{"id":26,"date":"2021-08-28T03:36:23","date_gmt":"2021-08-28T00:36:23","guid":{"rendered":"https:\/\/www.huseyinsinan.com\/blog\/?p=26"},"modified":"2021-09-22T21:56:44","modified_gmt":"2021-09-22T18:56:44","slug":"tup-mide-mide-bypass-ve-transit-bipartisyon-ameliyatlarinin-karsilastirilmasi","status":"publish","type":"post","link":"https:\/\/www.huseyinsinan.com\/blog\/2021\/08\/28\/tup-mide-mide-bypass-ve-transit-bipartisyon-ameliyatlarinin-karsilastirilmasi\/","title":{"rendered":"T\u00fcp Mide, Mide Bypass Ve Transit Bipartisyon Ameliyatlar\u0131n\u0131n Kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131"},"content":{"rendered":"\n

Son y\u0131llarda obezite<\/a><\/strong> ve tip 2 \u015feker hastal\u0131\u011f\u0131<\/strong>, en \u00f6nemli halk sa\u011fl\u0131\u011f\u0131 problemi olmu\u015ftur. Bu hastalarda ila\u00e7 tedavileri genellikle memnun edici sonu\u00e7lar almaya yeterli olamamaktad\u0131r. Di\u011fer taraftan da bariyatrik\/metabolik cerrahi<\/strong>, diyabetle birlikte olan ya da diyabetle birlikte olmayan morbid obezitenin kan\u0131tlanm\u0131\u015f en etkili tedavi y\u00f6ntemidir.<\/p>\n\n\n\n

T\u00fcp mide (TM)<\/strong> ameliyat\u0131, midenin diklemesine yar\u0131dan fazlas\u0131n\u0131n al\u0131narak mideye giren g\u0131da miktar\u0131n\u0131n k\u0131s\u0131tlanmas\u0131na y\u00f6nelik mekanizmas\u0131 olan bir ameliyat y\u00f6ntemidir.<\/p>\n\n\n\n

Mide bypass (MB<\/strong>) ameliyat\u0131, midenin k\u00fc\u00e7\u00fck bir kese haline getirilerek ince ba\u011f\u0131rsa\u011f\u0131n orta k\u0131sm\u0131 ile birle\u015ftirilmesiyle karakterize bir ameliyat y\u00f6ntemidir.<\/p>\n\n\n\n

Transit bipartisyon (TB)<\/a><\/strong> ameliyat\u0131, t\u00fcp mide ameliyat\u0131 yap\u0131ld\u0131ktan sonra ince ba\u011f\u0131rsa\u011f\u0131n son k\u0131sm\u0131n\u0131n midenin hemen \u00e7\u0131k\u0131\u015f\u0131na getirilmesi suretiyle buradan baz\u0131 hormonlar\u0131n sal\u0131nmas\u0131 ve v\u00fccutta \u00fcretilen ama kullan\u0131lamayan ins\u00fclinin kullan\u0131labilir hale gelmesini sa\u011flayan ameliyat y\u00f6ntemidir.<\/p>\n\n\n\n

Bu \u00fc\u00e7 ameliyat t\u00fcr\u00fcn\u00fcn sonu\u00e7lar\u0131n\u0131n kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131 bir \u00e7al\u0131\u015fmada elde edilen sonu\u00e7lar \u015f\u00f6yle \u00f6zetlenebilir:<\/p>\n\n\n\n

6 ay ve 12 ay sonraki kilo kayb\u0131 ve v\u00fccut kitle indeksi d\u00fc\u015fmesi<\/u><\/em><\/p>\n\n\n\n

Transit Bipartisyon<\/strong> ameliyat\u0131ndan sonraki de\u011ferler di\u011fer iki ameliyat y\u00f6nteminden sonraki de\u011ferlerden anlaml\u0131 bir \u015fekilde daha iyiydi. Kilo vermenin transit bipartisyondan sonra daha iyi olmas\u0131n\u0131n sebebi sadece k\u0131s\u0131tlay\u0131c\u0131 bir y\u00f6ntem olmas\u0131 ve besin emilim eksikli\u011fi olu\u015fturan bir y\u00f6ntem olmas\u0131 de\u011fildir. Bunlar\u0131n yan\u0131 s\u0131ra, ince ba\u011f\u0131rsa\u011f\u0131n son k\u0131sm\u0131ndan sal\u0131nan hormonlar\u0131n (bu hormonlar inkretinler diye bilinir ve v\u00fccutta \u00fcretilen ama kullan\u0131lamayan ins\u00fclini de kullan\u0131labilir hale gitirirler) hipotalamus denilen beyin b\u00f6lgesinde olu\u015fturdu\u011fu etkiyle doygunluk hissinin ortaya \u00e7\u0131kar\u0131lmas\u0131 olarak ifade edilebilir.<\/p>\n\n\n\n

Yanda\u015f hastal\u0131klar\u0131n iyile\u015fmesi<\/u><\/em><\/p>\n\n\n\n

Tip 2 \u015feker hastal\u0131\u011f\u0131, Transit Bipartisyon ameliyat\u0131ndan 12 ay sonra di\u011fer iki ameliyat\u0131na g\u00f6re olduk\u00e7a daha iyi gerilemi\u015fti (Hastalar\u0131n %97.7 sinde).<\/p>\n\n\n\n

Hipertansiyon, hiperlipidemi, uyku apnesi ve refl\u00fc y\u00f6nlerinden 3 ameliyat y\u00f6ntemi de hastalarda benzer iyilik hali sa\u011flam\u0131\u015ft\u0131.<\/p>\n\n\n\n

Komplikasyonlar ve ameliyat sebebiyle hastaneye yeniden ba\u015fvurma<\/u><\/em><\/p>\n\n\n\n

Ameliyat sonras\u0131 k\u0131sa d\u00f6nemde, mide bypass olanlardan 1\u2019inde, transit bipartisyon olanlar\u0131n 3\u2019\u00fcnde problem olu\u015furken t\u00fcp mide ameliyat\u0131 sonras\u0131nda problem g\u00f6r\u00fclmemi\u015ftir. <\/p>\n\n\n\n

Ameliyat sonras\u0131 uzun d\u00f6nemde, protein kayb\u0131 t\u00fcp mide ameliyat\u0131ndan sonra daha az olmak kayd\u0131yla \u00fc\u00e7 ameliyat y\u00f6nteminde de g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<\/p>\n\n\n\n

Taburcu olduktan sonra ameliyat sebebiyle tekrar hastaneye ba\u015fvurma, \u00fc\u00e7 ameliyat sonras\u0131nda da hemen hemen ayn\u0131 oranda ger\u00e7ekle\u015fmi\u015ftir.<\/p>\n\n\n\n

Beslenme durumu de\u011fi\u015fikli\u011fi<\/u><\/em><\/p>\n\n\n\n

\u00dc\u00e7 ameliyat y\u00f6nteminden sonra da hastalar\u0131n serum protein seviyelerinde d\u00fc\u015fme g\u00f6zlenmi\u015ftir. Bu durum asl\u0131nda \u00fc\u00e7 ameliyat y\u00f6ntemi i\u00e7in de beklenen bir durumdur, \u00e7\u00fcnk\u00fc hastalar istedikleri kadar yemek yiyememektedirler.<\/p>\n\n\n\n

Daha detayl\u0131 bilgiye www.h\u00fcseyinsinan.com<\/a> adresinden ula\u015fabilir, uzmanlar\u0131m\u0131zdan bilgi alabilirsiniz.<\/p>\n\n\n\n

<\/a>Obesity Surgery (2021) 31:1579-1589 <\/p>\n","protected":false},"excerpt":{"rendered":"

Son y\u0131llarda obezite ve tip 2 \u015feker hastal\u0131\u011f\u0131, en \u00f6nemli halk sa\u011fl\u0131\u011f\u0131 problemi olmu\u015ftur. Bu hastalarda ila\u00e7 tedavileri genellikle memnun edici sonu\u00e7lar almaya yeterli olamamaktad\u0131r. … <\/p>\n","protected":false},"author":1,"featured_media":60,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[21,15,17,10,20,19,6],"class_list":["post-26","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bariatrik-cerrahi","tag-ameliyat-karsilastirmasi","tag-bariyatrik-cerrahi","tag-mide-bypass","tag-obezite","tag-tip-2-seker-hastaligi","tag-transit-bipartisyon","tag-tup-mide"],"yoast_head":"\nT\u00fcp Mide, Mide Bypass ve Transit Bipartisyon Ameliyatlar\u0131 Kar\u015f\u0131la\u015ft\u0131rmas\u0131<\/title>\n<meta name=\"description\" content=\"T\u00dcP M\u0130DE, M\u0130DE BYPASS VE TRANS\u0130T B\u0130PART\u0130SYON AMEL\u0130YATLARININ KAR\u015eILA\u015eTIRILMASI, FARKLARI...- Prof. Dr. H\u00fcseyin Sinan Cevapl\u0131yor.\" \/>\n<meta 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