{"id":28451,"date":"2024-07-20T23:51:39","date_gmt":"2024-07-20T23:51:39","guid":{"rendered":"https:\/\/drburakkavlakoglu.com\/mini-gastrik-bypass\/"},"modified":"2024-09-04T13:12:22","modified_gmt":"2024-09-04T13:12:22","slug":"mini-gastric-bypass","status":"publish","type":"page","link":"https:\/\/drburakkavlakoglu.com\/en\/mini-gastric-bypass\/","title":{"rendered":"Mini Gastrik Bypass"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"28451\" class=\"elementor elementor-28451\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-941aa5e e-flex e-con-boxed e-con e-parent\" data-id=\"941aa5e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-076b84e e-con-full e-flex e-con e-child\" data-id=\"076b84e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-664450d elementor-widget elementor-widget-heading\" data-id=\"664450d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Mini Gastrik Bypass<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c8a50b4 elementor-widget elementor-widget-text-editor\" data-id=\"c8a50b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The mini gastric bypass procedure was first performed in 1997 by Dr. Dr., a trauma surgeon at the University of North Carolina Hospital. It was developed by Robert Rutledge as the first modification of the standard Billroth II procedure.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-42ef65d e-con-full e-flex e-con e-child\" data-id=\"42ef65d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bc71e14 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"bc71e14\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a 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alt=\"\" srcset=\"https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2020\/10\/trustpilot.com_logo-2048x1152-1-1024x576.png 1024w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2020\/10\/trustpilot.com_logo-2048x1152-1-300x169.png 300w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2020\/10\/trustpilot.com_logo-2048x1152-1-768x432.png 768w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2020\/10\/trustpilot.com_logo-2048x1152-1-1536x864.png 1536w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2020\/10\/trustpilot.com_logo-2048x1152-1-800x450.png 800w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2020\/10\/trustpilot.com_logo-2048x1152-1.png 2048w\" sizes=\"(max-width: 980px) 100vw, 980px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2111789 elementor-hidden-mobile e-flex e-con-boxed e-con e-child\" data-id=\"2111789\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-00976d8 e-flex e-con-boxed e-con e-parent\" data-id=\"00976d8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e505206 elementor-widget elementor-widget-text-editor\" data-id=\"e505206\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n<h2 class=\"wp-block-heading\"><\/h2>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e4c43a0 e-con-full e-flex e-con e-child\" data-id=\"e4c43a0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-4981389 e-con-full e-flex e-con e-child\" data-id=\"4981389\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-f13a5cb e-con-full e-flex e-con e-child\" data-id=\"f13a5cb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-388e4b0 e-con-full e-flex e-con e-child\" data-id=\"388e4b0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f892589 elementor-view-default elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"f892589\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-bed\" viewBox=\"0 0 640 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M176 256c44.11 0 80-35.89 80-80s-35.89-80-80-80-80 35.89-80 80 35.89 80 80 80zm352-128H304c-8.84 0-16 7.16-16 16v144H64V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v352c0 8.84 7.16 16 16 16h32c8.84 0 16-7.16 16-16v-48h512v48c0 8.84 7.16 16 16 16h32c8.84 0 16-7.16 16-16V240c0-61.86-50.14-112-112-112z\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t5 DAYS\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tAccomodation\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-64b8cd4 e-con-full e-flex e-con e-child\" data-id=\"64b8cd4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cb4ac0a elementor-view-default elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"cb4ac0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-clock1\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tSTUDY\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\t2-4 hours\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ce83f8c e-con-full e-flex e-con e-child\" data-id=\"ce83f8c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7a65d2f elementor-view-default elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"7a65d2f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-heartbeat\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M320.2 243.8l-49.7 99.4c-6 12.1-23.4 11.7-28.9-.6l-56.9-126.3-30 71.7H60.6l182.5 186.5c7.1 7.3 18.6 7.3 25.7 0L451.4 288H342.3l-22.1-44.2zM473.7 73.9l-2.4-2.5c-51.5-52.6-135.8-52.6-187.4 0L256 100l-27.9-28.5c-51.5-52.7-135.9-52.7-187.4 0l-2.4 2.4C-10.4 123.7-12.5 203 31 256h102.4l35.9-86.2c5.4-12.9 23.6-13.2 29.4-.4l58.2 129.3 49-97.9c5.9-11.8 22.7-11.8 28.6 0l27.6 55.2H481c43.5-53 41.4-132.3-7.3-182.1z\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t1-2 WEEK\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tRecovery Time\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e48194a e-con-full e-flex e-con e-child\" data-id=\"e48194a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-92a6f21 elementor-view-default elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"92a6f21\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-calendar-alt\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M148 288h-40c-6.6 0-12-5.4-12-12v-40c0-6.6 5.4-12 12-12h40c6.6 0 12 5.4 12 12v40c0 6.6-5.4 12-12 12zm108-12v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm96 0v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm-96 96v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm-96 0v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm192 0v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm96-260v352c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V112c0-26.5 21.5-48 48-48h48V12c0-6.6 5.4-12 12-12h40c6.6 0 12 5.4 12 12v52h128V12c0-6.6 5.4-12 12-12h40c6.6 0 12 5.4 12 12v52h48c26.5 0 48 21.5 48 48zm-48 346V160H48v298c0 3.3 2.7 6 6 6h340c3.3 0 6-2.7 6-6z\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t5 DAYS\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tFollow-Up Visit\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-87d0bfe e-flex e-con-boxed e-con e-child\" data-id=\"87d0bfe\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-de524f7 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"de524f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"New Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"28451\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"de524f7\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name Surname\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_8862045 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_8862045]\" id=\"form-field-field_8862045\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_fb4327c elementor-col-100 elementor-field-required\">\n\t\t\t\t\t<span class=\"ccfef-editor-intl-input\" data-id=\"form-field-field_fb4327c\" data-field-id=\"fb4327c\" data-default-country=\"tr\" data-include-countries=\"\" data-exclude-countries=\"\" data-dial-code-visibility=\"show\" data-strict-mode=\"no\" style=\"display: none;\"><\/span>\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_fb4327c]\" id=\"form-field-field_fb4327c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100\">\n\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[message]\" id=\"form-field-message\" rows=\"4\" placeholder=\"Message\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_5682a62 elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_5682a62\"><div 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Videolar\u0131<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fb2fa26 e-flex e-con-boxed e-con e-parent\" data-id=\"fb2fa26\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2e7280e elementor-widget elementor-widget-heading\" data-id=\"2e7280e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ask the Doctor<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6d13cbf elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"6d13cbf\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Ask the Doctor\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"28451\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"6d13cbf\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name Surname\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_fb4327c elementor-col-100 elementor-field-required\">\n\t\t\t\t\t<span class=\"ccfef-editor-intl-input\" data-id=\"form-field-field_fb4327c\" data-field-id=\"fb4327c\" data-default-country=\"tr\" data-include-countries=\"\" data-exclude-countries=\"\" data-dial-code-visibility=\"show\" data-strict-mode=\"no\" style=\"display: none;\"><\/span>\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_fb4327c]\" id=\"form-field-field_fb4327c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100\">\n\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[message]\" id=\"form-field-message\" rows=\"4\" placeholder=\"Message\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_2afbdc0 elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_2afbdc0\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LfM6RkqAAAAAHr6hNHf7tDIn8GygFYPaqlxYC0t\" data-type=\"v3\" data-action=\"Form\" data-badge=\"bottomright\" data-size=\"invisible\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">SEND<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5682936\" data-id=\"5682936\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-11011bb elementor-widget elementor-widget-heading\" data-id=\"11011bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Mini Gastrik Bypass<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e955018 elementor-widget elementor-widget-text-editor\" data-id=\"e955018\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<section class=\"av_textblock_section \">\n<div class=\"avia_textblock \">\n<p>The mini gastric bypass procedure was first performed in 1997 by Dr. Dr., a trauma surgeon at the University of North Carolina Hospital. It was developed by Robert Rutledge as the first modification of the standard Billroth II procedure.<\/p>\n<p>In 2018, IFSO stated that it accepted mini gastric bypass among the main surgical techniques, but requested that the name mini not be used and instead be called only Single Anastomosis Gastric Bypass.<\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-26496 size-full\" src=\"https:\/\/drbk.ademcakir.com.tr\/wp-content\/uploads\/2024\/07\/mini-gastrik-baypass.jpg\" alt=\"\" width=\"1200\" height=\"573\" srcset=\"https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/mini-gastrik-baypass.jpg 1200w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/mini-gastrik-baypass-300x143.jpg 300w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/mini-gastrik-baypass-1024x489.jpg 1024w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/mini-gastrik-baypass-768x367.jpg 768w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/mini-gastrik-baypass-800x382.jpg 800w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<section class=\"av_textblock_section \">\n<div class=\"avia_textblock \">\n<section class=\"av_textblock_section \">\n<div class=\"avia_textblock \">\n<p><strong>Mini Gastrik Bypass m\u0131 Tek Anastomozlu Gastrik Bypass m\u0131?<\/strong><\/p>\n<p>Tek anastomozlu gastrik bypass olarak da bilinen Mini \u2013 Gastrik Bypass, t\u00fcp mide ameliyat\u0131n\u0131n baz\u0131 \u00f6zelliklerini ve standart bir gastrik bypass\u2019\u0131 birle\u015ftiren bir prosed\u00fcrd\u00fcr. Uzun bir mide po\u015fu olu\u015fturulur. Daha sonras\u0131nda ise olu\u015fturulan mide po\u015fu ince ba\u011f\u0131rsak par\u00e7as\u0131 ile birle\u015ftirilir.  <\/p>\n<p>Mini gastrik bypass cerrahisi, obezite cerrahisinden en s\u0131k yap\u0131lan ameliyatlardan biridir. Bu operasyonun as\u0131l nedeni a\u015f\u0131r\u0131 kilo nedeniyle diyabet, y\u00fcksek kolestrol ve y\u00fcksek tansiyon gibi hastal\u0131klar\u0131n tedavisidir. Daha \u00f6nce gastrik band veya t\u00fcp mide ameliyat\u0131 ge\u00e7irmi\u015f ancak kilo kayb\u0131 ba\u015far\u0131s\u0131z olan hastalarda uygulanabilir.  <\/p>\n<p>Mini gastrik bypass cerrahisi i\u00e7in uygunluk kriterleri; Roux en y gastrik bypass ile ayn\u0131d\u0131r. Metabolik sendromu mevcut ve 35\u2019in \u00fczerinde VK\u0130\u2019ye sahip hastalar mini gastrik bypass ameliyat\u0131na uygundur. <\/p>\n<\/div>\n<\/section>\n<\/div>\n<\/section>\n<h4 class=\"vc_custom_heading\">D\u00fcnyada Uygulanan Mini Gastrik Bypass Say\u0131lar\u0131<\/h4>\n<p>Primer ve revizyon mini gastrik bypass say\u0131lar\u0131, di\u011fer y\u00f6ntemlere oranlara art\u0131\u015f g\u00f6stermektedir. Bununla birlikte ameliyat say\u0131lar\u0131ndaki art\u0131\u015f oran\u0131 ise e\u015fit de\u011fildir. \u0130ngiltere, \u0130srail, M\u0131s\u0131r, \u0130svi\u00e7re ve Avustralya y\u00f6nteme \u00e7ok daha h\u0131zl\u0131 adapte olurken, Amerika\u2019da ise halen MGB\u2019ye kar\u015f\u0131 bir \u00f6nyarg\u0131 s\u00f6z konusudur.  <\/p>\n<p>5.IFSO Obezite Cerrahisi Veritaban\u0131\u2019ndaki (2019) bilgilere at\u0131fta bulunan Prof. Dr. Almino Ramos, mini gastrik bypass\u0131n morbid obezlerde kilo vermede Roux-en-Y ve t\u00fcp mide ameliyat\u0131na \u00fcst\u00fcnl\u00fc\u011f\u00fcn\u00fc g\u00f6steren kan\u0131tlar bulundu\u011funa dikkat \u00e7ekmektedir.<\/p>\n<p>Ana ak\u0131m obezite cerrahisi y\u00f6ntemlerinden biri olan mini gastrik bypass sadece vaka say\u0131lar\u0131yla de\u011fil, ara\u015ft\u0131rma ve yay\u0131nlar\u0131n say\u0131s\u0131 a\u00e7\u0131s\u0131ndan da giderek artmaktad\u0131r.<\/p>\n<p>Mini gastrik baypass\u0131n teknik detaylar\u0131ndaki anahtar noktalar ise \u015funlard\u0131r.<\/p>\n<ul>\n<li>Ya\u015f veya BMI\u2019a g\u00f6re de\u011fi\u015fmemekle birlikte, kalibrasyon t\u00fcp\u00fcn\u00fcn \u00e7ap\u0131 34 \u2013 40 mm aras\u0131nda olmal\u0131d\u0131r.<\/li>\n<li>Stapler hatt\u0131 g\u00fc\u00e7lendiricilerin kullan\u0131m\u0131 standart de\u011fildir.<\/li>\n<li>Mide \u2013 ba\u011f\u0131rsak anastomozu 45 mm olmal\u0131d\u0131r.<\/li>\n<li>B\u00fcy\u00fck omentumun b\u00f6l\u00fcnmesi rutin olmamakla birlikte zorunluluk oldu\u011fu takdirde yap\u0131lmal\u0131d\u0131r.<\/li>\n<li>Toplam ba\u011f\u0131rsak uzunlu\u011funun \u00f6l\u00e7\u00fcm\u00fc rutin de\u011fildir.<\/li>\n<li>Non-obez diyabetik hastalar i\u00e7in minimum BMI aral\u0131\u011f\u0131 25 \u2013 30\u2019dur.<\/li>\n<li>A\u011f\u0131r refl\u00fc vakalar\u0131nda Roux-en-Y revizyonu d\u00fc\u015f\u00fcn\u00fclmelidir.<\/li>\n<li>Rutin postoperatif mide koruyucu kullan\u0131m\u0131 3 \u2013 6 ayd\u0131r.<\/li>\n<li>\u00d6m\u00fcr boyu kullan\u0131larak vitaminler; multivitamin, kalsiyum, demir, vitamin D ve \u00fc\u00e7 ayda bir yap\u0131lacak B12 enjeksiyonudur.<\/li>\n<li>Bypass mesafesinin artt\u0131r\u0131lmas\u0131 a\u011f\u0131r kilo geri al\u0131m\u0131nda en uygun revizyon se\u00e7ene\u011fidir.<\/li>\n<\/ul>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass\u2019\u0131n En B\u00fcy\u00fck \u00dcst\u00fcnl\u00fckleri<\/h4>\n<section class=\"av_textblock_section \">\n<div class=\"avia_textblock \">\n<p>Minimal risk ve komplikasyonlarla ger\u00e7ekle\u015ftirilen ideal obezite ameliyat\u0131, kal\u0131c\u0131 kilo kayb\u0131 sa\u011flayarak, ya\u015fam kalitesini iyile\u015ftiren y\u00f6ntemlerden biridir. Bu nedenle mini gastrik bypass ger\u00e7ekten de teknik olarak uygulanmas\u0131 kolay bir metod olarak \u00f6ne \u00e7\u0131kmaktad\u0131r. Gelecek y\u0131llarda en \u00e7ok uygulanan revizyon ameliyat\u0131 olmas\u0131 m\u00fcmk\u00fcnd\u00fcr.  <\/p>\n<\/div>\n<\/section>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass\u0131n Faydalar\u0131 Nelerdir?<\/h4>\n<section class=\"av_textblock_section \">\n<div class=\"avia_textblock \">\n<section class=\"av_textblock_section \">\n<div class=\"avia_textblock \">\n<p>Gastrik bypass ameliyat\u0131 sonras\u0131nda hasta ilk ay yakla\u015f\u0131k 10 \u2013 15 kilo kaybetmektedir. Ameliyat sonras\u0131nda fazla kilolar\u0131n verilmesinde ba\u015far\u0131 oran\u0131 t\u00fcp mideye oranla daha y\u00fcksektir. Her iki y\u00f6ntemde de g\u0131da al\u0131m\u0131 s\u0131n\u0131rl\u0131d\u0131r. Ameliyattan sonra fazla kilolar\u0131n ilk bir y\u0131l i\u00e7inde y\u00fczde 75\u2019i, ikinci y\u0131l i\u00e7erisinde de y\u00fczde 80 \u2013 90\u2019\u0131 verilmektedir. Fazla kilolar\u0131n kayb\u0131yla obeziteye e\u015flik eden hastal\u0131klarda da belirgin d\u00fczeyde bir iyile\u015fme g\u00f6r\u00fclmektedir.    <\/p>\n<\/div>\n<\/section>\n<\/div>\n<\/section>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass Ameliyat\u0131 Kimlere Uygundur?<\/h4>\n<section class=\"av_textblock_section \">\n<div class=\"avia_textblock \">\n<p>\u0130ns\u00fcline ba\u011f\u0131ml\u0131 morbid obezlerin tedavisinde mini gastrik by-pass y\u00f6ntemi tercih edilmektedir. \u00d6zellikle diyabetik hastalarda t\u00fcp mide ve klasik gastrik bypass ameliyat\u0131na oranla daha etkilidir. T\u00fcp mide veya mide k\u00fc\u00e7\u00fcltme ameliyat\u0131 olup y\u0131llar sonra yeniden kilo alan morbid obez hastalarda genellikle tercih edilen y\u00f6ntem mini gastrik bypass\u2019d\u0131r. Bu hastalarda mini gastrik bypass i\u015flemi son derece kolay ve komplikasyonu azd\u0131r.   <\/p>\n<p>Mini gastrik bypass; emilim azaltma etkisiyle Roux \u2013 en \u2013 y ile daha kompleks bir ameliyat olan biliopankreatik diversiyon aras\u0131nda yer alabilecek bir ameliyatt\u0131r.<\/p>\n<p>Mini gastrik bypass (MGB) i\u00e7in hasta se\u00e7iminde di\u011fer obezite cerrahisi y\u00f6ntemlerindeki kurallar ge\u00e7erli olup mini gastrik bypass\u0131n \u00f6zellikle uygun oldu\u011fu hasta alt gruplar\u0131 bulunmaktad\u0131r.<\/p>\n<ul>\n<li><strong>Ya\u015f ve BMI: <\/strong>Obezite cerrahisine uygun olan ve sa\u011fl\u0131k durumu elveren t\u00fcm hastalar MGB i\u00e7in adayd\u0131r. Ancak ya\u015fl\u0131 hastalarda emilim azalt\u0131c\u0131 mesafe konusunda dikkatli olunmal\u0131 ve biraz daha k\u0131sa tutulmal\u0131d\u0131r. Mini gastrik bypass, s\u00fcper morbid obez hastalarda da m\u00fckemmel sonu\u00e7lara sahiptir.  <\/li>\n<li><strong>Metabolik hastal\u0131klar: <\/strong>Yo\u011fun abdolimal obezitesi olan veya ilerlemi\u015f metabolik sendromu olan hastalar m\u00fckemmel etkilerinden dolay\u0131 MGB i\u00e7in \u00f6zellikle uygun adaylard\u0131r. Metabolik etkinli\u011finin y\u00fcksekli\u011fi mini gastrik bypass\u0131 v\u00fccut kitle indeksine bakmaks\u0131z\u0131n Tip 2 diyabet hastalar\u0131 i\u00e7in m\u00fckemmel bir se\u00e7enek haline getirir. <\/li>\n<li><strong>Refl\u00fc ve Hiatal Herni:<\/strong> Refl\u00fc hastal\u0131\u011f\u0131 olan obez hastalar da bas\u0131n\u00e7 d\u00fc\u015f\u00fcr\u00fcc\u00fc etkisi nedeniyle mini gastrik bypass i\u00e7in uygun adaylard\u0131r.<\/li>\n<li><strong>\u0130nce Ba\u011f\u0131rsa\u011f\u0131n Durumu:<\/strong> \u0130nce ba\u011f\u0131rsak anastomozu i\u00e7erdi\u011fi i\u00e7in MGB ameliyat\u0131nda ince ba\u011f\u0131rsaklar\u0131n serbest olmas\u0131 gerekir. \u0130nce ba\u011f\u0131rsa\u011f\u0131n serbest hale getirilemedi\u011fi donmu\u015f pelvis vakalar\u0131nda ise gerek mini gastrik bypass gerekse de ba\u011f\u0131rsa\u011f\u0131 ilgilendiren t\u00fcm karma prosed\u00fcrler kontredikedir. <\/li>\n<li><strong>Ba\u015far\u0131s\u0131z Di\u011fer Ameliyatlardan Sonra Revizyon Cerrahisi: <\/strong>Mide band\u0131 ve t\u00fcp mide gibi ba\u015far\u0131s\u0131z olmu\u015f k\u0131s\u0131tlay\u0131c\u0131 ameliyatlardan sonra mini gastrik bypass\u0131n revizyonda etkili bir se\u00e7enek oldu\u011fu belirtilmektedir. G\u00fcn\u00fcm\u00fczde t\u00fcp mide ameliyat\u0131n\u0131n pop\u00fclerli\u011fi g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda \u00f6n\u00fcm\u00fczdeki y\u0131llarda t\u00fcp mideden mini gastrik bypassa revizyon ameliyat\u0131n\u0131n en s\u0131k revizyonel cerrahi olaca\u011f\u0131 \u00f6ng\u00f6r\u00fclebilir. Mini gastrik bypass ayn\u0131 zamanda bir anti-refl\u00fc prosed\u00fcr oldu\u011fundan, sleeve gastrektomiden sonra geli\u015fen refl\u00fc vakalar\u0131nda da ikinci bir se\u00e7enek olmaktad\u0131r.  <\/li>\n<li><strong>\u00d6zel gereksinimler: <\/strong>Morbid obez hastalar\u0131 ameliyattan en az 6 ay \u00f6nce alkol ve sigara kullan\u0131m\u0131n\u0131 b\u0131rakmal\u0131d\u0131r. Herhangi bir ila\u00e7 ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131n olmas\u0131 durumunda ise en az 3 y\u0131ll\u0131k eradikasyon periyodu iyi olacakt\u0131r. Morbid obez hastalarda ameliyat riski y\u00fcksek oldu\u011fu i\u00e7in mini gastrik bypass bu hastalar i\u00e7in olduk\u00e7a iyi bir se\u00e7enektir.  <\/li>\n<\/ul>\n<\/div>\n<\/section>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass Sonras\u0131 Beklenen Kilo Kayb\u0131 Ne Olmal\u0131d\u0131r?<\/h4>\n<p>Di\u011fer obezite ameliyatlar\u0131yla k\u0131yasland\u0131\u011f\u0131nda mini gastrik bypass en g\u00fc\u00e7l\u00fc metodlardan biri haline gelmektedir. Mini gastrik bypass sonras\u0131nda en b\u00fcy\u00fck kilo kayb\u0131 genellikle ilk y\u0131lda olur. Bu s\u00fcre diliminde fazla kilonun yakla\u015f\u0131k y\u00fczde 70 veya daha fazlas\u0131 verilir. Literat\u00fcr bilgileri kilo kayb\u0131n\u0131n yava\u015flamayla birlikte ikinci ve \u00fc\u00e7\u00fcnc\u00fc y\u0131lda da s\u00fcrerek plato yapt\u0131\u011f\u0131n\u0131, 8 \u2013 10 y\u0131lda ise fazla kilo kayb\u0131 oran\u0131n\u0131n y\u00fczde 75 d\u00fczeyinde kald\u0131\u011f\u0131n\u0131 g\u00f6stermektedir.   <\/p>\n<p>Bir\u00e7ok yay\u0131n, t\u00fcp mide ameliyat\u0131yla k\u0131yasland\u0131\u011f\u0131nda mini gastrik bypass\u0131n \u00fcst\u00fcnl\u00fc\u011f\u00fcn\u00fc g\u00f6stermektedir. Kilo kayb\u0131 ve kronik hastal\u0131klar\u0131n d\u00fczelmesi anlam\u0131nda mini gastrik bypass kesinlikle Roux-en-Y gastrik bypass ve sleeve gastrektomiden daha etkilidir. Daha metabolik bir ameliyat olmas\u0131ndan dolay\u0131 daha y\u00fcksek malnutrisyon riskine kar\u015f\u0131 dikkatli olunmas\u0131 gerekmektedir.  <\/p>\n<h4 class=\"vc_custom_heading\">Ya\u015f ve V\u00fccut Kitle \u0130ndeksi ile \u0130li\u015fkili Sonu\u00e7lar<\/h4>\n<p>Obezite cerrahisinde en pop\u00fcler y\u00f6ntemlerden biri haline gelen mini gastrik bypass, t\u00fcm obezite ameliyatlar\u0131n\u0131n yakla\u015f\u0131k y\u00fczde 46\u2019s\u0131n\u0131 olu\u015fturmaktad\u0131r. Mini gastrik bypass genellikle daha kolay ve etkili bir y\u00f6ntem olmas\u0131ndan dolay\u0131 Roux-en-Y\u2019ye tercih edilmektedir. Ayr\u0131ca s\u00fcper morbid obezlerde uygulanmas\u0131 nispeten daha kolay, etkinli\u011fi ise tart\u0131\u015fmas\u0131z olarak her iki y\u00f6nteminde \u00fcst\u00fcndedir. V\u00fccut Kitle \u0130ndeksi (VK\u0130) 35\u2019in alt\u0131ndaki hastalarda kilo kayb\u0131 ve metabolik komplikasyonlar\u0131n \u00e7\u00f6z\u00fclmesi anlam\u0131nda Roux-en-Y\u2019ye benzer nitelikte ba\u015far\u0131l\u0131 sonu\u00e7lar al\u0131nmaktad\u0131r.   <\/p>\n<p>Adolesanlarda ise mini gastrik bypass etkili kilo kayb\u0131 ve metabolik hastal\u0131klarda d\u00fczelme sa\u011flamaktad\u0131r. T\u00fcp mide, mide band\u0131 ve RnY bypassla k\u0131yasland\u0131\u011f\u0131nda orta ve uzun vadeli komplikasyonlara daha az yol a\u00e7maktad\u0131r. <\/p>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass ile Metabolik Hastal\u0131klarda D\u00fczelme Nas\u0131ld\u0131r?<\/h4>\n<p>G\u00fcn\u00fcm\u00fczde ge\u00e7erli bir obezite cerrahisi metodu olan mini gastrik bypass\u0131n metabolik hastal\u0131klar \u00fczerindeki ba\u015far\u0131s\u0131 kan\u0131tlanm\u0131\u015ft\u0131r.<\/p>\n<p>Mini gastrik bypass ile t\u00fcp mide ameliyat\u0131 kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda gerek kilo kayb\u0131 gerekse de Tip 2 diyabet ba\u015fta olmak \u00fczere hipertansiyon ve uyku apnesi gibi hastal\u0131klarda mini gastrik bypass ile daha iyi sonu\u00e7lar al\u0131nm\u0131\u015ft\u0131r.<\/p>\n<h4 class=\"vc_custom_heading\">Refl\u00fc ve Mide F\u0131t\u0131\u011f\u0131<\/h4>\n<p>Obezite ile refl\u00fc aras\u0131nda paralel bir ili\u015fki bulunmaktad\u0131r. Mini gastrik bypassta mide ba\u011f\u0131rsak bile\u015fkesi; g\u0131da ve mide s\u0131v\u0131lar\u0131, safra ve pankreas salg\u0131lar\u0131 gibi enzimlerin bir kar\u0131\u015f\u0131m\u0131yla temas etmektedir. <\/p>\n<p>A\u011f\u0131r refl\u00fc vakalar\u0131nda pHmetri, impedans \u00e7al\u0131\u015fmalar\u0131 ve manometri gibi ileri tetkiklerle alt \u00f6zofageal sfinkterin yeterlili\u011finin de\u011ferlendirilmesi uygun olabilir.<\/p>\n<p>Mini gastrik bypass, d\u00fc\u015f\u00fck bas\u0131n\u00e7l\u0131 bir sistemdir. Dolay\u0131s\u0131yla refl\u00fcyle ilgili endi\u015feler, eskiden oldu\u011fu kadar yo\u011fun de\u011fildir. <\/p>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass ve Ya\u015fam Kalitesi<\/h4>\n<p>Ya\u015fam kalitesi fiziksel, mental ve sosyal durumu kapsad\u0131\u011f\u0131ndan obez bireylerde belirgin \u015fekilde d\u00fc\u015f\u00fckt\u00fcr. Ya\u015fam kalitesi verilen kilo miktar\u0131yla direkt ili\u015fkilidir. Bu nedenle mental durumdaki d\u00fczelme, depresyon belirtilerinin azalmas\u0131ndan \u00f6zg\u00fcven art\u0131\u015f\u0131na kadar \u00e7ok y\u00f6nl\u00fcd\u00fcr.  <\/p>\n<p>Mini gastrik bypass di\u011fer cerrahi y\u00f6ntemlerle kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda daha basit bir teknik ve g\u00fcvenli bir ameliyat sonras\u0131nda ya\u015fam kalitesinde anlaml\u0131 bir d\u00fczelme sa\u011flamaktad\u0131r.<\/p>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass Ameliyat\u0131na Haz\u0131rl\u0131k Nas\u0131ld\u0131r?<\/h4>\n<p>Obezite cerrahisinin di\u011fer y\u00f6ntemlerinden de oldu\u011fu gibi do\u011fru hasta se\u00e7imi, haz\u0131rl\u0131k ve e\u011fitim en iyi sonuca ula\u015fma a\u00e7\u0131s\u0131ndan olduk\u00e7a \u00f6nemlidir. Hastalar \u00f6ncelikle ameliyata uygunluk a\u00e7\u0131s\u0131ndan kapsaml\u0131 bir \u015fekilde de\u011ferlendirilmektedir. <\/p>\n<p>Vitamin ve mineral d\u00fczeylerini de i\u00e7eren ameliyat \u00f6ncesi laboratuvar testleri mutlaka yapt\u0131r\u0131lmal\u0131d\u0131r. Mini gastrik bypass \u00f6ncesinde hastalar\u0131n ameliyattan en az 6 ay \u00f6ncesinde alkol ve sigara t\u00fcketimini durdurmalar\u0131 gerekmektedir. <\/p>\n<p>Uzun vadede m\u00fckemmel sonu\u00e7lara ula\u015fman\u0131n en \u00f6nemli ko\u015fulu hasta e\u011fitimidir. Hastalar\u0131n olacaklar\u0131 ameliyat hakk\u0131nda detayl\u0131 bilgiye sahip olmas\u0131, cerrahiden sonra neler yapmalar\u0131 gerekti\u011fi konusunda bilin\u00e7li olmalar\u0131 ba\u015far\u0131 oran\u0131n\u0131 direkt olarak artt\u0131rmaktad\u0131r. <\/p>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass Ameliyat\u0131 Kimlere Yap\u0131lmaz?<\/h4>\n<p>Yap\u0131lacak b\u00fct\u00fcn obezite ameliyatlar\u0131 i\u00e7in de ge\u00e7erli olan baz\u0131 kontrendikasyonlar bulunmaktad\u0131r. Bu detaylar; <\/p>\n<ul>\n<li>Kabul edilemez d\u00fczeyde anestezi riski,<\/li>\n<li>Gebelik,<\/li>\n<li>Tan\u0131s\u0131 konulmu\u015f kanser,<\/li>\n<li>Aktif kar\u0131n i\u00e7i enfeksiyonu,<\/li>\n<li>Karaci\u011fer sirozu,<\/li>\n<li>Dengesiz psikopatolojik durumlar ve aktif ila\u00e7 ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 \u015feklindedir.<\/li>\n<\/ul>\n<p>Bariatrik cerrahide baz\u0131 g\u00f6receli kontrendikasyonlar ise \u015fu \u015fekildedir\u2026<\/p>\n<ul>\n<li>Var olan endokrin probleminin yetersiz tedavisi,<\/li>\n<li>Sigara kullan\u0131m\u0131,<\/li>\n<li>D\u00fc\u015f\u00fck sosyo-ekonomik durum, kans\u0131zl\u0131k ve besin eksiklikleridir.<\/li>\n<\/ul>\n<p>Do\u011fru \u015fekilde uyguland\u0131\u011f\u0131nda mini gastrik bypass olduk\u00e7a g\u00fcvenli ve etkili bir prosed\u00fcrd\u00fcr. Ancak tekni\u011fin standardizasyonu zorunludur. Tekni\u011fe uyuldu\u011fu takdirde olas\u0131 komplikasyonlar yok denecek kadar azd\u0131r.  <\/p>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r?<\/h4>\n<p>Laparoskopik y\u00f6ntem ile mini gastrik bypass ameliyat\u0131 kar\u0131n duvar\u0131na a\u00e7\u0131lan 0.5 cm ile 1 cm\u2019lik 4 adet delikten yap\u0131lmaktad\u0131r. Bu ameliyat s\u0131ras\u0131nda z\u0131mba yard\u0131m\u0131yla midede 15 cm uzunlu\u011funda, 2 cm geni\u015fli\u011finde k\u00fc\u00e7\u00fck bir mide po\u015fu olu\u015fturulmakta ve bu mide po\u015fu ince ba\u011f\u0131rsaklar\u0131n 180 \u2013 200 cm aras\u0131na ba\u011flanmaktad\u0131r. Bu ameliyat sayesinde mide hacmi 1000 cc\u2019den olu\u015fturulan mini cep\/po\u015f sayesinde 50 cc hacme d\u00fc\u015f\u00fcr\u00fclmektedir. Hastalar 50 cc g\u0131da al\u0131m\u0131yla bile erkenden tokluk hissedebilmektedir. Mini gastrik bypass ameliyat\u0131 sonras\u0131nda a\u011f\u0131zdan al\u0131nan \u015feker ve \u015fekerli g\u0131dalar\u0131n ba\u011f\u0131rsaktan emilimi engellenip, azalt\u0131lmas\u0131 suretiyle diyabet hastal\u0131\u011f\u0131 ortadan kald\u0131r\u0131labilmektedir.    <\/p>\n<h4 class=\"vc_custom_heading\">Roux-en-Y Gastrik Bypass ile Mini Gastrik Bypass\u0131n Kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131<\/h4>\n<p>Mini gastrik bypass, t\u00fcp mide ve Roux\u2014en-Y gastrik bypass\u0131n ard\u0131ndan d\u00fcnyada en \u00e7ok uygulanan obezite ameliyat\u0131 haline gelmi\u015ftir.<\/p>\n<p>Literat\u00fcrde mini gastrik bypass ile Roux-en Y gastrik bypass\u0131 kar\u015f\u0131la\u015ft\u0131ran 3 randomize kontroll\u00fc \u00e7al\u0131\u015fma bulunmaktad\u0131r. Lee\u2019nin 2005\u2019te yay\u0131nlad\u0131\u011f\u0131 \u00e7al\u0131\u015fmas\u0131nda 2 y\u0131ll\u0131k takip sonu\u00e7lar\u0131na g\u00f6re mini gastrik bypass\u0131n daha az komplikasyona yol a\u00e7t\u0131\u011f\u0131, iki y\u0131lda kilo kayb\u0131nda anlaml\u0131 fark olmad\u0131\u011f\u0131, aneminin ise biraz daha fazla g\u00f6r\u00fcld\u00fc\u011f\u00fc bildirilmi\u015ftir. <\/p>\n<p>2019\u2019da yay\u0131nlanan daha geni\u015f kat\u0131l\u0131ml\u0131 Ruiz \u2013 Tovar \u00e7al\u0131\u015fmas\u0131nda da ameliyat riskleri a\u00e7\u0131s\u0131ndan anlaml\u0131 fark olmad\u0131\u011f\u0131 ancak mini gastrik bypass\u0131n daha iyi kilo kayb\u0131 ve diyabet, dislipidemi ve hipertansiyonda daha iyi kontrol sa\u011flad\u0131\u011f\u0131 belirtilmi\u015ftir. Ayn\u0131 y\u0131l yay\u0131nlanan Robert ve arkada\u015flar\u0131n\u0131n YOMEGA \u00e7al\u0131\u015fmas\u0131 ise mini gastrik bypass ameliyat s\u00fcrelerinin daha k\u0131sa oldu\u011funu, erken komplikasyon oranlar\u0131n\u0131n ise benzer oldu\u011funu g\u00f6stermektedir. <\/p>\n<p>G\u00fcncel literat\u00fcr mini gastrik bypass\u0131n daha k\u0131sa s\u00fcrede yap\u0131labilece\u011fini, kilo verme ve metabolik yanda\u015f hastal\u0131klar \u00fczerinde Roux-en-Y gastrik bypasstan daha y\u00fcksek etki g\u00f6sterdi\u011fini, bunun kar\u015f\u0131l\u0131\u011f\u0131nda ise daha fazla nutrisyonel komplikasyon ve anemiyle kar\u015f\u0131la\u015f\u0131labilece\u011fi belirtilmektedir.<\/p>\n<h4 class=\"vc_custom_heading\">Mini Gastrik ile \u0130lgili Sorunlar\u0131n Ameliyatla \u00c7\u00f6z\u00fcm\u00fc<\/h4>\n<p>Mini gastrik bypass sonras\u0131 ameliyatla d\u00fczeltilmesi gereken uzun vadeli sorunla kar\u015f\u0131la\u015f\u0131lmas\u0131 riski \u00e7ok d\u00fc\u015f\u00fckt\u00fcr. Bat\u0131n i\u00e7ine kanama durumunda klasik cerrahi metodlar ve tan\u0131sal laparoskopi alt\u0131n standartt\u0131r. Akut marjinal \u00fclser kanamalar\u0131nda, s\u00fct\u00fct ve omental flep kullan\u0131labilir. Ayn\u0131 \u015fekilde gastrik pos ka\u00e7aklar\u0131 ve anastomoz ka\u00e7amaklar\u0131 da t\u00fcp mideden farkl\u0131 olarak diki\u015f ve omental fleple tedavi edilebilmektedir.   <\/p>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass Ameliyat\u0131nda Ka\u00e7ak ve Kanamalar<\/h4>\n<p>Obezite cerrahisinin t\u00fcm metodlar\u0131nda oldu\u011fu gibi ameliyat sonras\u0131 akut kanamalar en s\u0131k g\u00f6r\u00fclen postoperatif komplikasyonlardand\u0131r. Kanama \u00e7ok \u015fiddetli olmad\u0131\u011f\u0131 takdirde konservatif olarak kan transf\u00fczyonu ve takiple y\u00f6netilebilmektedir. Bu durum bazen de endoskopik metodlarla \u00e7\u00f6z\u00fclebilir.  <\/p>\n<h4 class=\"vc_custom_heading\">Gastrik \u00dclser<\/h4>\n<p>Mini gastrik bypassta mide \u00fclseri geli\u015fimi RnY\u2019den \u00e7ok farkl\u0131 de\u011fildir. A\u015f\u0131r\u0131 asit \u00fcretimi, alkol, steroid ve antikoagulan kullan\u0131m\u0131 ile H.pylori enfeksiyonu da marjinal \u00fclsere yol a\u00e7abilir. <\/p>\n<p>\u00dcst sindirim sistemi endoskopisi, gastroskopi tan\u0131s\u0131 i\u00e7in en \u00f6nemli y\u00f6ntemdir. Yap\u0131lacak endoskopide gastro \u2013 gastrik fist\u00fcl varl\u0131\u011f\u0131 ara\u015ft\u0131r\u0131lmal\u0131, anastomoz civar\u0131nda eritem veya perforasyon bulgular\u0131 de\u011ferlendirilmelidir. <\/p>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass ve Safra Refl\u00fcs\u00fc Tart\u0131\u015fmas\u0131<\/h4>\n<p>Safra asitlerinin enterohepatik dola\u015f\u0131m\u0131, sindirim ve emilimdeki rolleri, metabolik etkileri ve mikrobiyata ile yak\u0131n ili\u015fkileri gayet iyi bilinmektedir. Gastrik bypass \u00e7e\u015fitlerinden sonra safra asitlerinin sirk\u00fclasyonu de\u011fi\u015fmektedir. Biliopankreatik ba\u011f\u0131rsak k\u0131sm\u0131nda safra emiliminin hafif derecede azalmas\u0131 mini gastrik bypass ameliyat\u0131n\u0131n en temel prensiplerindendir.  <\/p>\n<p>Safra asitleri \u00f6nceden absorbe edildi\u011fi i\u00e7in g\u0131dan\u0131n kat\u0131ld\u0131\u011f\u0131 ortak kanalda safra daha d\u00fc\u015f\u00fck oranda bulunmaktad\u0131r. Bu nedenle bu ameliyatlar safra koruyucu ameliyat olarak bilinmektedir. Safra asidinin k\u00f6t\u00fc yan etkilerinden biri de kolojenik diare denilen ishaldir.  <\/p>\n<p>Mini gastrik bypass ameliyat\u0131ndan sonra kanser geli\u015fimi a\u00e7\u0131s\u0131ndan risk bildiren hi\u00e7bir net veri bulunmamaktad\u0131r.<\/p>\n<h4 class=\"vc_custom_heading\">Gastro\u00f6zofageal Refl\u00fc Hastal\u0131\u011f\u0131 ve Barrett \u00d6zofagus<\/h4>\n<p>Obez olmayan pop\u00fclasyonda refl\u00fc s\u0131kl\u0131\u011f\u0131 y\u00fczde 15 \u2013 20 aral\u0131\u011f\u0131ndayken, obez bireylerde ise bu oran\u0131n y\u00fczde 50 \u2013 100 aras\u0131nda oldu\u011fu belirtilmektedir. Yemek borusu mukozas\u0131 kendini korumak i\u00e7in mideyi kaplayan silindirik bir epitele d\u00f6n\u00fc\u015f\u00fcr. Bu duruma intestinal metaplazi veya Barrett \u00d6zofagus ad\u0131 verilmektedir. Barrett \u00d6zofagus a\u011f\u0131r refl\u00fc vakalar\u0131n\u0131n yakla\u015f\u0131k y\u00fczde 10\u2019unda g\u00f6r\u00fcl\u00fcr. Bu nedenle refl\u00fc hastal\u0131\u011f\u0131 veya Barrett \u00d6zofagus varl\u0131\u011f\u0131 mutlaka ameliyat \u00f6ncesi endoskopiyle de\u011ferlendirilmelidir. Endoskopide \u00f6zofajit belirtileri yoksa semptomlar\u0131 de\u011ferlendirmede impedans pH \u00e7al\u0131\u015fmalar\u0131 kullan\u0131lmal\u0131d\u0131r.     <\/p>\n<p>Biliopankreatik ba\u011f\u0131rsak uzunlu\u011fu malnutrisyonda en \u00f6nemli fakt\u00f6rd\u00fcr. Bu mesafe k\u0131sald\u0131k\u00e7a safra asitlerinin konsantrasyonu artmakta ve bilier refl\u00fc riski de ona paralel olarak geli\u015fmektedir. <\/p>\n<p>Barrett \u00f6zofagusu ve refl\u00fc hastal\u0131\u011f\u0131n\u0131 efektif \u015fekilde tedavi etmek i\u00e7in ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri ve ila\u00e7 tedavisi ilk basamakt\u0131r. Obezite cerrahisiyle kilo verilmesi refl\u00fc belirtilerindeki iyile\u015fmenin ana fakt\u00f6r\u00fcd\u00fcr. <\/p>\n<h4 class=\"vc_custom_heading\">Emilim Azalmas\u0131 ve Protein Kalori Malnutrisyonu<\/h4>\n<p>Atlanan ba\u011f\u0131rsak mesafesi artt\u0131k\u00e7a malnutrisyon riski de artmaktad\u0131r. Bu nedenle ameliyattan \u00f6nce bunlar\u0131n kontrol edilerek eksikliklerin tamamlanmas\u0131 gerekmektedir. En s\u0131k eksikli\u011fi g\u00f6r\u00fclen de\u011ferler; B1, B6, B12, folat, demir, vitamin A, vitamin D, vitamin E, vitamin K, \u00e7inko ve alb\u00fcmindir. Makro ve mikro besinler sindirim sisteminin farkl\u0131 b\u00f6lgelerinden emilirler. Bu nedenle bariatrik cerrahiden sonra \u00e7e\u015fitli nutrisyonel eksiklikler g\u00f6r\u00fclebilmektedir.    <\/p>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass Sonras\u0131 Safra Yollar\u0131 ile \u0130lgili Komplikasyonlar<\/h4>\n<p>Obezite cerrahisini takiben safra kesesinde ta\u015f olu\u015fumu olduk\u00e7a s\u0131k olmas\u0131na ra\u011fmen safra kesesinin al\u0131nmas\u0131n\u0131 gerektiren semptomatik safra ta\u015f\u0131 oran\u0131, t\u00fcp mide ameliyat\u0131ndan sonra y\u00fczde 3.5 \u2013 6.1, Roux-en-Y bypasstan sonra ise y\u00fczde 6.1 \u2013 10.6 \u015feklindedir. Mini gastrik bypasstan sonra safra kesesi ameliyat\u0131 oran\u0131 ise y\u00fczde 2 olarak belirtilmi\u015ftir. Safra kesesinde ta\u015f olu\u015fan hastalar\u0131n yakla\u015f\u0131k y\u00fczde 70\u2019i belirti vermemektedir. Belirti veren ta\u015flarda ise safra ameliyat\u0131 bariatrik ameliyattan \u00f6nce ger\u00e7ekle\u015ftirilebilir.   <\/p>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass Sonras\u0131 Kilo Geri Al\u0131m\u0131 ve Revizyonel Cerrahi Endikasyonlar\u0131<\/h4>\n<p>Mini Gastrik Bypass sonras\u0131nda ka\u00e7ak, darl\u0131k veya \u00fclser perforasyonlar\u0131 nedeniyle tekrardan ameliyat gerekebilir. Mini gastrik bypass sonras\u0131nda kilo al\u0131m\u0131 oran\u0131 d\u00fc\u015f\u00fckt\u00fcr. Bu durumda revizyon i\u00e7in Triple Attack denen metod kullan\u0131labilir. Bu yakla\u015f\u0131m mide po\u015funun k\u00fc\u00e7\u00fclt\u00fclerek, anastomoz \u00e7a\u011f\u0131n\u0131n daralt\u0131lmas\u0131n\u0131 ve emilim azalt\u0131c\u0131 ba\u011f\u0131rsak mesafesinin artt\u0131r\u0131lmas\u0131n\u0131 i\u00e7ermektedir.   <\/p>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypass Revizyon Teknikleri<\/h4>\n<p>Mini gastrik bypass ameliyat\u0131 sonras\u0131nda nadiren de olsa kanama, darl\u0131k, perforasyon, a\u015f\u0131r\u0131 kilo kayb\u0131, durdurulamayan malnutrisyon, kilo geri al\u0131m\u0131, yetersiz kilo verme ya da refl\u00fc gibi de\u011fi\u015fik nedenlerle revizyon ameliyatlar\u0131 gerekebilir.<\/p>\n<h4 class=\"vc_custom_heading\">Revizyon Ameliyat\u0131 Olarak Mini Gastrik Bypass<\/h4>\n<p>\u00d6zellikle k\u0131s\u0131tlay\u0131c\u0131 ameliyatlardan sonra yetersiz kilo verme veya alma i\u00e7in giderek artan say\u0131da revizyon cerrahisi durumu olu\u015fmaktad\u0131r. Gastrik band ve t\u00fcp mide ameliyat\u0131 sonras\u0131nda mini gastrik bypass revizyonu da etkili y\u00f6ntemlerden biridir. Mini gastrik bypass revizyonel Roux-en-Y\u2019den daha ba\u015far\u0131l\u0131 zay\u0131flama sunmaktad\u0131r.  <\/p>\n<h4 class=\"vc_custom_heading\">Mini Gastrik Bypasstan Sonra Hasta Takibi<\/h4>\n<p>Mini Gastrik Bypass \u00f6ncesinde obez hastalarda da vitamin ve mineral eksiklikleri olabilece\u011finden ameliyat \u00f6ncesinde gerekli incelemeler yap\u0131larak tamamlanmal\u0131d\u0131r. Ameliyattan \u00f6nce tamamlanmas\u0131 ve yap\u0131lmas\u0131 gerekenler; <\/p>\n<ul>\n<li>Vitamin B1, B12, D<\/li>\n<li>Kalsiyum<\/li>\n<li>Pylori Eradikasyonu ve endoskopidir.<\/li>\n<\/ul>\n<p>Ameliyattan sonra yap\u0131lmas\u0131 gerekenler;<\/p>\n<ul>\n<li>Y\u0131lda 3 \u2013 6 \u2013 9 ve 12. aylarda full bio-kimya tetkiki <\/li>\n<li>Y\u0131lda her 6 ayda bir tetkik<\/li>\n<li>Daha sonra y\u0131ll\u0131k tetkik<\/li>\n<li>Vitamin B1, B12, D izlemi<\/li>\n<li>Hb d\u00fczeyi, kalsiyum, PTH takibi ve takviyesi<\/li>\n<li>Karaci\u011fer fonksiyonel testleri, protein ve alb\u00fcmin seviyelerinin takibi<\/li>\n<li>6 ve 9. aylarda kolesistit a\u00e7\u0131s\u0131ndan erken ultrason ve endoskopi \u015feklindedir. <\/li>\n<\/ul>\n<h4 class=\"vc_custom_heading\">Bypass Ameliyatlar\u0131ndan Sonra Mide Koruyucu Kullan\u0131m\u0131<\/h4>\n<p>Gastrik bypass ameliyatlar\u0131ndan sonra hastalar\u0131n y\u00fczde 1 \u2013 16\u2019s\u0131nda marjinal \u00fclser bilinen bir komplikasyondur. Ameliyattan sonra obezite cerrahlar\u0131n\u0131n \u00e7o\u011fu rutin olarak mide koruyucusu kullanmaktad\u0131r. Burada problem, asit sald\u0131r\u0131s\u0131na kar\u015f\u0131 relatif olarak savunmas\u0131z olan ba\u011f\u0131rsak mukozas\u0131d\u0131r. \u00dclsere neden olan fakt\u00f6rler;   <\/p>\n<ul>\n<li>B\u00fcy\u00fck mide po\u015fu<\/li>\n<li>NSAID a\u011fr\u0131 kesici kullan\u0131m\u0131<\/li>\n<li>Sigara t\u00fcketimi<\/li>\n<li>Mukozal beslenme bozuklu\u011fu<\/li>\n<li>Gastrogastrik fist\u00fcl<\/li>\n<li>Yabanc\u0131 cisim reaksiyonu ve H.Pylori kolonizasyonudur.<\/li>\n<\/ul>\n<p>Marjinal \u00fclser olu\u015fumu erken ve ge\u00e7 d\u00f6nemde olabilir. Erken marjinal \u00fclserlerde anastomozda kanlanma sorunlar\u0131, ge\u00e7 d\u00f6nemde ise mide asidinde art\u0131\u015fa neden olabilir. Mini gastrik bypasstan sonra mide koruyucu kullan\u0131m\u0131n\u0131n marjinal \u00fclseri azaltabilece\u011fi d\u00fc\u015f\u00fcn\u00fclm\u00fc\u015f olsa da kullan\u0131m s\u00fcresi net de\u011fildir.  <\/p>\n<h4 class=\"vc_custom_heading\">\u0130deal Multidisipliner Takip<\/h4>\n<p>Obezite cerrahisi sonras\u0131 efektif, y\u00fcksek kaliteli ve kapsay\u0131c\u0131 bir takip ve bak\u0131m s\u00fcreci gerekmektedir. Multidisipliner takip hem ba\u015far\u0131 oranlar\u0131n\u0131 artt\u0131r\u0131r hem de ya\u015fam kalitesini y\u00fckselterek, iyile\u015fme sa\u011flar. <\/p>\n<p>Multidisipliner ekibin i\u00e7inde obezitede uzmanla\u015fm\u0131\u015f dahiliye ve endokrinoloji uzmanlar\u0131, anestezist, nefrolog, hepatolog, solunum hastal\u0131klar\u0131 uzman\u0131, jinekolog, kardiyolog, endoskopist, psikolog ve beslenme uzmanlar\u0131 yer almaktad\u0131r.<\/p>\n<p>S\u00f6z konusu ekip, hastan\u0131n bariatrik cerrahiye y\u00f6nlendirilmesini, kilo kayb\u0131n\u0131n sa\u011flanmas\u0131 ve korunmas\u0131n\u0131, akut ve kronik komplikasyonlar\u0131n fark\u0131na var\u0131lmas\u0131n\u0131 ve metabolik sorunlar\u0131n d\u00fczeltilmesini sa\u011flar.<\/p>\n<\/div>\n<\/section>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Home Mini Gastrik Bypass The mini gastric bypass procedure was first performed in 1997 by Dr. Dr., a trauma surgeon at the University of North Carolina Hospital. It was developed by Robert Rutledge as the first modification of the standard Billroth II procedure. 5 DAYS Accomodation STUDY 2-4 hours 1-2 WEEK Recovery Time 5 DAYS [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-28451","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drburakkavlakoglu.com\/en\/wp-json\/wp\/v2\/pages\/28451","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drburakkavlakoglu.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drburakkavlakoglu.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drburakkavlakoglu.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drburakkavlakoglu.com\/en\/wp-json\/wp\/v2\/comments?post=28451"}],"version-history":[{"count":0,"href":"https:\/\/drburakkavlakoglu.com\/en\/wp-json\/wp\/v2\/pages\/28451\/revisions"}],"wp:attachment":[{"href":"https:\/\/drburakkavlakoglu.com\/en\/wp-json\/wp\/v2\/media?parent=28451"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}