Emar ve ultrasonda g\u00f6r\u00fclmeyen ta\u015f ve t\u00fcm\u00f6rlerin endoskopik ultrasonografi (EUS) y\u00f6ntemi ile g\u00f6r\u00fclebildi\u011fini belirten Medicana Bursa Hastanesi Gastroenteroloji Uzman\u0131 Dr. Murat Keskin, bunun ise hasta ve doktora erken te\u015fhise b\u00fcy\u00fck katk\u0131 sa\u011flad\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
\u00d6zellikle pankreas t\u00fcm\u00f6rlerinin erken te\u015fhisinde kullan\u0131labilen Endoskopik Ultrasonografi (EUS) hakk\u0131nda bilgi veren Gastroenteroloji Uzman\u0131 Dr. Murat Keskin, \u201cEUS, endoskop ve bunun ucuna yerle\u015ftirilen ultrason cihaz\u0131n\u0131n birle\u015ftirilmesiyle olu\u015fturulan, sindirim sistemi ve \u00e7evre yap\u0131lar\u0131n incelenmesine imk\u00e2n veren ileri teknoloji bir y\u00f6ntemdir. Bu y\u00f6ntemle hem sindirim sistemi kanal\u0131n\u0131 kaplayan yap\u0131lar endoskopik olarak g\u00f6r\u00fcl\u00fcr hem de sindirim sistemine kom\u015fu doku ve organlar ayn\u0131 anda incelenmi\u015f olur. Daha basit bir anlat\u0131mla bir odaya girdi\u011finizi d\u00fc\u015f\u00fcn\u00fcrseniz endoskopi cihaz\u0131 odadaki duvar\u0131 ve \u00fczerindeki malzemeleri g\u00f6sterirken, ucundaki ultrason cihaz\u0131 da duvar\u0131n arkas\u0131n\u0131 g\u00f6rmenizi sa\u011flar. Bu y\u00f6ntemle sadece ses dalgalar\u0131 kullan\u0131l\u0131r. R\u00f6ntgen \u0131\u015f\u0131nlar\u0131 gibi zararl\u0131 olabilecek herhangi bir uygulama yap\u0131lmaz. \u0130\u015flem s\u0131ras\u0131nda biyopsi almak veya kist bo\u015faltmak gibi y\u00f6ntemlerin uygulanmas\u0131 da \u00f6nemli avantajlar\u0131ndand\u0131r\u201d dedi.<\/p>\n
Bu y\u00f6ntemle sindirim sisteminin t\u00fcm katmanlar\u0131, y\u00fcksek frekansl\u0131 ses dalgalar\u0131 sayesinde ayr\u0131nt\u0131l\u0131 olarak g\u00f6r\u00fclebildi\u011fini ifade eden Keskin, \u201cBu sebeple endoskopik olarak \u00fczeri normal doku ile kapl\u0131 yemek borusu, mide ve on iki parmak ba\u011f\u0131rsa\u011f\u0131ndan kaynaklanan iyi veya k\u00f6t\u00fc huylu kitleler (subepitelyal) tespiti ve biyopsi almak m\u00fcmk\u00fcn olabilir. Endoskopik ultrason y\u00f6nteminin kullan\u0131ld\u0131\u011f\u0131 en \u00f6nemli alanlardan biri de pankreas hastal\u0131klar\u0131d\u0131r. Pankreas\u0131n kistleri, t\u00fcm\u00f6rleri bu y\u00f6ntem ile di\u011fer g\u00f6r\u00fcnt\u00fcl\u00fcme y\u00f6ntemlerine (bat\u0131n ultrasonu, tomografi, MR gibi) g\u00f6re daha erken ve daha y\u00fcksek do\u011fruluk oran\u0131 ile saptanabilir ve ayn\u0131 zamanda i\u015flem s\u0131ras\u0131nda biyopsi al\u0131nabilir. Bunlar\u0131n d\u0131\u015f\u0131nda safra kanal\u0131 ta\u015f ve t\u00fcm\u00f6rlerinin saptanmas\u0131, yemek borusu, mide, pankreas kanserlerinin evrelendirilmesi, pankreas kistlerinin bo\u015falt\u0131lmas\u0131, pankreas kanserine ba\u011fl\u0131 a\u011fr\u0131larda \u00e7\u00f6lyak sinir blokaj\u0131 gibi i\u015flemleri de yapmak m\u00fcmk\u00fcnd\u00fcr\u201d diye konu\u015ftu.<\/p>\n
Yakla\u015f\u0131k 30 dakika s\u00fcren i\u015flem s\u0131ras\u0131nda doktorun gerekirse dokulardan biyopsi veya kistik yap\u0131lardan \u00f6rnekleme i\u00e7in materyal alabilece\u011fini ifade eden Keskin, \u201c\u0130\u015flem \u00f6ncesi hastalar\u0131n varsa ila\u00e7 alerjilerini, kronik kalp hastal\u0131klar\u0131n\u0131, akci\u011fer hastal\u0131klar\u0131n\u0131, y\u00fcksek tansiyon, \u015feker hastal\u0131\u011f\u0131 gibi hastal\u0131klar\u0131n\u0131 ilgili doktora bildirmeleri gerekmektedir. Ayn\u0131 zamanda \u00f6zellikle aspirin, coumadin ve yeni ku\u015fak kan suland\u0131r\u0131c\u0131lar\u0131 kullan\u0131l\u0131yorsa mutlaka hekime \u00f6nceden s\u00f6ylenilmeli ve i\u015flemden 5-7 g\u00fcn \u00f6nce bu ila\u00e7lar\u0131n kesilmesi gerekmektedir. Emar (MR) ve ultrasonda g\u00f6r\u00fclmeyen safra yolu ta\u015flar\u0131 ve t\u00fcm\u00f6rleri bu y\u00f6ntemle g\u00f6r\u00fcl\u00fcyor. Hastaya ve doktora erken te\u015fhiste b\u00fcy\u00fck katk\u0131lar sa\u011flar. \u015eu anda T\u00fcrkiye\u2019nin b\u00fcy\u00fck \u015fehirlerinde bu i\u015flem yap\u0131lmaktad\u0131r. Bursa\u2019da ise sadece bizim klini\u011fimizde ger\u00e7ekle\u015ftirilmektedir\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
EMAR VE ULTRASONDA G\u00d6R\u00dcLMEYEN TA\u015e VE T\u00dcM\u00d6RLER\u0130N ENDOSKOP\u0130K ULTRASONOGRAF\u0130 (EUS) Y\u00d6NTEM\u0130 \u0130LE G\u00d6R\u00dcLEB\u0130LD\u0130\u011e\u0130N\u0130 BEL\u0130RTEN MED\u0130CANA BURSA HASTANES\u0130 GASTROENTEROLOJ\u0130 UZMANI DR. MURAT KESK\u0130N, BUNUN \u0130SE HASTA VE DOKTORA ERKEN TE\u015eH\u0130SE B\u00dcY\u00dcK KATKI SA\u011eLADI\u011eINI S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":193691,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[19310,4955,192,5838,48511],"class_list":["post-193690","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-endoskopik","tag-erken","tag-ile","tag-teshis","tag-ultrasonografi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/08\/endoskopik-ultrasonografi-ile-erken-teshis_72be282.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Oo2","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/193690","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=193690"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/193690\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/193691"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=193690"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=193690"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=193690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}