{"id":4008,"date":"2018-02-15T16:09:56","date_gmt":"2018-02-15T16:09:56","guid":{"rendered":"https:\/\/www.cgs-cls.cz\/?page_id=4008"},"modified":"2019-05-09T21:16:36","modified_gmt":"2019-05-09T21:16:36","slug":"atroficka-gastritidaintestinalni-metaplazie","status":"publish","type":"page","link":"https:\/\/www.cgs-cls.cz\/dispenzarni-gastroskopie\/atroficka-gastritidaintestinalni-metaplazie\/","title":{"rendered":"Atrofick\u00e1 gastritida\/intestin\u00e1ln\u00ed metapl\u00e1zie"},"content":{"rendered":"
\n
\n
\n\n\n\n\n\n\n\n\n\n
atrofick\u00e1 gastritida\/intestin\u00e1ln\u00ed metapl\u00e1zie<\/th>\nkontrola v intervalu<\/th>\n<\/tr>\n
bez dyspl\u00e1zie<\/td>\nm\u00edrn\u00e1 nebo st\u0159edn\u011b t\u011b\u017ek\u00e1 atrofie limitovan\u00e1 na antrum
\n<\/strong>bez intestin\u00e1ln\u00ed metapl\u00e1zie<\/td>\n		nen\u00ed indikov\u00e1na<\/strong><\/td>\n<\/tr>\n
intestin\u00e1ln\u00ed metapl\u00e1zie limitovan\u00e1 na atrum nebo t\u011blo<\/strong><\/td>\n3 roky1<\/sup><\/strong><\/td>\nnen\u00ed indikov\u00e1na<\/strong><\/td>\n<\/tr>\n
extenzivn\u00ed atrofie nebo intestin\u00e1ln\u00ed metapl\u00e1zie<\/strong>
\n(postihuj\u00edc\u00ed antrum i t\u011blo)<\/td>\n		1-2 roky2<\/sup><\/strong><\/td>\n3 roky<\/strong><\/td>\n<\/tr>\n
s dyspl\u00e1zi\u00ed3<\/sup><\/td>\nn\u00edzk\u00e9ho stupn\u011b<\/td>\n12 m\u011bs\u00edc\u016f<\/strong><\/td>\n<\/tr>\n
vysok\u00e9ho stupn\u011b<\/td>\n6 m\u011bs\u00edc\u016f<\/strong><\/td>\n<\/tr>\n
neuroendokrinn\u00ed tumor 1. typu<\/strong><\/td>\n<\/td>\n\u00e1 12-24 m\u011bs\u00edc\u016f<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<\/div>\n
\n

\n1<\/sup>rodinn\u00e1 anamn\u00e9za karcinomu \u017ealudku, inkompletn\u00ed intestin\u00e1ln\u00ed metapl\u00e1zie, autoimunitn\u00ed gastritida nebo perzistuj\u00edc\u00ed infekce H. pylori
\n2<\/sup>rodinn\u00e1 anamn\u00e9za karcinomu \u017ealudku u p\u0159\u00edbuzn\u00e9ho prvn\u00edho stupn\u011b
\n3<\/sup>vhodn\u00e9 endoskopick\u00e9 p\u0159ehodnocen\u00ed v referen\u010dn\u00edm centru <\/span>
\nZ\u00e1kladem je kvalitn\u00ed vy\u0161et\u0159en\u00ed p\u0159\u00edstrojem s vysok\u00fdm rozli\u0161en\u00edm s mo\u017enost\u00ed elektronick\u00e9ho zv\u00fdrazn\u011bn\u00ed slizni\u010dn\u00edho reli\u00e9fu p\u0159\u00edpadn\u011b (zv\u011bt\u0161ovac\u00ed) <\/span>chromoendoskopie po dobu nejm\u00e9n\u011b 7 minut s dostatkem <\/span>biopsi\u00ed (minim\u00e1ln\u011b 4 separ\u00e1tn\u00ed vzorky: 2x <\/span>antrum, 2x t\u011blo; v\u017edy velk\u00e9 a mal\u00e9 zak\u0159iven\u00ed).<\/span>
\nNutn\u00e1 detekce, staging a p\u0159\u00edpadn\u011b resekce v\u0161ech viditeln\u00fdch l\u00e9z\u00ed.
\nV\u0161ichni pacienti by m\u011bli b\u00fdt testov\u00e1ni na p\u0159\u00edtomnost H. pylori a v p\u0159\u00edpad\u011b pozitivity eradikov\u00e1ni.<\/p>\n

Literatura:
\nPimentel-Nunes P et al. Management of epithelial precancerous conditions and lesions in the stomach (MAPS II): ESGE, EHMSG, ESP and SPED guideline update 2019. Endoscopy 2019;51:365-388.
\nDelle Fave G et al. ENETS Consensus Guidelines Update for Gastroduodenal Neuroendocrine Neoplasms. Neuroendocrinology 2016;103:119\u2013124.
\nZp\u011btn\u00e1 vazba: jiri.cyrany@fnhk.cz<\/a><\/em><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

atrofick\u00e1 gastritida\/intestin\u00e1ln\u00ed metapl\u00e1zie kontrola v intervalu bez dyspl\u00e1zie m\u00edrn\u00e1 nebo st\u0159edn\u011b t\u011b\u017ek\u00e1 atrofie limitovan\u00e1 na antrum bez intestin\u00e1ln\u00ed metapl\u00e1zie nen\u00ed indikov\u00e1na intestin\u00e1ln\u00ed metapl\u00e1zie limitovan\u00e1 na atrum nebo t\u011blo 3 roky1 nen\u00ed indikov\u00e1na extenzivn\u00ed atrofie nebo intestin\u00e1ln\u00ed metapl\u00e1zie (postihuj\u00edc\u00ed antrum i t\u011blo) 1-2 roky2 3 roky s dyspl\u00e1zi\u00ed3 n\u00edzk\u00e9ho stupn\u011b 12 m\u011bs\u00edc\u016f vysok\u00e9ho stupn\u011b 6 m\u011bs\u00edc\u016f neuroendokrinn\u00ed […]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":4004,"menu_order":2,"ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4008","page","type-page","status-publish","hentry"],"acf":[],"lang":"cs","translations":{"cs":4008},"pll_sync_post":[],"_links":{"self":[{"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages\/4008","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/users\/1"}],"version-history":[{"count":20,"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages\/4008\/revisions"}],"predecessor-version":[{"id":5344,"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages\/4008\/revisions\/5344"}],"up":[{"embeddable":true,"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages\/4004"}],"wp:attachment":[{"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/media?parent=4008"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}