{"id":28455,"date":"2024-07-20T23:51:39","date_gmt":"2024-07-20T23:51:39","guid":{"rendered":"https:\/\/drburakkavlakoglu.com\/mini-bypass-gastrique\/"},"modified":"2024-09-04T13:07:01","modified_gmt":"2024-09-04T13:07:01","slug":"mini-bypass-gastrique","status":"publish","type":"page","link":"https:\/\/drburakkavlakoglu.com\/fr\/mini-bypass-gastrique\/","title":{"rendered":"Mini-bypass gastrique"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"28455\" class=\"elementor elementor-28455\" 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-bypass gastrique<\/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>La proc\u00e9dure de mini-bypass gastrique a \u00e9t\u00e9 r\u00e9alis\u00e9e pour la premi\u00e8re fois en 1997 par le Dr Dr., chirurgien traumatologue \u00e0 l&rsquo;h\u00f4pital de l&rsquo;Universit\u00e9 de Caroline du Nord. Il a \u00e9t\u00e9 d\u00e9velopp\u00e9 par Robert Rutledge comme premi\u00e8re modification de la proc\u00e9dure standard Billroth II.<\/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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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 JOURS\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\tH\u00e9bergement\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\t\u00c9TUDE\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 heures\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 SEMAINES\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\tLe temps de r\u00e9cup\u00e9ration\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 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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 JOURS\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\tVisite de suivi\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=\"28455\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"de524f7\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Mini-bypass gastrique\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"28455\"\/>\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=\"Nom et surnom\">\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=\"E-mail\">\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=\"Votre 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 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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=\"Nom et surnom\">\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=\"Votre 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\">Envoyer<\/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-bypass gastrique<\/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>La proc\u00e9dure de mini-bypass gastrique a \u00e9t\u00e9 r\u00e9alis\u00e9e pour la premi\u00e8re fois en 1997 par le Dr Dr., chirurgien traumatologue \u00e0 l&rsquo;h\u00f4pital de l&rsquo;Universit\u00e9 de Caroline du Nord. Il a \u00e9t\u00e9 d\u00e9velopp\u00e9 par Robert Rutledge comme premi\u00e8re modification de la proc\u00e9dure standard Billroth II.<\/p>\n<p>En 2018, l&rsquo;IFSO a d\u00e9clar\u00e9 qu&rsquo;elle acceptait le mini-bypass gastrique parmi les principales techniques chirurgicales, mais a demand\u00e9 que le nom mini ne soit pas utilis\u00e9 et qu&rsquo;il soit plut\u00f4t appel\u00e9 uniquement bypass gastrique \u00e0 anastomose unique.<\/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 bypass gastrique ou bypass gastrique \u00e0 anastomose unique ?<\/strong><\/p>\n<p>Le mini-bypass gastrique, \u00e9galement connu sous le nom de bypass gastrique \u00e0 anastomose unique, est une proc\u00e9dure qui combine certaines caract\u00e9ristiques de la gastrectomie en manchon et d&rsquo;un bypass gastrique standard. Une longue poche gastrique est cr\u00e9\u00e9e. Ensuite, la poche gastrique cr\u00e9\u00e9e est combin\u00e9e avec la partie de l\u2019intestin gr\u00eale.  <\/p>\n<p>La mini-chirurgie de pontage gastrique est l\u2019une des op\u00e9rations chirurgicales de l\u2019ob\u00e9sit\u00e9 les plus couramment pratiqu\u00e9es. La principale raison de cette op\u00e9ration est le traitement de maladies telles que le diab\u00e8te, l\u2019hypercholest\u00e9rol\u00e9mie et l\u2019hypertension art\u00e9rielle due au surpoids. Il peut \u00eatre appliqu\u00e9 aux patients qui ont d\u00e9j\u00e0 subi une op\u00e9ration d\u2019anneau gastrique ou de gastrectomie en manchon mais qui n\u2019ont pas r\u00e9ussi \u00e0 perdre du poids.  <\/p>\n<p>Crit\u00e8res d&rsquo;\u00e9ligibilit\u00e9 pour la mini-chirurgie de pontage gastrique ; Roux en y est identique au bypass gastrique. Les patients pr\u00e9sentant un syndrome m\u00e9tabolique et un IMC sup\u00e9rieur \u00e0 35 peuvent b\u00e9n\u00e9ficier d&rsquo;un mini pontage gastrique. <\/p>\n<\/div>\n<\/section>\n<\/div>\n<\/section>\n<h4 class=\"vc_custom_heading\">Nombre de mini bypass gastriques appliqu\u00e9s dans le monde<\/h4>\n<p>Le nombre de mini-bypass gastriques primaires et de r\u00e9vision augmente par rapport aux autres m\u00e9thodes. Cependant, le taux d\u2019augmentation du nombre d\u2019op\u00e9rations chirurgicales n\u2019est pas le m\u00eame. Alors que l\u2019Angleterre, Isra\u00ebl, l\u2019\u00c9gypte, la Suisse et l\u2019Australie se sont adapt\u00e9s beaucoup plus rapidement \u00e0 cette m\u00e9thode, il existe toujours un pr\u00e9jug\u00e9 contre le MGB en Am\u00e9rique.  <\/p>\n<p>5. Se r\u00e9f\u00e9rant aux informations contenues dans la base de donn\u00e9es IFSO sur la chirurgie de l&rsquo;ob\u00e9sit\u00e9 (2019), le Prof. Dr. Almino Ramos souligne qu&rsquo;il existe des preuves montrant la sup\u00e9riorit\u00e9 du mini pontage gastrique sur Roux-en-Y et la gastrectomie en manchon pour la perte de poids chez les patients souffrant d&rsquo;ob\u00e9sit\u00e9 morbide.<\/p>\n<p>Le mini bypass gastrique, l\u2019une des m\u00e9thodes courantes de chirurgie de l\u2019ob\u00e9sit\u00e9, augmente non seulement en nombre de cas, mais \u00e9galement en nombre de recherches et de publications.<\/p>\n<p>Les points cl\u00e9s des d\u00e9tails techniques du mini bypass gastrique sont les suivants.<\/p>\n<ul>\n<li>Le diam\u00e8tre du tube d&rsquo;\u00e9talonnage doit \u00eatre compris entre 34 et 40 mm, bien qu&rsquo;il ne varie pas en fonction de l&rsquo;\u00e2ge ou de l&rsquo;IMC.<\/li>\n<li>L\u2019utilisation de boosters de ligne d\u2019agrafeuses n\u2019est pas standard.<\/li>\n<li>Estomac \u2013 l&rsquo;anastomose intestinale doit \u00eatre de 45 mm.<\/li>\n<li>Bien que la division du grand \u00e9piploon ne soit pas une pratique courante, elle doit \u00eatre pratiqu\u00e9e si n\u00e9cessaire.<\/li>\n<li>La mesure de la longueur totale de l\u2019intestin n\u2019est pas syst\u00e9matique.<\/li>\n<li>La plage minimale d\u2019IMC pour les patients diab\u00e9tiques non ob\u00e8ses est comprise entre 25 et 30.<\/li>\n<li>Une r\u00e9vision Roux-en-Y doit \u00eatre envisag\u00e9e en cas de reflux s\u00e9v\u00e8re.<\/li>\n<li>L&rsquo;utilisation gastroprotectrice postop\u00e9ratoire de routine dure 3 \u00e0 6 mois.<\/li>\n<li>Vitamines utilis\u00e9es tout au long de la vie ; injection de multivitamines, de calcium, de fer, de vitamine D et B12 tous les trois mois.<\/li>\n<li>L&rsquo;augmentation de la distance de contournement est l&rsquo;option de r\u00e9vision la plus appropri\u00e9e en cas de prise de poids importante.<\/li>\n<\/ul>\n<h4 class=\"vc_custom_heading\">Les plus grands avantages du mini bypass gastrique<\/h4>\n<section class=\"av_textblock_section \">\n<div class=\"avia_textblock \">\n<p>La chirurgie id\u00e9ale de l\u2019ob\u00e9sit\u00e9, r\u00e9alis\u00e9e avec un minimum de risques et de complications, est l\u2019une des m\u00e9thodes qui am\u00e9liorent la qualit\u00e9 de vie en permettant une perte de poids permanente. C\u2019est pour cette raison que le mini bypass gastrique s\u2019impose vraiment comme une m\u00e9thode techniquement simple \u00e0 mettre en \u0153uvre. Il est possible que ce soit la chirurgie de r\u00e9vision la plus pratiqu\u00e9e dans les ann\u00e9es \u00e0 venir.  <\/p>\n<\/div>\n<\/section>\n<h4 class=\"vc_custom_heading\">Quels sont les avantages du mini bypass gastrique ?<\/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>Apr\u00e8s un pontage gastrique, le patient perd environ 10 \u00e0 15 kilos au cours du premier mois. Le taux de r\u00e9ussite dans la perte de poids apr\u00e8s une intervention chirurgicale est plus \u00e9lev\u00e9 que lors d\u2019une chirurgie du manchon gastrique. Dans les deux m\u00e9thodes, la prise alimentaire est limit\u00e9e. Apr\u00e8s la chirurgie, 75 pour cent de l\u2019exc\u00e8s de poids est perdu la premi\u00e8re ann\u00e9e et 80 \u00e0 90 pour cent la deuxi\u00e8me ann\u00e9e. Avec la perte de l\u2019exc\u00e8s de poids, on constate une am\u00e9lioration significative des maladies accompagnant l\u2019ob\u00e9sit\u00e9.    <\/p>\n<\/div>\n<\/section>\n<\/div>\n<\/section>\n<h4 class=\"vc_custom_heading\">\u00c0 qui s\u2019adresse la mini-chirurgie de pontage gastrique ?<\/h4>\n<section class=\"av_textblock_section \">\n<div class=\"avia_textblock \">\n<p>La m\u00e9thode du mini bypass gastrique est pr\u00e9f\u00e9r\u00e9e dans le traitement des patients ob\u00e8ses morbides insulino-d\u00e9pendants. Il est plus efficace que la gastrectomie en manchon et le pontage gastrique classique, en particulier chez les patients diab\u00e9tiques. Le mini-bypass gastrique est g\u00e9n\u00e9ralement la m\u00e9thode pr\u00e9f\u00e9r\u00e9e pour les patients souffrant d&rsquo;ob\u00e9sit\u00e9 morbide qui ont subi une chirurgie de manchon gastrique ou de r\u00e9duction de l&rsquo;estomac et qui reprennent du poids des ann\u00e9es plus tard. La proc\u00e9dure de mini-bypass gastrique est extr\u00eamement simple et entra\u00eene peu de complications chez ces patients.   <\/p>\n<p>Mini-bypass gastrique ; C\u2019est une chirurgie qui se situe entre Roux \u2013 en \u2013 y, avec son effet r\u00e9ducteur d\u2019absorption, et la d\u00e9rivation biliopancr\u00e9atique, qui est une chirurgie plus complexe.<\/p>\n<p>Les r\u00e8gles des autres m\u00e9thodes chirurgicales de l&rsquo;ob\u00e9sit\u00e9 s&rsquo;appliquent \u00e0 la s\u00e9lection des patients pour le mini-bypass gastrique (MGB), et il existe des sous-groupes de patients pour lesquels le mini-bypass gastrique est particuli\u00e8rement adapt\u00e9.<\/p>\n<ul>\n<li><strong>\u00c2ge et IMC : <\/strong>Tous les patients pouvant subir une chirurgie de l&rsquo;ob\u00e9sit\u00e9 et dont l&rsquo;\u00e9tat de sant\u00e9 le permet sont candidats \u00e0 la MGB. Cependant, chez les patients \u00e2g\u00e9s, il convient de faire attention \u00e0 la distance de r\u00e9duction d&rsquo;absorption et de la maintenir un peu plus courte. Le mini bypass gastrique donne \u00e9galement d\u2019excellents r\u00e9sultats chez les patients ob\u00e8ses supermorbides.  <\/li>\n<li><strong>Maladies m\u00e9taboliques : <\/strong>les patients souffrant d&rsquo;ob\u00e9sit\u00e9 abdominale s\u00e9v\u00e8re ou d&rsquo;un syndrome m\u00e9tabolique avanc\u00e9 sont des candidats particuli\u00e8rement adapt\u00e9s au MGB en raison de ses excellents effets. Sa haute efficacit\u00e9 m\u00e9tabolique fait du mini bypass gastrique une excellente option pour les patients diab\u00e9tiques de type 2, quel que soit leur indice de masse corporelle. <\/li>\n<li><strong>Reflux et hernie hiatale :<\/strong> Les patients ob\u00e8ses atteints de reflux sont \u00e9galement des candidats appropri\u00e9s pour un mini pontage gastrique en raison de son effet hypotenseur.<\/li>\n<li><strong>\u00c9tat de l&rsquo;intestin gr\u00eale : <\/strong>Puisqu&rsquo;il s&rsquo;agit d&rsquo;une anastomose de l&rsquo;intestin gr\u00eale, l&rsquo;intestin gr\u00eale doit \u00eatre libre lors de la chirurgie MGB. En cas de bassin gel\u00e9 o\u00f9 l&rsquo;intestin gr\u00eale ne peut \u00eatre lib\u00e9r\u00e9, le mini-bypass gastrique et toutes les proc\u00e9dures mixtes impliquant l&rsquo;intestin sont contre-indiqu\u00e9s. <\/li>\n<li><strong>Chirurgie de r\u00e9vision apr\u00e8s d&rsquo;autres chirurgies infructueuses : <\/strong>Il est indiqu\u00e9 que le mini-bypass gastrique est une option efficace pour la r\u00e9vision apr\u00e8s des chirurgies restrictives infructueuses telles que l&rsquo;anneau gastrique et la gastrectomie en manchon. Compte tenu de la popularit\u00e9 actuelle de la gastrectomie en manchon, on peut pr\u00e9dire que la chirurgie de r\u00e9vision, de la gastrectomie en manchon au mini pontage gastrique, sera la chirurgie de r\u00e9vision la plus courante dans les ann\u00e9es \u00e0 venir. Le mini bypass gastrique \u00e9tant \u00e9galement une proc\u00e9dure anti-reflux, il constitue \u00e9galement une deuxi\u00e8me option en cas de reflux qui se d\u00e9veloppe apr\u00e8s une gastrectomie en manchon.  <\/li>\n<li><strong>Exigences particuli\u00e8res : <\/strong>Les patients souffrant d&rsquo;ob\u00e9sit\u00e9 morbide doivent arr\u00eater de consommer de l&rsquo;alcool et des cigarettes au moins 6 mois avant l&rsquo;intervention chirurgicale. En cas de toxicomanie, une p\u00e9riode d\u2019\u00e9radication d\u2019au moins 3 ans serait bonne. Le risque chirurgical \u00e9tant \u00e9lev\u00e9 chez les patients souffrant d\u2019ob\u00e9sit\u00e9 morbide, le mini-bypass gastrique est une tr\u00e8s bonne option pour ces patients.  <\/li>\n<\/ul>\n<\/div>\n<\/section>\n<h4 class=\"vc_custom_heading\">Quelle devrait \u00eatre la perte de poids attendue apr\u00e8s un mini bypass gastrique ?<\/h4>\n<p>Compar\u00e9 \u00e0 d\u2019autres chirurgies de l\u2019ob\u00e9sit\u00e9, le mini bypass gastrique devient l\u2019une des m\u00e9thodes les plus puissantes. La plus grande perte de poids apr\u00e8s un mini bypass gastrique se produit g\u00e9n\u00e9ralement au cours de la premi\u00e8re ann\u00e9e. Pendant cette p\u00e9riode, environ 70 pour cent ou plus de l\u2019exc\u00e8s de poids est perdu. Les informations publi\u00e9es montrent que la perte de poids ralentit et se stabilise au cours des deuxi\u00e8me et troisi\u00e8me ann\u00e9es, et que le taux de perte de poids excessif reste \u00e0 75 pour cent en 8 \u00e0 10 ans.   <\/p>\n<p>De nombreuses publications montrent la sup\u00e9riorit\u00e9 du mini bypass gastrique par rapport \u00e0 la chirurgie de gastrectomie en manchon. En termes de perte de poids et d\u2019am\u00e9lioration des maladies chroniques, le mini bypass gastrique est nettement plus efficace que le bypass gastrique Roux-en-Y et la gastrectomie en manchon. Puisqu\u2019il s\u2019agit d\u2019une chirurgie plus m\u00e9tabolique, il faut faire attention au risque plus \u00e9lev\u00e9 de malnutrition.  <\/p>\n<h4 class=\"vc_custom_heading\">R\u00e9sultats li\u00e9s \u00e0 l\u2019\u00e2ge et \u00e0 l\u2019indice de masse corporelle<\/h4>\n<p>Le mini bypass gastrique, qui est devenu l\u2019une des m\u00e9thodes les plus populaires en chirurgie de l\u2019ob\u00e9sit\u00e9, repr\u00e9sente environ 46 % de toutes les chirurgies de l\u2019ob\u00e9sit\u00e9. Le mini bypass gastrique est g\u00e9n\u00e9ralement pr\u00e9f\u00e9r\u00e9 au Roux-en-Y car c&rsquo;est une m\u00e9thode plus simple et plus efficace. De plus, elle est relativement plus facile \u00e0 appliquer chez les patients ob\u00e8ses supermorbides et son efficacit\u00e9 est incontestablement sup\u00e9rieure aux deux m\u00e9thodes. Des r\u00e9sultats similaires \u00e0 Roux-en-Y sont obtenus en termes de perte de poids et de r\u00e9solution des complications m\u00e9taboliques chez les patients ayant un indice de masse corporelle (IMC) inf\u00e9rieur \u00e0 35.   <\/p>\n<p>Chez les adolescents, le mini bypass gastrique permet une perte de poids efficace et une am\u00e9lioration des maladies m\u00e9taboliques. Le manchon gastrique entra\u00eene moins de complications \u00e0 moyen et long terme par rapport \u00e0 l&rsquo;anneau gastrique et au pontage RnY. <\/p>\n<h4 class=\"vc_custom_heading\">Comment les maladies m\u00e9taboliques sont-elles am\u00e9lior\u00e9es gr\u00e2ce au mini bypass gastrique ?<\/h4>\n<p>Le succ\u00e8s du mini bypass gastrique, qui est aujourd\u2019hui une m\u00e9thode de chirurgie de l\u2019ob\u00e9sit\u00e9 valable, sur les maladies m\u00e9taboliques a \u00e9t\u00e9 prouv\u00e9.<\/p>\n<p>Lorsque le mini bypass gastrique est compar\u00e9 \u00e0 la gastrectomie en manchon, de meilleurs r\u00e9sultats sont obtenus avec le mini bypass gastrique dans la perte de poids et dans les maladies telles que le diab\u00e8te de type 2, l&rsquo;hypertension et l&rsquo;apn\u00e9e du sommeil.<\/p>\n<h4 class=\"vc_custom_heading\">Reflux et hernie hiatale<\/h4>\n<p>Il existe une relation parall\u00e8le entre l\u2019ob\u00e9sit\u00e9 et le reflux. Jonction gastro-intestinale en mini bypass gastrique ; Il entre en contact avec un m\u00e9lange d&rsquo;aliments et d&rsquo;enzymes tels que les liquides gastriques, la bile et les s\u00e9cr\u00e9tions pancr\u00e9atiques. <\/p>\n<p>Dans les cas de reflux s\u00e9v\u00e8res, il peut \u00eatre appropri\u00e9 d&rsquo;\u00e9valuer l&rsquo;ad\u00e9quation du sphincter inf\u00e9rieur de l&rsquo;\u0153sophage avec des tests avanc\u00e9s tels que la pHm\u00e9trie, les \u00e9tudes d&rsquo;imp\u00e9dance et la manom\u00e9trie.<\/p>\n<p>Le mini bypass gastrique est un syst\u00e8me \u00e0 basse pression. Par cons\u00e9quent, les pr\u00e9occupations concernant le reflux ne sont plus aussi intenses qu\u2019avant. <\/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-bypass gastrique La proc\u00e9dure de mini-bypass gastrique a \u00e9t\u00e9 r\u00e9alis\u00e9e pour la premi\u00e8re fois en 1997 par le Dr Dr., chirurgien traumatologue \u00e0 l&rsquo;h\u00f4pital de l&rsquo;Universit\u00e9 de Caroline du Nord. Il a \u00e9t\u00e9 d\u00e9velopp\u00e9 par Robert Rutledge comme premi\u00e8re modification de la proc\u00e9dure standard Billroth II. 5 JOURS H\u00e9bergement \u00c9TUDE 2-4 heures 1-2 SEMAINES [&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-28455","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drburakkavlakoglu.com\/fr\/wp-json\/wp\/v2\/pages\/28455","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drburakkavlakoglu.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drburakkavlakoglu.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drburakkavlakoglu.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drburakkavlakoglu.com\/fr\/wp-json\/wp\/v2\/comments?post=28455"}],"version-history":[{"count":0,"href":"https:\/\/drburakkavlakoglu.com\/fr\/wp-json\/wp\/v2\/pages\/28455\/revisions"}],"wp:attachment":[{"href":"https:\/\/drburakkavlakoglu.com\/fr\/wp-json\/wp\/v2\/media?parent=28455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}