T\u00fcrkiye\u2019de refl\u00fc ve mide f\u0131t\u0131\u011f\u0131 vakalar\u0131n\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 son y\u0131llarda dikkat \u00e7ekici bi\u00e7imde art\u0131yor. Medicana Sa\u011fl\u0131k Grubu Gastroenteroloji B\u00f6l\u00fcm\u00fc\u2019nden Prof. Dr. Ahmet Yekta T\u00fcz\u00fcn, bu hastal\u0131klar\u0131n yaln\u0131zca mide yanmas\u0131yla s\u0131n\u0131rl\u0131 olmad\u0131\u011f\u0131n\u0131, kronik \u00f6ks\u00fcr\u00fck ve ses k\u0131s\u0131kl\u0131\u011f\u0131 gibi atipik belirtilerle de ortaya \u00e7\u0131kabilece\u011fini a\u00e7\u0131klad\u0131.
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Mide f\u0131t\u0131\u011f\u0131 (hiatal herni) ve gastro\u00f6zofageal refl\u00fc (GERD), ya\u015fam kalitesini en \u00e7ok etkileyen sindirim sistemi hastal\u0131klar\u0131 aras\u0131nda yer al\u0131yor. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131ndaki art\u0131\u015f, bu hastal\u0131klar\u0131 toplum sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan daha g\u00f6r\u00fcn\u00fcr hale getiriyor. Medicana International \u0130zmir Hastanesi Gastroenteroloji Uzman\u0131 Prof. Dr. Ahmet Yekta T\u00fcz\u00fcn, refl\u00fcn\u00fcn \u00f6zellikle Bat\u0131 toplumlar\u0131nda her 5 ki\u015fiden birinde g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc hat\u0131rlatarak, “T\u00fcrkiye\u2019de eri\u015fkinlerde refl\u00fc hastal\u0131\u011f\u0131n\u0131n prevalans\u0131 y\u00fczde 15-20 seviyelerine ula\u015f\u0131yor. Son 20 y\u0131lda obezite ve ya\u015fam tarz\u0131 de\u011fi\u015fiklikleriyle bu oran 2-3 kat artm\u0131\u015f durumda. Mide f\u0131t\u0131\u011f\u0131n\u0131n ise toplumun y\u00fczde 10-20\u2019sinde saptanmakla birlikte 60 ya\u015f\u0131n \u00fczerindeki bireylerde bu oran, y\u00fczde 50\u2019ye kadar y\u00fckselebilmektedir” dedi.<\/p>\n
En \u00e7ok g\u00f6zden ka\u00e7an belirtiler
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Hastal\u0131\u011f\u0131n tipik \u015fik\u00e2yetlerinin g\u00f6\u011f\u00fcs kemi\u011fi arkas\u0131nda yanma, a\u011fza ac\u0131-ek\u015fi su gelmesi ve yutma g\u00fc\u00e7l\u00fc\u011f\u00fc oldu\u011funu aktaran Prof. Dr. Ahmet Yekta T\u00fcz\u00fcn, “Kronik \u00f6ks\u00fcr\u00fck, ses k\u0131s\u0131kl\u0131\u011f\u0131, bo\u011fazda tak\u0131lma hissi veya di\u015f \u00e7\u00fcr\u00fckleri de refl\u00fcn\u00fcn i\u015fareti olabilir. Bu atipik belirtiler g\u00f6zden ka\u00e7t\u0131\u011f\u0131nda tan\u0131 gecikebilir” uyar\u0131s\u0131nda bulundu. Ya\u015f\u0131n ilerlemesi, obezite, sigara ve alkol kullan\u0131m\u0131n\u0131n en \u00f6nemli risk fakt\u00f6rleri aras\u0131nda oldu\u011funu belirten Prof. Dr. Ahmet Yekta T\u00fcz\u00fcn, gebelik, a\u011f\u0131r kald\u0131rma ve kronik \u00f6ks\u00fcr\u00fc\u011f\u00fcn de mide f\u0131t\u0131\u011f\u0131 ve refl\u00fcy\u00fc tetikleyebilece\u011fini ifade etti.<\/p>\n
Vakit kaybetmeden endoskopi yap\u0131lmal\u0131
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Hastalar\u0131n \u00f6yk\u00fcs\u00fcn\u00fcn tan\u0131da \u00e7o\u011fu zaman yol g\u00f6sterici oldu\u011funu s\u00f6yleyen Prof. Dr. Ahmet Yekta T\u00fcz\u00fcn, endoskopi ve pH \u00f6l\u00e7\u00fcmleri gibi ileri testlerin ise gerekli durumlarda devreye girdi\u011fini belirtti. Prof. Dr. Ahmet Yekta T\u00fcz\u00fcn, \u00f6zellikle yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, kilo kayb\u0131, kanama ve kans\u0131zl\u0131k gibi “alarm semptomlar\u0131n” varl\u0131\u011f\u0131nda vakit kaybetmeden endoskopi yap\u0131lmas\u0131 gerekti\u011fini vurgulayarak, refl\u00fc tedavisinde kullan\u0131lan proton pompa inhibit\u00f6rleri (PP\u0130) hakk\u0131nda konu\u015fan bu ila\u00e7lar\u0131n k\u0131sa s\u00fcreli kullan\u0131mda g\u00fcvenli oldu\u011funu ancak uzun vadede riskler ta\u015f\u0131d\u0131\u011f\u0131n\u0131 aktard\u0131. Prof. Dr. Ahmet Yekta T\u00fcz\u00fcn, “B12, magnezyum ve kalsiyum eksiklikleri, osteoporoz, b\u00f6brek hastal\u0131klar\u0131 ve ba\u011f\u0131rsak enfeksiyonlar\u0131 bu riskler aras\u0131nda. Ayr\u0131ca kalp-damar ve demans ile olas\u0131 ili\u015fkiler \u00fczerine veriler de g\u00fcndeme gelmeye ba\u015flad\u0131” diye konu\u015ftu.<\/p>\n
Yeni nesil y\u00f6ntemler umut verici
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Cerrahiye alternatif olarak geli\u015ftirilen endoskopik y\u00f6ntemlerin umut verici oldu\u011funu s\u00f6yleyen Prof. Dr. Ahmet Yekta T\u00fcz\u00fcn, transoral fundoplikasyon (TIF), Stretta ve ARMA gibi uygulamalar\u0131n daha az invaziv olmas\u0131 ve k\u0131sa iyile\u015fme s\u00fcresiyle \u00f6ne \u00e7\u0131kt\u0131\u011f\u0131n\u0131 belirtti. Prof. Dr. Ahmet Yekta T\u00fcz\u00fcn, “Hen\u00fcz standart tedavi olarak kabul edilmese de, endoskopik y\u00f6ntemler se\u00e7ilmi\u015f hastalarda ba\u015far\u0131l\u0131 sonu\u00e7lar verebiliyor. \u0130lerleyen d\u00f6nemde bu y\u00f6ntemlerin daha yayg\u0131n ve ula\u015f\u0131labilir hale gelmesi bekleniyor” ifadelerini kulland\u0131. Refl\u00fc gibi kronik hastal\u0131klar\u0131n y\u00f6netiminde gelece\u011fin daha az invaziv ve ila\u00e7s\u0131z y\u00f6ntemlerde oldu\u011funu belirten Prof. Dr. Ahmet Yekta T\u00fcz\u00fcn, “Uzun s\u00fcreli ila\u00e7 kullan\u0131m\u0131n\u0131n yol a\u00e7abilece\u011fi riskler artt\u0131k\u00e7a, endoskopik y\u00f6ntemlerin standart tedavi se\u00e7enekleri aras\u0131na girmesi ihtimali de g\u00fc\u00e7leniyor” dedi.
<\/p>\n","protected":false},"excerpt":{"rendered":"
T\u00fcrkiye\u2019de refl\u00fc ve mide f\u0131t\u0131\u011f\u0131 vakalar\u0131n\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 son y\u0131llarda dikkat \u00e7ekici bi\u00e7imde art\u0131yor. Medicana Sa\u011fl\u0131k Grubu Gastroenteroloji B\u00f6l\u00fcm\u00fc\u2019nden Prof. Dr. Ahmet Yekta T\u00fcz\u00fcn, bu hastal\u0131klar\u0131n yaln\u0131zca mide yanmas\u0131yla s\u0131n\u0131rl\u0131 olmad\u0131\u011f\u0131n\u0131, kronik \u00f6ks\u00fcr\u00fck ve ses k\u0131s\u0131kl\u0131\u011f\u0131 gibi atipik belirtilerle de ortaya \u00e7\u0131kabilece\u011fini a\u00e7\u0131klad\u0131. Mide f\u0131t\u0131\u011f\u0131 (hiatal herni) ve gastro\u00f6zofageal refl\u00fc (GERD), ya\u015fam kalitesini en \u00e7ok…<\/p>\n","protected":false},"author":1,"featured_media":58269,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-58268","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\/58268","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=58268"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/58268\/revisions"}],"predecessor-version":[{"id":58270,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/58268\/revisions\/58270"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/58269"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=58268"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=58268"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=58268"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}