski ultrazvok se je izkazal kot uspešna slikovna diagnostična metoda pri bolnikih z dispepsijo, pri katerih z drugimi preiskavami nismo pojasnili vzroka njihovih težav. Z uporabo te metode se izognemo prenagljenim odločitvam za bolj obremenjujoče in tvegane preiskave"}],"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-WLKBUMHV","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-WLKBUMHV"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-WLKBUMHV/a473af0d-fef7-44f5-810a-b913c8d6dc5f/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-WLKBUMHV/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-WLKBUMHV"}}}}