Gastroenterolog Prof. Dr. Yusuf Serdar Sakin, toplumda s\u0131k rastlan\u0131lan bir sorun olan refl\u00fcn\u00fcn art\u0131k cerrahiye gerek kalmadan tedavi edilebildi\u011fini s\u00f6yledi. “Endoskopik refl\u00fc tedavisi” denilen bu y\u00f6ntemle a\u011f\u0131z yolundan girilerek gev\u015fek olan kapa\u011fa midenin i\u00e7inden diki\u015f at\u0131larak kapak a\u011fz\u0131n\u0131n daralt\u0131ld\u0131\u011f\u0131n\u0131 belirten Prof. Dr. Sakin, “Bu sayede mideden yemek borusuna olan g\u0131da ka\u00e7\u0131\u015f\u0131 azalt\u0131lm\u0131\u015f oluyor. Bu y\u00f6ntem y\u00fczde 90\u2019a varan ba\u015far\u0131 oran\u0131 ve d\u00fc\u015f\u00fck yan etki riski ile anatomisi uygun olan hastalara uygulan\u0131yor” dedi.
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Ac\u0131badem Kent Hastanesi Gastroenteroloji Uzman\u0131 Prof. Dr. Yusuf Serdar Sakin, mide i\u00e7eri\u011finin yemek borusuna geri ka\u00e7mas\u0131yla ortaya \u00e7\u0131kan, mide yanmas\u0131, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, bo\u011faz tahri\u015fi ve \u00f6ks\u00fcr\u00fck gibi \u015fikayetlere yol a\u00e7an refl\u00fc hastal\u0131\u011f\u0131n\u0131n ameliyats\u0131z tedavisi hakk\u0131nda bilgi verdi. Refl\u00fc tan\u0131s\u0131 koyduklar\u0131 hastalardan \u00f6ncelikle ya\u015fam tarz\u0131 de\u011fi\u015fikli\u011fine gitmelerini ve refl\u00fcy\u00fc art\u0131ran yiyeceklerden uzak durmalar\u0131n\u0131 istediklerini belirten Prof. Dr. Sakin, bu de\u011fi\u015fikliklere ra\u011fmen \u015fikayetler ge\u00e7medi\u011finde ila\u00e7 tedavisi planlad\u0131klar\u0131n\u0131 kaydetti. \u0130la\u00e7 tedavisi olarak proton pompa inhibit\u00f6rleri ba\u015fta olmak \u00fczere bir\u00e7ok ila\u00e7 tedavisinin uyguland\u0131\u011f\u0131n\u0131, ancak baz\u0131 hastalar\u0131n bundan yarar g\u00f6rmedi\u011fini belirten Prof. Dr. Sakin, \u015f\u00f6yle konu\u015ftu: “Baz\u0131 hastalarda da uzun d\u00f6nem ila\u00e7 kullan\u0131m\u0131 emilim bozuklu\u011fu, kemik erimesi ve zat\u00fcrre gibi bir\u00e7ok hastal\u0131\u011fa sebep olmaktad\u0131r. Bu nedenle her g\u00fcn olacak \u015fekilde uzun d\u00f6nem ila\u00e7 tedavisi kullan\u0131m\u0131 \u00f6nerilmemektedir. Gerek ila\u00e7 tedavisinden fayda g\u00f6rmeyen, gerekse s\u00fcrekli ila\u00e7 kullanmas\u0131 gereken hastalara eskiden cerrahi olarak bu kapa\u011f\u0131n tamiri \u00f6nerilmekteydi. \u0130lk a\u015fama ya\u015fam tarz\u0131 de\u011fi\u015fikli\u011fi, ila\u00e7 tedavisi, ikinci a\u015fama ise cerrahi y\u00f6ntemle kapa\u011f\u0131n tamir edilmesiydi. Ancak, g\u00fcn\u00fcm\u00fczde bu s\u0131ralamada cerrahiden \u00f6nce art\u0131k ameliyats\u0131z tedavi olan endoskopik refl\u00fc tedavisi geliyor. Bu tedavi endoskopik olarak yemek borusu ve mide aras\u0131ndaki kapa\u011f\u0131 midenin i\u00e7inden diki\u015f atarak daraltma yoluyla refl\u00fcy\u00fc azaltma esas\u0131na dayanmaktad\u0131r. Bu y\u00f6ntemde a\u011f\u0131z yoluyla girilerek midenin i\u00e7inden yemek borusu ile mide aras\u0131ndaki gev\u015fek kapak b\u00f6lgesine diki\u015f at\u0131l\u0131yor. B\u00f6ylece kapak daralt\u0131larak mide asidinin yemek borusuna ka\u00e7\u0131\u015f\u0131 engelleniyor. Bu tedavi sonras\u0131 yiyeceklerin ve asidin yemek borusunu tahri\u015fi ortadan kalkt\u0131\u011f\u0131 i\u00e7in hem hastan\u0131n \u015fikayeti ge\u00e7iyor hem de ila\u00e7 kullanma ihtiyac\u0131 ortadan kalk\u0131yor.”
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\u00d6te yandan Prof. Dr. Sakin, Amerika Birle\u015fik Devletleri G\u0131da ve \u0130la\u00e7 Dairesi (FDA) onayl\u0131 olan y\u00f6ntemin, y\u00fczde 90\u2019a varan ba\u015far\u0131 oran\u0131 ile ciddi yan etkilere yol a\u00e7madan g\u00fcvenle uygulanabildi\u011fini kaydetti. Sakin, bu i\u015flem sonras\u0131nda hastalar\u0131n genelde 6 saat sonra, en ge\u00e7 bir g\u00fcn sonra tekrar normal ya\u015fant\u0131lar\u0131na d\u00f6nebildi\u011fini s\u00f6yledi.
<\/p>\n","protected":false},"excerpt":{"rendered":"
Gastroenterolog Prof. Dr. Yusuf Serdar Sakin, toplumda s\u0131k rastlan\u0131lan bir sorun olan refl\u00fcn\u00fcn art\u0131k cerrahiye gerek kalmadan tedavi edilebildi\u011fini s\u00f6yledi. “Endoskopik refl\u00fc tedavisi” denilen bu y\u00f6ntemle a\u011f\u0131z yolundan girilerek gev\u015fek olan kapa\u011fa midenin i\u00e7inden diki\u015f at\u0131larak kapak a\u011fz\u0131n\u0131n daralt\u0131ld\u0131\u011f\u0131n\u0131 belirten Prof. Dr. Sakin, “Bu sayede mideden yemek borusuna olan g\u0131da ka\u00e7\u0131\u015f\u0131 azalt\u0131lm\u0131\u015f oluyor. Bu y\u00f6ntem…<\/p>\n","protected":false},"author":1,"featured_media":49931,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-49930","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/49930","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=49930"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/49930\/revisions"}],"predecessor-version":[{"id":49932,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/49930\/revisions\/49932"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/49931"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=49930"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=49930"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=49930"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}