Sel\u00e7uk \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesinde bir hastan\u0131n safra yollar\u0131ndan b\u00fcy\u00fckl\u00fckleri 3 milimetre ile 1,5 santimetre aras\u0131nda de\u011fi\u015fen 100\u2019den fazla safra ta\u015f ameliyats\u0131z olarak ERCP (Endoskopik Retrograd Kolanjiyo-pankreatografi) i\u015flemiyle \u00e7\u0131kar\u0131ld\u0131.<\/p>\n
Daha \u00f6nce safra kesesinden ameliyat olan Muttalip \u00d6rs (40), bir s\u00fcredir kar\u0131n sa\u011f \u00fcst taraf\u0131nda a\u011fr\u0131, ate\u015f, sar\u0131l\u0131k, bulant\u0131, i\u015ftahs\u0131zl\u0131k, beslenememe ve kilo kayb\u0131 \u015fik\u00e2yetleri ile Sel\u00e7uk \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesine ba\u015fvurdu. Hastan\u0131n yap\u0131lan tetkik ve de\u011ferlendirmelerinde karaci\u011fer ve \u00f6zellikle safra yolu testlerinde a\u015f\u0131r\u0131 y\u00fckseklik oldu\u011fu, hem karaci\u011fer i\u00e7inde hem de karaci\u011fer d\u0131\u015f\u0131ndaki safra yollar\u0131ndaki \u00e7ok say\u0131da ta\u015f\u0131n safra yollar\u0131n\u0131 t\u0131kad\u0131\u011f\u0131, hayat\u0131 tehdit edebilen safra yolu enfeksiyonu-kolanjit oldu\u011fu tespit edildi. Bu ta\u015flar\u0131n temizlenmesi amac\u0131yla, hasta anestezi e\u015fli\u011finde uyutularak Sel\u00e7uk \u00dcniversitesi T\u0131p Fak\u00fcltesi Gastroenteroloji ve Hepatoloji Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Do\u00e7. Dr. G\u00f6khan G\u00fcng\u00f6r taraf\u0131ndan ERCP i\u015flemine al\u0131nd\u0131.<\/p>\n
\u201c100\u2019den fazla safra ta\u015f\u0131 ince ba\u011f\u0131rsaklara d\u00fc\u015f\u00fcr\u00fcld\u00fc\u201d<\/p>\n
Konuyla ilgili a\u00e7\u0131klamada bulunan Do\u00e7. Dr. G\u00f6khan G\u00fcng\u00f6r, \u201cYakla\u015f\u0131k 45 dakika s\u00fcren i\u015flemde a\u011f\u0131zdan kameral\u0131 duodenoskop cihaz\u0131 ile girildi, safra yollar\u0131n\u0131n ince ba\u011f\u0131rsaklara a\u00e7\u0131lma yeri bulundu. Bu a\u011f\u0131z sfinkterotomi ad\u0131 verilen bir i\u015flemle kesilerek geni\u015fletildi ve daha sonra safra yollar\u0131n\u0131n i\u00e7i balon ile s\u0131vazlanarak b\u00fcy\u00fckl\u00fckleri 3 mm ile 1,5 cm aras\u0131nda de\u011fi\u015fen 100\u2019den fazla safra ta\u015f\u0131 ince ba\u011f\u0131rsaklara d\u00fc\u015f\u00fcr\u00fcld\u00fc\u201d diye konu\u015ftu.<\/p>\n
\u0130\u015flemi ger\u00e7ekle\u015ftiren Do\u00e7. Dr. G\u00f6khan G\u00fcng\u00f6r, hastan\u0131n safra yollar\u0131 temizlendikten sonra \u015fikayetlerinin g\u00fcnler i\u00e7inde d\u00fczeldi\u011fini, karaci\u011fer testlerinin normale d\u00f6nd\u00fc\u011f\u00fcn\u00fc, genel durumunun iyile\u015ferek, i\u015fine g\u00fcc\u00fcne ba\u015flad\u0131\u011f\u0131n\u0131 belirtti. Ayr\u0131ca rezid\u00fc denilen kal\u0131nt\u0131 ta\u015flar veya bundan sonra olu\u015fabilecek yeni ta\u015flar a\u00e7\u0131s\u0131ndan hastay\u0131 takipte tutacaklar\u0131n\u0131 ve gerekirse tekrar temizleyeceklerini kaydetti.<\/p>\n
100\u2019den fazla ta\u015f tek seansta temizlendi<\/p>\n
ERCP i\u015flemiyle ilgili bilgiler de veren Do\u00e7. Dr. G\u00fcng\u00f6r, bu i\u015flemle safra yolar\u0131ndaki ta\u015f ve \u00e7amurlar\u0131n ameliyats\u0131z temizlenebilece\u011fini, ayr\u0131ca safra yollar\u0131nda t\u0131kanmalara yol a\u00e7an darl\u0131k ve t\u00fcm\u00f6rlere y\u00f6nelik stent tak\u0131larak, safra ak\u0131m\u0131n\u0131n sa\u011flanabilece\u011fini kaydetti. Do\u00e7. Dr. G\u00fcng\u00f6r, ERCP i\u015fleminin \u00fclkemizin ba\u015fka hastanelerinde de yap\u0131labildi\u011fini, bu vak\u2019an\u0131n temel \u00f6zelli\u011finin 100\u2019den fazla ta\u015f\u0131n tek seansta temizlendi\u011fini, bu i\u015flemin kendileri i\u00e7in de enteresan ve farkl\u0131 bir deneyim oldu\u011funu bildirdi.<\/p>\n
Do\u00e7. Dr. G\u00fcng\u00f6r, bu ilgin\u00e7 vak\u2019an\u0131n 21-24 Eyl\u00fcl tarihleri aras\u0131nda \u0130stanbul\u2019 da ger\u00e7ekle\u015ftirilen 2019 D\u00fcnya Gastroenteroloji Kongresinde de Poster sunumu olarak payla\u015f\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6zlerine ekledi.<\/p>\n","protected":false},"excerpt":{"rendered":"
SEL\u00c7UK \u00dcN\u0130VERS\u0130TES\u0130 TIP FAK\u00dcLTES\u0130 GASTROENTEROLOJ\u0130 VE HEPATOLOJ\u0130 B\u0130L\u0130M DALI \u00d6\u011eRET\u0130M \u00dcYES\u0130 DO\u00c7. DR. G\u00d6KHAN G\u00dcNG\u00d6R TARAFINDAN ERCP \u0130\u015eLEM\u0130 SONRASI HASTA MUTTAL\u0130P \u00d6RS’\u00dcN SAFRA YOLLARINDAN B\u00dcY\u00dcKL\u00dcKLER\u0130 3 M\u0130L\u0130METRE \u0130LE 1,5 SANT\u0130METRE ARASINDA DE\u011e\u0130\u015eEN 100\u2019DEN FAZLA SAFRA TA\u015eINI \u00c7IKARDI.<\/p>\n","protected":false},"author":1,"featured_media":207594,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_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},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[32135,9440,3587,2142,9424,5641,38054],"class_list":["post-207593","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-100den","tag-ameliyatsiz","tag-cikarildi","tag-fazla","tag-safra","tag-tas","tag-yollarindan"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/09\/safra-yollarindan-100den-fazla-tas-ameliyatsiz-cikarildi_6412b11.jpg?fit=1000%2C750","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-S0h","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/207593","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=207593"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/207593\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/207594"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=207593"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=207593"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=207593"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}