{"id":716,"date":"2021-10-12T11:20:59","date_gmt":"2021-10-12T11:20:59","guid":{"rendered":"https:\/\/ibrahimkaratas.com\/?page_id=716"},"modified":"2021-10-12T11:20:59","modified_gmt":"2021-10-12T11:20:59","slug":"obezite-cerrahi","status":"publish","type":"page","link":"https:\/\/ibrahimkaratas.com\/de\/obezite-cerrahi\/","title":{"rendered":"Obezite Cerrahi"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row css_animation=&#8220;&#8220; row_type=&#8220;row&#8220; use_row_as_full_screen_section=&#8220;no&#8220; type=&#8220;full_width&#8220; angled_section=&#8220;no&#8220; text_align=&#8220;left&#8220; background_image_as_pattern=&#8220;without_pattern&#8220;][vc_column][qode_elements_holder number_of_columns=&#8220;two_columns&#8220;][qode_elements_holder_item vertical_alignment=&#8220;middle&#8220; horizontal_alignment=&#8220;left&#8220; advanced_animations=&#8220;no&#8220; background_color=&#8220;#fcfbf7&#8243; item_padding=&#8220;10%&#8220;][vc_column_text]<\/p>\n<h2><b>OBEZ\u0130TE ve METABOL\u0130K CERRAH\u0130<\/b><\/h2>\n<p>[vc_separator type=&#8217;transparent&#8216; position=&#8217;center&#8216; color=&#8220; thickness=&#8220; up=&#8217;7&#8242; down=&#8217;7&#8242;]<\/p>\n<p><span style=\"font-weight: 400;\">Metabolik cerrahi i\u015flemleri 65 y\u0131l\u0131 a\u015fk\u0131n s\u00fcredir obezite tedavisinde uygulanan etkili ve ba\u015far\u0131l\u0131 y\u00f6ntemlerdir. O g\u00fcnden bu yana kullan\u0131lan teknikler <\/span><b>giderek ilerlemi\u015f ve g\u00fcn\u00fcm\u00fcze kadar on binlerce insana uygulanm\u0131\u015ft\u0131r.<\/b><span style=\"font-weight: 400;\"> Metabolik cerrahi i\u015flemleri ile a\u011f\u0131rl\u0131k kontrol\u00fcn\u00fcn sa\u011flanmas\u0131na ek olarak <\/span><b>T2DM, HT, dislipidemi ve uyku apnesi gibi obezite ili\u015fkili metabolik sorunlar<\/b><span style=\"font-weight: 400;\"> da b\u00fcy\u00fck \u00f6l\u00e7\u00fcde d\u00fczelmektedir. S\u00f6z konusu <\/span><b>metabolik bozukluklar\u0131n d\u00fczelmesi o kadar h\u0131zl\u0131 ve belirgin olmaktad\u0131r ki<\/b><span style=\"font-weight: 400;\"> bu etkiyi sadece kilo kayb\u0131 ile a\u00e7\u0131klamak m\u00fcmk\u00fcn de\u011fildir. Obez bireylerin i\u015flem sonras\u0131 sadece kilolar\u0131nda de\u011fil <\/span><b>metabolik faaliyetlerinin tamam\u0131nda meydana gelen belirgin d\u00fczelmeler<\/b><span style=\"font-weight: 400;\"> sa\u011flamas\u0131 nedeniyle bariatrik cerrahi yerine \u2018<\/span><b>metabolik cerrahi\u2019<\/b><span style=\"font-weight: 400;\"> tabiri g\u00fcn\u00fcm\u00fczde daha s\u0131k kullan\u0131lmaktad\u0131r. <\/span>[\/vc_column_text][\/qode_elements_holder_item][qode_elements_holder_item cover=&#8220;yes&#8220; advanced_animations=&#8220;no&#8220; background_image=&#8220;803&#8243; custom_class=&#8220;bptop&#8220;][vc_empty_space height=&#8220;300px&#8220;][\/qode_elements_holder_item][\/qode_elements_holder][\/vc_column][\/vc_row][vc_row css_animation=&#8220;&#8220; row_type=&#8220;row&#8220; use_row_as_full_screen_section=&#8220;no&#8220; type=&#8220;full_width&#8220; angled_section=&#8220;no&#8220; text_align=&#8220;left&#8220; background_image_as_pattern=&#8220;without_pattern&#8220; padding_top=&#8220;100&#8243; padding_bottom=&#8220;100&#8243; z_index=&#8220;&#8220; css=&#8220;.vc_custom_1547278080627{background-image: url(https:\/\/ibrahimkaratas.com\/wp-content\/uploads\/2019\/01\/obezite-3.jpg?id=335) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8220;][vc_column][vc_row_inner row_type=&#8220;row&#8220; type=&#8220;grid&#8220; text_align=&#8220;left&#8220; css_animation=&#8220;&#8220; padding_top=&#8220;50&#8243; padding_bottom=&#8220;50&#8243;][vc_column_inner width=&#8220;7\/12&#8243;][\/vc_column_inner][vc_column_inner el_class=&#8220;bshadow&#8220; width=&#8220;5\/12&#8243; css=&#8220;.vc_custom_1546960687145{padding-right: 10% !important;padding-left: 10% !important;background-color: #ffffff !important;}&#8220;][vc_empty_space height=&#8220;30px&#8220;][vc_column_text]<\/p>\n<h4><b>Metabolik cerrahi ile sa\u011flanan avantajlar<\/b><\/h4>\n<p>[vc_separator type=&#8217;transparent&#8216; position=&#8217;center&#8216; color=&#8220; thickness=&#8220; up=&#8217;5&#8242; down=&#8217;5&#8242;]<\/p>\n<p class=\"m_-7203026488267946939gmail-Body\"><span style=\"font-weight: 400;\">Metabolik cerrahi olgular\u0131na ait literat\u00fcrde 20 y\u0131la yakla\u015fan uzun d\u00f6nem takip sonu\u00e7lar\u0131 mevcuttur. Bu sonu\u00e7lara g\u00f6re obezite ile ili\u015fkili neredeyse t\u00fcm komplikasyonlarda belirgin azalma s\u00f6z konusudur. <\/span><b>\u0130sve\u00e7 Obezite \u00c7al\u0131\u015fmas\u0131 (SOS) verilerine g\u00f6re BC cerrahi sonras\u0131 11 y\u0131ll\u0131k takipte t\u00fcm nedenlere ba\u011fl\u0131 \u00f6l\u00fcmlerde %30 azalma sa\u011flanm\u0131\u015ft\u0131r.<\/b><span style=\"font-weight: 400;\"> Metabolik cerrahi ile tedavi olmam\u0131\u015f hastalarda ortaya \u00e7\u0131kabilecek T2DM ve di\u011fer hastal\u0131klar\u0131n tedavisi, hastane yat\u0131\u015flar\u0131, i\u015f g\u00fcc\u00fc kay\u0131plar\u0131 ve erken \u00f6l\u00fcmlerin \u00f6nlenmesi a\u00e7\u0131s\u0131ndan bak\u0131ld\u0131\u011f\u0131nda morbid obez ki\u015filerde metabolik cerrahinin <\/span><b>en etkili \u00e7\u00f6z\u00fcm oldu\u011fu belirtilmektedir.<\/b><\/p>\n<p>[\/vc_column_text][vc_empty_space height=&#8220;45px&#8220;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css_animation=&#8220;&#8220; row_type=&#8220;row&#8220; use_row_as_full_screen_section=&#8220;no&#8220; type=&#8220;full_width&#8220; angled_section=&#8220;no&#8220; text_align=&#8220;left&#8220; background_image_as_pattern=&#8220;without_pattern&#8220; padding_top=&#8220;100&#8243; padding_bottom=&#8220;100&#8243; z_index=&#8220;&#8220; css=&#8220;.vc_custom_1597649287766{background-image: url(https:\/\/ibrahimkaratas.com\/wp-content\/uploads\/2020\/08\/metabolik-uygunluk-kriterleri-photo_wb.jpg?id=807) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8220;][vc_column][vc_row_inner row_type=&#8220;row&#8220; type=&#8220;grid&#8220; text_align=&#8220;left&#8220; css_animation=&#8220;&#8220; padding_top=&#8220;50&#8243; padding_bottom=&#8220;50&#8243;][vc_column_inner el_class=&#8220;bshadow&#8220; width=&#8220;5\/12&#8243; css=&#8220;.vc_custom_1546960687145{padding-right: 10% !important;padding-left: 10% !important;background-color: #ffffff !important;}&#8220;][vc_empty_space height=&#8220;30px&#8220;][vc_column_text]<\/p>\n<h4><b>Metabolik cerrahi i\u00e7in uygunluk kriterleri<\/b><\/h4>\n<p>[vc_separator type=&#8217;transparent&#8216; position=&#8217;center&#8216; color=&#8220; thickness=&#8220; up=&#8217;5&#8242; down=&#8217;5&#8242;]<\/p>\n<p><b>1-)BK\u0130 \u2265 40 kg\/m2 olmas\u0131\u00a0 <\/b><b>( <a href=\"https:\/\/ibrahimkaratas.com\/de\/body-mass-index\/\">Kitle Endeksi Hesapla<\/a> )<\/b><\/p>\n<p><b>\u00a02-). BK\u0130 \u2265 35 kg\/m2 olmas\u0131 durumunda obezite ile ili\u015fkili en az bir ek hastal\u0131k e\u015flik ediyor olmas\u0131 gerekir.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0Bu ili\u015fkili durumlar \u015funlard\u0131r;\u00a0<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> Tip 2 diabetes mellitus<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Hipertansiyon\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Dislipidemi\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Uyku-apne sendromu\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Obezite-hipoventilasyon sendromu\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Pickwick sendromu (uyku-apne sendromu ve obezite-hipoventilasyon sendromunun bir arada olmas\u0131)\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Alkol d\u0131\u015f\u0131 ya\u011fl\u0131 karaci\u011fer hastal\u0131\u011f\u0131 veya \u201cnon-alkolik steatohepatit (NASH)\u201d<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Ps\u00f6dot\u00fcm\u00f6r serebri\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Gastro-\u00f6zofagial refl \u00fc hastal\u0131\u011f\u0131<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Ast\u0131m<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Ven\u00f6z staz hastal\u0131\u011f\u0131\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u0130leri derecede \u00fcriner inkontinans<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> G\u00fcnl\u00fck ya\u015fam\u0131 etkileyen artrit<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8220;45px&#8220;][\/vc_column_inner][vc_column_inner width=&#8220;7\/12&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css_animation=&#8220;&#8220; row_type=&#8220;row&#8220; use_row_as_full_screen_section=&#8220;no&#8220; type=&#8220;full_width&#8220; angled_section=&#8220;no&#8220; text_align=&#8220;left&#8220; background_image_as_pattern=&#8220;without_pattern&#8220; padding_top=&#8220;100&#8243; padding_bottom=&#8220;100&#8243; z_index=&#8220;&#8220; css=&#8220;.vc_custom_1597649947951{background-image: url(https:\/\/ibrahimkaratas.com\/wp-content\/uploads\/2020\/08\/obezite-cerrahi-engel-teskil-eden-durumlar-photo_wb.jpg?id=816) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8220;][vc_column][vc_row_inner row_type=&#8220;row&#8220; type=&#8220;grid&#8220; text_align=&#8220;left&#8220; css_animation=&#8220;&#8220; padding_top=&#8220;50&#8243; padding_bottom=&#8220;50&#8243;][vc_column_inner width=&#8220;7\/12&#8243;][\/vc_column_inner][vc_column_inner el_class=&#8220;bshadow&#8220; width=&#8220;5\/12&#8243; css=&#8220;.vc_custom_1546960687145{padding-right: 10% !important;padding-left: 10% !important;background-color: #ffffff !important;}&#8220;][vc_empty_space height=&#8220;30px&#8220;][vc_column_text]<\/p>\n<h4><b>Metabolik cerrahi i\u00e7in engel te\u015fkil eden durumlar<\/b><\/h4>\n<p>[vc_separator type=&#8217;transparent&#8216; position=&#8217;center&#8216; color=&#8220; thickness=&#8220; up=&#8217;5&#8242; down=&#8217;5&#8242;]<\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">18 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck veya 65 ya\u015f\u0131ndan b\u00fcy\u00fck olmak; ancak ciddi bir komorbiditenin (T2DM, HT gibi) e\u015flik etti\u011fi durumlarda doktorumuz taraf\u0131ndan de\u011ferlendirilmektedir.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tedavi edilmemi\u015f ve obeziteye yol a\u00e7an bir endokrin hastal\u0131\u011f\u0131n bulunmas\u0131 (Cushing, hipotiroidizm, ins\u00fclinoma gibi)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tedavi edilmemi\u015f bir yeme bozuklu\u011funun bulunmas\u0131 (bulimia nervoza gibi)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tedavi edilmemi\u015f major depresyon ya da psikozun bulunmas\u0131\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ciddi koag\u00fclopati varl\u0131\u011f\u0131<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Anestezi almay\u0131 engelleyecek kadar ciddi kardiyak hastal\u0131\u011f\u0131n bulunmas\u0131\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Alkol veya madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Hayat boyu s\u00fcrecek vitamin replasman\u0131 ya da kalori k\u0131s\u0131tlay\u0131c\u0131 diyet gibi beslenme \u00f6nerilerine uyum sa\u011flayamayacak olmak\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Halen gebe olmak veya 12-18 ay i\u00e7inde gebelik plan\u0131 olmas\u0131<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Bilinen kanser hastal\u0131\u011f\u0131n\u0131n olmas\u0131\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u015eiddetli gastro\u00f6zofagiyal refl\u00fc hastal\u0131\u011f\u0131 (G\u00d6RH) (\u00f6zelikle sleeve gastrektomi i\u00e7in)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Portal hipertansiyon<\/span><\/li>\n<li><b><span style=\"font-weight: 400;\">Crohn hastal\u0131\u011f\u0131 olanlarda gastrik bypass cerrahisi<\/span><\/b><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8220;45px&#8220;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css_animation=&#8220;&#8220; row_type=&#8220;row&#8220; use_row_as_full_screen_section=&#8220;no&#8220; type=&#8220;full_width&#8220; angled_section=&#8220;no&#8220; text_align=&#8220;left&#8220; background_image_as_pattern=&#8220;without_pattern&#8220; padding_top=&#8220;100&#8243; padding_bottom=&#8220;100&#8243; z_index=&#8220;&#8220; css=&#8220;.vc_custom_1547278462600{background-image: url(https:\/\/ibrahimkaratas.com\/wp-content\/uploads\/2019\/01\/obezite2.jpg?id=293) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8220;][vc_column][vc_row_inner row_type=&#8220;row&#8220; type=&#8220;grid&#8220; text_align=&#8220;left&#8220; css_animation=&#8220;&#8220; padding_top=&#8220;50&#8243; padding_bottom=&#8220;50&#8243;][vc_column_inner width=&#8220;1\/4&#8243;][\/vc_column_inner][vc_column_inner el_class=&#8220;bshadow&#8220; width=&#8220;1\/2&#8243; css=&#8220;.vc_custom_1546960687145{padding-right: 10% !important;padding-left: 10% !important;background-color: #ffffff !important;}&#8220;][vc_empty_space height=&#8220;30px&#8220;][vc_column_text]<\/p>\n<h4 style=\"text-align: center;\"><b>Avantajlar\u0131<\/b><\/h4>\n<p>[vc_separator type=&#8217;transparent&#8216; position=&#8217;center&#8216; color=&#8220; thickness=&#8220; up=&#8217;5&#8242; down=&#8217;5&#8242;]<\/p>\n<p style=\"text-align: center;\">G\u00fcvenli ve basit uygulamad\u0131r. Restriktif etkinin yan\u0131 s\u0131ra ghrelin gibi oreksijenik hormon d\u00fczeylerini d\u00fc\u015f\u00fcrerek de i\u015ftah\u0131 azaltmaktad\u0131r. Pilor sa\u011flam oldu\u011fu i\u00e7in dumping sendromu olu\u015fmaz. Maln\u00fctrisyon riski d\u00fc\u015f\u00fckt\u00fcr. Cerrahi riski y\u00fcksek s\u00fcper obezlerde veya Crohn hastal\u0131\u011f\u0131 olanlarda tercih edilir. Kilo kayb\u0131: \u0130lk y\u0131l %60-67, 5.y\u0131l %53-65.<\/p>\n<p>[\/vc_column_text][vc_empty_space height=&#8220;45px&#8220;][\/vc_column_inner][vc_column_inner width=&#8220;1\/4&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css_animation=&#8220;&#8220; row_type=&#8220;row&#8220; use_row_as_full_screen_section=&#8220;no&#8220; type=&#8220;full_width&#8220; angled_section=&#8220;no&#8220; text_align=&#8220;left&#8220; background_image_as_pattern=&#8220;without_pattern&#8220;][vc_column][vc_empty_space][vc_row_inner row_type=&#8220;row&#8220; type=&#8220;grid&#8220; text_align=&#8220;left&#8220; css_animation=&#8220;&#8220;][vc_column_inner width=&#8220;1\/4&#8243;][vc_single_image image=&#8220;375&#8243; img_size=&#8220;full&#8220; alignment=&#8220;center&#8220; qode_css_animation=&#8220;&#8220;][vc_separator type=&#8220;transparent&#8220;][vc_column_text]<b>Laparoskopik Ayarlanabilir mide band\u0131\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">FDA onay\u0131 ile ABD\u2019de 2001 den beri k\u0131s\u0131tlay\u0131c\u0131 y\u00f6ntem olarak kullan\u0131lmaktad\u0131r. \u00d6zofago-gastrik bile\u015fkenin 3 cm alt\u0131ndan mide etraf\u0131na \u015fi\u015firilebilir silikon band sar\u0131larak proksimalde 25-30 cm\u2019lik rezervuar olu\u015fturulur. Band\u0131n di\u011fer ucunda cilt al\u0131na yerle\u015ftirilen bir port vard\u0131r. Mide a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n kalibresi serum ile doldurulup bo\u015falt\u0131larak de\u011fi\u015ftirilebilir. Doygunluk hissi ile hastan\u0131n kalori al\u0131m\u0131 1000-1200 kkal azalmaktad\u0131r. <\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8220;1\/4&#8243;][vc_single_image image=&#8220;376&#8243; img_size=&#8220;full&#8220; alignment=&#8220;center&#8220; qode_css_animation=&#8220;&#8220;][vc_separator type=&#8220;transparent&#8220;][vc_column_text]<b>Roux en- Y Gastrik Bypass ( RYGB )<\/b><\/p>\n<p><span style=\"font-weight: 400;\">RYGB\u2019de midenin \u00fcst k\u0131sm\u0131nda kesit olu\u015fturulmakta ve b\u00f6ylece boyutlar\u0131 10 ile 30 ml aras\u0131nda k\u00fc\u00e7\u00fck gastrik kese olu\u015fturulmaktad\u0131r. Bu gastrik kese midenin geri kalan k\u0131sm\u0131n\u0131, duedonumu ve jejunumun k\u00fc\u00e7\u00fck par\u00e7as\u0131n\u0131 bypass etmektedir.\u0130kinci Ulusal Bariatrik Cerrahi (NBSR) raporuna mide bypass\u0131ndan 1 y\u0131l sonra\u00a0 a\u015f\u0131r\u0131 kilo kayb\u0131% 68.7, ameliyattan sonraki 3 y\u0131l i\u00e7inde a\u015f\u0131r\u0131 kilo kayb\u0131 ise % 65,4 olarak belirtilmi\u015ftir. <\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8220;1\/4&#8243;][vc_single_image image=&#8220;377&#8243; img_size=&#8220;full&#8220; alignment=&#8220;center&#8220; qode_css_animation=&#8220;&#8220;][vc_separator type=&#8220;transparent&#8220;][vc_column_text]<strong>Mini gastrik bypass<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Mini gastrik bypass (MGB) baz\u0131 merkezlerde son y\u0131llarda giderek artan s\u0131kl\u0131kta kullan\u0131lmakta olan bir prosed\u00fcrd\u00fcr. Mini gastrik bypass daha az anastomoz i\u00e7ermesi, anostomozun uzun mide po\u015funun distaline yap\u0131lmas\u0131 nedeniyle en kolay teknik olmas\u0131na ra\u011fmen deneyimli merkezlerde e\u011fitimli cerrahlar taraf\u0131ndan yap\u0131lmas\u0131 \u00f6nerilir. K\u0131s\u0131tlanan mide hacmi \u00f6\u011f\u00fcnlerin miktar\u0131n\u0131 azalt\u0131r, uygulamas\u0131 ve \u00f6\u011frenmesi kolay bir tekniktir. <\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8220;1\/4&#8243;][vc_single_image image=&#8220;378&#8243; img_size=&#8220;full&#8220; alignment=&#8220;center&#8220; qode_css_animation=&#8220;&#8220;][vc_separator type=&#8220;transparent&#8220;][vc_column_text]<b>Biliopankreatik diversiyon \u00b1 duedonal switch<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Biliopankreatik diversiyon (BPD), duedonal switch (DS) ile birlikte veya tek ba\u015f\u0131na yap\u0131labilir. Biliopankreatik diversiyonda distal mide rezeksiyonu ile birlikte uzun enterik bacakl\u0131 gastroileostomi ve k\u0131sa ortak kanal olu\u015fturulur. Minimum diyet k\u0131s\u0131tlamas\u0131 ile uzun d\u00f6nemde maksimum kilo kayb\u0131 sa\u011flar. T2DM, HT ve dislipidemi iyile\u015fmesinde en etkili tekniktir. <\/span><span style=\"font-weight: 400;\">G\u00d6RSEL<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Doktorumuz taraf\u0131ndan yap\u0131lan muayene ve tetkilerinizin \u0131\u015f\u0131\u011f\u0131nda size en uygun cerrahi i\u015flemi \u00f6\u011frenmek istiyorsan\u0131z bizimle ileti\u015fime ge\u00e7ebilirsiniz<\/span><b>.<\/b>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css_animation=&#8220;&#8220; row_type=&#8220;row&#8220; use_row_as_full_screen_section=&#8220;no&#8220; type=&#8220;full_width&#8220; angled_section=&#8220;no&#8220; text_align=&#8220;left&#8220; background_image_as_pattern=&#8220;without_pattern&#8220;][vc_column][qode_elements_holder number_of_columns=&#8220;two_columns&#8220;][qode_elements_holder_item cover=&#8220;yes&#8220; advanced_animations=&#8220;no&#8220; background_image=&#8220;812&#8243;][vc_empty_space height=&#8220;350px&#8220;][\/qode_elements_holder_item][qode_elements_holder_item vertical_alignment=&#8220;middle&#8220; horizontal_alignment=&#8220;left&#8220; advanced_animations=&#8220;no&#8220; item_padding=&#8220;10% 7%&#8220;][vc_column_text]<\/p>\n<h4>Bize Ula\u015f\u0131n!<\/h4>\n<h2>Randevu Al\u0131n!<\/h2>\n<p>[vc_separator type=&#8217;transparent&#8216; position=&#8217;center&#8216; color=&#8220; thickness=&#8220; up=&#8217;7&#8242; down=&#8217;7&#8242;]<\/p>\n<p>Yeni hayat\u0131n\u0131za ilk ad\u0131m\u0131 at\u0131n, bug\u00fcn randebu al\u0131n![\/vc_column_text][vc_empty_space height=&#8220;25px&#8220;]<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f65-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\" role=\"alert\" aria-live=\"polite\"><\/div>\n<form action=\"\/de\/wp-json\/wp\/v2\/pages\/716#wpcf7-f65-o1\" method=\"post\" class=\"wpcf7-form init cf7_custom_style_3\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"65\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.2.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f65-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><label>  <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ad\u0131n\u0131z\" \/><\/span> <\/label><\/p>\n<p><label>  <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-Mail\" \/><\/span> <\/label><\/p>\n<p><label>  <span class=\"wpcf7-form-control-wrap your-phone\"><input type=\"text\" name=\"your-phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Telefon\" \/><\/span> <\/label><\/p>\n<p><label> <span class=\"wpcf7-form-control-wrap your-message\"><textarea name=\"your-message\" cols=\"40\" rows=\"5\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Mesaj\u0131n\u0131z\"><\/textarea><\/span> <\/label><\/p>\n<p><input type=\"submit\" value=\"G\u00f6nder\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" role=\"alert\" aria-hidden=\"true\"><\/div><\/form><\/div>[\/qode_elements_holder_item][\/qode_elements_holder][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css_animation=&#8220;&#8220; row_type=&#8220;row&#8220; use_row_as_full_screen_section=&#8220;no&#8220; type=&#8220;full_width&#8220; angled_section=&#8220;no&#8220; text_align=&#8220;left&#8220; background_image_as_pattern=&#8220;without_pattern&#8220;][vc_column][qode_elements_holder number_of_columns=&#8220;two_columns&#8220;][qode_elements_holder_item vertical_alignment=&#8220;middle&#8220; horizontal_alignment=&#8220;left&#8220; advanced_animations=&#8220;no&#8220; background_color=&#8220;#fcfbf7&#8243; item_padding=&#8220;10%&#8220;][vc_column_text] OBEZ\u0130TE ve METABOL\u0130K CERRAH\u0130 [vc_separator type=&#8217;transparent&#8216; position=&#8217;center&#8216; color=&#8220; thickness=&#8220; up=&#8217;7&#8242; down=&#8217;7&#8242;] Metabolik cerrahi i\u015flemleri 65 y\u0131l\u0131 a\u015fk\u0131n s\u00fcredir obezite tedavisinde uygulanan etkili ve ba\u015far\u0131l\u0131 y\u00f6ntemlerdir. O g\u00fcnden bu yana kullan\u0131lan teknikler&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full_width.php","meta":{"footnotes":""},"class_list":["post-716","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ibrahimkaratas.com\/de\/wp-json\/wp\/v2\/pages\/716","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ibrahimkaratas.com\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ibrahimkaratas.com\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ibrahimkaratas.com\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ibrahimkaratas.com\/de\/wp-json\/wp\/v2\/comments?post=716"}],"version-history":[{"count":1,"href":"https:\/\/ibrahimkaratas.com\/de\/wp-json\/wp\/v2\/pages\/716\/revisions"}],"predecessor-version":[{"id":978,"href":"https:\/\/ibrahimkaratas.com\/de\/wp-json\/wp\/v2\/pages\/716\/revisions\/978"}],"wp:attachment":[{"href":"https:\/\/ibrahimkaratas.com\/de\/wp-json\/wp\/v2\/media?parent=716"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}