Manisa \u015eehir Hastanesi\u2019nde ileri endoskopik i\u015flemler aras\u0131nda yer alan Endoskopik Retrograd Kolanjiyopankreatografi (ERCP) uygulamalar\u0131na ba\u015fland\u0131. 26 A\u011fustos tarihinde hizmete giren ERCP \u00fcnitesinde bug\u00fcne kadar 8 hastaya i\u015flem ba\u015far\u0131yla ger\u00e7ekle\u015ftirildi.
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Hastanede g\u00f6rev yapan Gastroenteroloji uzmanlar\u0131n\u0131n ger\u00e7ekle\u015ftirdi\u011fi vakalarla birlikte, Manisa \u015eehir Hastanesi b\u00f6lgesinde safra yollar\u0131 ve pankreas hastal\u0131klar\u0131n\u0131n tan\u0131 ve tedavisinde \u00f6nemli bir merkez haline geldi.
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Endoskopik Retrograd Kolanjiyopankreatografi (ERCP) uygulamalar\u0131na ili\u015fkin bilgi veren Gastroenteroloji Uzman\u0131 Uzm. Dr. Durmu\u015f Levent G\u00fcler, i\u015flemin genellikle safra yollar\u0131 ve safra yolu hastal\u0131klar\u0131nda kullan\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yledi. Dr. G\u00fcler, \u00f6zellikle acil ba\u015fvuran hastalar\u0131n ya\u015fam\u0131nda bu uygulaman\u0131n kritik bir \u00f6neme sahip oldu\u011funu belirterek, “Konjonktif\/sepsis \u00f6n tan\u0131s\u0131 ile ba\u015fvuran bir hastam\u0131z hipotansif, enfeksiyon parametreleri (CRP vb.) y\u00fcksek ve kolestatik enzimleri belirgin artm\u0131\u015ft\u0131. Ba\u015far\u0131yla endoskopik giri\u015fim yaparak stent uygulad\u0131k. Gerekli tedavi ve \u00f6nerilerle hastam\u0131z\u0131 taburcu ettik, takiplere \u00e7a\u011f\u0131rd\u0131k” dedi.
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Dr. G\u00fcler, hastalar\u0131n \u015fikayetlerinin \u00e7o\u011funlukla kar\u0131n a\u011fr\u0131s\u0131, sararma ile birlikte idrar ve d\u0131\u015fk\u0131 renginde a\u00e7\u0131lma \u015feklinde ba\u015flad\u0131\u011f\u0131n\u0131 ifade ederek, bu belirtilerin tedavi edilmedi\u011fi takdirde 2-3 g\u00fcn i\u00e7inde h\u0131zla k\u00f6t\u00fcle\u015febildi\u011fine dikkat \u00e7ekti. \u0130\u015flem \u00f6ncesinde hastalara yat\u0131\u015f verilerek damar yolundan s\u0131v\u0131 tedavisi uyguland\u0131\u011f\u0131n\u0131, gerekti\u011finde antibiyoterapi ba\u015fland\u0131\u011f\u0131n\u0131 ve tan\u0131\/tedavi plan\u0131n\u0131 netle\u015ftirmek i\u00e7in MR kolanjiyografi kullan\u0131ld\u0131\u011f\u0131n\u0131 aktaran G\u00fcler, uygulaman\u0131n anestezi ekibi, r\u00f6ntgen teknisyenleri ve gastroenteroloji ekibi ile birlikte multidisipliner bir anlay\u0131\u015fla ger\u00e7ekle\u015ftirildi\u011fini vurgulad\u0131. Ortalama s\u00fcrenin yar\u0131m saat civar\u0131nda oldu\u011funu, i\u015flem s\u0131ras\u0131nda kolanjiografi, gerekirse stent uygulamas\u0131, biyopsi ve g\u00f6r\u00fcnt\u00fcleme yap\u0131ld\u0131\u011f\u0131n\u0131 da ekledi.
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Gastroenteroloji Uzman\u0131 Uzm. Dr. Yusuf \u00c7al\u0131k ise safra yollar\u0131nda ta\u015f tespit edilen hastalarda ta\u015f\u0131n tekrarlama riskinin bulundu\u011funu belirterek, “\u00d6zellikle safra kesesinde ta\u015f varsa hastalara \u00e7o\u011funlukla kolesistektomi (safra kesesinin al\u0131nmas\u0131) \u00f6neriyoruz. Ancak bu durumun tekrar\u0131 engellemek i\u00e7in kesin bir garanti sa\u011flamad\u0131\u011f\u0131n\u0131 unutmamak gerekir. D\u00fczenli kontroller bu a\u00e7\u0131dan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor” diye konu\u015ftu.<\/p>\n
Hasta ve hasta yak\u0131nlar\u0131 uygulamadan memnun
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Hastalar ve hasta yak\u0131nlar\u0131 da uygulamadan duyduklar\u0131 memnuniyeti dile getirdi. Tedavi g\u00f6ren Nur\u015fen \u015eenli, “Allah\u2019a \u015f\u00fck\u00fcr \u015fu anda hi\u00e7bir a\u011fr\u0131m yok” dedi. Yak\u0131n\u0131 Seyit Ali \u015eenli ise, “Buras\u0131 ger\u00e7ekten \u00e7ok g\u00fczel bir hastane. Acilden itibaren t\u00fcm ekip \u00e7ok ilgiliydi, hepsine te\u015fekk\u00fcr ederiz” ifadelerini kulland\u0131.
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Manisa \u015eehir Hastanesi Gastroenteroloji ekibi, vakalar\u0131n erken tan\u0131, h\u0131zl\u0131 stabilizasyon ve \u00e7ok disiplinli bir yakla\u015f\u0131mla ele al\u0131nmas\u0131n\u0131n hasta sonu\u00e7lar\u0131 a\u00e7\u0131s\u0131ndan belirleyici oldu\u011funu vurgulad\u0131.
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ERCP uygulamalar\u0131 Manisa \u015eehir Hastanesi Gastroenteroloji Uzman Hekimleri Uzm. Dr. Durmu\u015f Levent G\u00fcler, Uzm. Dr. Cihan \u00d6zent\u00fcrk ve Uzm. Dr. Yusuf \u00c7al\u0131k taraf\u0131ndan ger\u00e7ekle\u015ftiriliyor.
<\/p>\n","protected":false},"excerpt":{"rendered":"
Manisa \u015eehir Hastanesi\u2019nde ileri endoskopik i\u015flemler aras\u0131nda yer alan Endoskopik Retrograd Kolanjiyopankreatografi (ERCP) uygulamalar\u0131na ba\u015fland\u0131. 26 A\u011fustos tarihinde hizmete giren ERCP \u00fcnitesinde bug\u00fcne kadar 8 hastaya i\u015flem ba\u015far\u0131yla ger\u00e7ekle\u015ftirildi. Hastanede g\u00f6rev yapan Gastroenteroloji uzmanlar\u0131n\u0131n ger\u00e7ekle\u015ftirdi\u011fi vakalarla birlikte, Manisa \u015eehir Hastanesi b\u00f6lgesinde safra yollar\u0131 ve pankreas hastal\u0131klar\u0131n\u0131n tan\u0131 ve tedavisinde \u00f6nemli bir merkez haline geldi. Endoskopik…<\/p>\n","protected":false},"author":1,"featured_media":55930,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-55929","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\/55929","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=55929"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/55929\/revisions"}],"predecessor-version":[{"id":55931,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/55929\/revisions\/55931"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/55930"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=55929"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=55929"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=55929"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}