{"id":28630,"date":"2024-07-20T23:51:41","date_gmt":"2024-07-20T23:51:41","guid":{"rendered":"https:\/\/drburakkavlakoglu.com\/pontage-gastrique\/"},"modified":"2024-09-04T13:06:42","modified_gmt":"2024-09-04T13:06:42","slug":"pontage-gastrique","status":"publish","type":"page","link":"https:\/\/drburakkavlakoglu.com\/fr\/pontage-gastrique\/","title":{"rendered":"Pontage gastrique"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"28630\" class=\"elementor elementor-28630\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d27e056 e-flex e-con-boxed e-con e-parent\" data-id=\"d27e056\" 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-9f245bd e-con-full e-flex e-con e-child\" data-id=\"9f245bd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d484bcd elementor-widget elementor-widget-heading\" data-id=\"d484bcd\" 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\">Chirurgie de pontage gastrique<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-533afd4 elementor-widget elementor-widget-text-editor\" data-id=\"533afd4\" 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>Chirurgie de pontage gastrique ; C\u2019est l\u2019une des m\u00e9thodes privil\u00e9gi\u00e9es en chirurgie de l\u2019ob\u00e9sit\u00e9, selon la situation. <\/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-bcd28a7 e-con-full e-flex e-con e-child\" data-id=\"bcd28a7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c76337c elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"c76337c\" 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 href=\"https:\/\/www.google.com\/search?sca_esv=ed219b31d6377477&#038;sca_upv=1&#038;sxsrf=ADLYWIL9H3WypNPm5qgGVH_NEBBNa0a-6A:1721685983658&#038;uds=ADvngMjcH0KdF7qGWtwTBrP0nt7dAAh-P1KL938xtHbIzGFidwj1wCL4QjUP6G0BmxXB8jfnX-GgafNXffYyVmQCW3OIUlOFqMkik6VRpwS8Pnj2RXPf0u5XGDp4XLT4r9ApDfxeE3pk8hRBqUIJQC0sE4S0aPwm7g&#038;si=ACC90nwjPmqJHrCEt6ewASzksVFQDX8zco_7MgBaIawvaF4-7nBcqUBteWWsKkrs66FOY__lDY_7Rf-CkvNwKPH4PIxrBIvw81cqAeWHc08LSL6jL-4aPBg%3D&#038;q=Prof.+Dr.+Burak+Kavlako%C4%9Flu+%7C+Genel+Cerrahi,+Obezite+Cerrahisi,+Metabolik+Cerrahi+Yorumlar&#038;sa=X&#038;ved=2ahUKEwjl2eGL1LuHAxWcUaQEHTCqCW8Q3PALegQISRAF&#038;biw=1680&#038;bih=826&#038;dpr=2\" target=\"_blank\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"430\" height=\"174\" src=\"https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/google-review-badge-gmb.webp\" class=\"attachment-large size-large wp-image-26452\" alt=\"\" srcset=\"https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/google-review-badge-gmb.webp 430w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/google-review-badge-gmb-300x121.webp 300w\" sizes=\"(max-width: 430px) 100vw, 430px\" \/>\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 class=\"elementor-element elementor-element-160ce9f elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"160ce9f\" 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 href=\"https:\/\/www.trustpilot.com\/review\/drburakkavlakoglu.com\" target=\"_blank\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"980\" height=\"551\" src=\"https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2020\/10\/trustpilot.com_logo-2048x1152-1-1024x576.png\" class=\"attachment-large size-large wp-image-26576\" 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-ebdd7f4 elementor-hidden-mobile e-flex e-con-boxed e-con e-child\" data-id=\"ebdd7f4\" 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-14bfe9ef e-flex e-con-boxed e-con e-parent\" data-id=\"14bfe9ef\" 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-3c2942d2 elementor-widget elementor-widget-text-editor\" data-id=\"3c2942d2\" 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-7371c01 e-con-full e-flex e-con e-child\" data-id=\"7371c01\" 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-53a829e e-con-full e-flex e-con e-child\" data-id=\"53a829e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-a0f0270 e-con-full e-flex e-con e-child\" data-id=\"a0f0270\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-24a441a e-con-full e-flex e-con e-child\" data-id=\"24a441a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6ba6e7d elementor-view-default elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"6ba6e7d\" 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-7ef6926 e-con-full e-flex e-con e-child\" data-id=\"7ef6926\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-aacdff7 elementor-view-default elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"aacdff7\" 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-3434e1c e-con-full e-flex e-con e-child\" data-id=\"3434e1c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fa3e18c elementor-view-default elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"fa3e18c\" 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-e7fb7e5 e-con-full e-flex e-con e-child\" data-id=\"e7fb7e5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4fc3fea elementor-view-default elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"4fc3fea\" 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 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-7283a3b e-flex e-con-boxed e-con e-child\" data-id=\"7283a3b\" 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-9a17a55 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"9a17a55\" 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=\"28630\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"9a17a55\"\/>\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=\"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=\"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=\"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 elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_5682a62\"><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\">G\u00f6nder<\/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<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-section elementor-top-section elementor-element elementor-element-8b68e1e elementor-section-stretched elementor-section-height-min-height elementor-section-items-top elementor-section-boxed elementor-section-height-default\" data-id=\"8b68e1e\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2d0d9f9 elementor-hidden-mobile\" data-id=\"2d0d9f9\" 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-fd55b0b elementor-widget elementor-widget-heading\" data-id=\"fd55b0b\" 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\">Nos soins<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fd2ad85 elementor-nav-menu--dropdown-tablet elementor-nav-menu__text-align-aside elementor-nav-menu--toggle elementor-nav-menu--burger elementor-widget elementor-widget-nav-menu\" data-id=\"fd2ad85\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;vertical&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;svg class=\\&quot;e-font-icon-svg e-fas-caret-down\\&quot; viewBox=\\&quot;0 0 320 512\\&quot; xmlns=\\&quot;http:\\\/\\\/www.w3.org\\\/2000\\\/svg\\&quot;&gt;&lt;path d=\\&quot;M31.3 192h257.3c17.8 0 26.7 21.5 14.1 34.1L174.1 354.8c-7.8 7.8-20.5 7.8-28.3 0L17.2 226.1C4.6 213.5 13.5 192 31.3 192z\\&quot;&gt;&lt;\\\/path&gt;&lt;\\\/svg&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;toggle&quot;:&quot;burger&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<nav class=\"elementor-nav-menu--main elementor-nav-menu__container elementor-nav-menu--layout-vertical e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-fd2ad85\" class=\"elementor-nav-menu sm-vertical\"><li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26264\"><a href=\"https:\/\/drburakkavlakoglu.com\/hakkimizda\/\" class=\"elementor-item\">Biyografi<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26262\"><a href=\"https:\/\/drburakkavlakoglu.com\/social-share\/\" class=\"elementor-item\">Kalite Politikam\u0131z<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26265\"><a href=\"https:\/\/drburakkavlakoglu.com\/sikca-sorulan-sorular\/\" class=\"elementor-item\">S\u0131k\u00e7a Sorulan Sorular<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26261\"><a href=\"https:\/\/drburakkavlakoglu.com\/sertifikalarimiz\/\" class=\"elementor-item\">Sertifikalar\u0131m\u0131z<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26263\"><a href=\"https:\/\/drburakkavlakoglu.com\/sample-page\/\" class=\"elementor-item\">Gizlilik Politikas\u0131<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26365\"><a href=\"https:\/\/drburakkavlakoglu.com\/danismanlik-formu\/\" class=\"elementor-item\">Dan\u0131\u015fmanl\u0131k Formu<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26551\"><a href=\"https:\/\/drburakkavlakoglu.com\/blog\/\" class=\"elementor-item\">Makaleler<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-27005\"><a href=\"https:\/\/drburakkavlakoglu.com\/hasta-videolari\/\" class=\"elementor-item\">Hasta Videolar\u0131<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t<div class=\"elementor-menu-toggle\" role=\"button\" tabindex=\"0\" aria-label=\"Menu Toggle\" aria-expanded=\"false\">\n\t\t\t<svg aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--open e-font-icon-svg e-eicon-menu-bar\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M104 333H896C929 333 958 304 958 271S929 208 896 208H104C71 208 42 237 42 271S71 333 104 333ZM104 583H896C929 583 958 554 958 521S929 458 896 458H104C71 458 42 487 42 521S71 583 104 583ZM104 833H896C929 833 958 804 958 771S929 708 896 708H104C71 708 42 737 42 771S71 833 104 833Z\"><\/path><\/svg><svg aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--close e-font-icon-svg e-eicon-close\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M742 167L500 408 258 167C246 154 233 150 217 150 196 150 179 158 167 167 154 179 150 196 150 212 150 229 154 242 171 254L408 500 167 742C138 771 138 800 167 829 196 858 225 858 254 829L496 587 738 829C750 842 767 846 783 846 800 846 817 842 829 829 842 817 846 804 846 783 846 767 842 750 829 737L588 500 833 258C863 229 863 200 833 171 804 137 775 137 742 167Z\"><\/path><\/svg>\t\t\t<span class=\"elementor-screen-only\">Menu<\/span>\n\t\t<\/div>\n\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-fd2ad85\" class=\"elementor-nav-menu sm-vertical\"><li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26264\"><a href=\"https:\/\/drburakkavlakoglu.com\/hakkimizda\/\" class=\"elementor-item\" tabindex=\"-1\">Biyografi<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26262\"><a href=\"https:\/\/drburakkavlakoglu.com\/social-share\/\" class=\"elementor-item\" tabindex=\"-1\">Kalite Politikam\u0131z<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26265\"><a href=\"https:\/\/drburakkavlakoglu.com\/sikca-sorulan-sorular\/\" class=\"elementor-item\" tabindex=\"-1\">S\u0131k\u00e7a Sorulan Sorular<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26261\"><a href=\"https:\/\/drburakkavlakoglu.com\/sertifikalarimiz\/\" class=\"elementor-item\" tabindex=\"-1\">Sertifikalar\u0131m\u0131z<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26263\"><a href=\"https:\/\/drburakkavlakoglu.com\/sample-page\/\" class=\"elementor-item\" tabindex=\"-1\">Gizlilik Politikas\u0131<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26365\"><a href=\"https:\/\/drburakkavlakoglu.com\/danismanlik-formu\/\" class=\"elementor-item\" tabindex=\"-1\">Dan\u0131\u015fmanl\u0131k Formu<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-26551\"><a href=\"https:\/\/drburakkavlakoglu.com\/blog\/\" class=\"elementor-item\" tabindex=\"-1\">Makaleler<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-27005\"><a href=\"https:\/\/drburakkavlakoglu.com\/hasta-videolari\/\" class=\"elementor-item\" tabindex=\"-1\">Hasta 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\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\">Chirurgie de pontage 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 \"><div class=\"avia_textblock \"><section class=\"av_textblock_section \"><div class=\"avia_textblock \"><section class=\"av_textblock_section \"><div class=\"avia_textblock \"><p>Chirurgie de pontage gastrique ; C\u2019est l\u2019une des m\u00e9thodes privil\u00e9gi\u00e9es en chirurgie de l\u2019ob\u00e9sit\u00e9, selon la situation. Le bypass gastrique, qui vise \u00e0 r\u00e9duire la prise alimentaire, contrairement \u00e0 la chirurgie du manchon gastrique, restreint non seulement la prise alimentaire mais \u00e9galement l&rsquo;absorption.<\/p><p><img decoding=\"async\" class=\"alignnone wp-image-26475 size-full\" src=\"https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/neurourgeons-are-operating-with-medical-robotic-surgery-machine-modern-automated-medical-device-surgical-room-hospital-with-robotic-technology-equipment-machine-arm-neurosurgeon-scaled-1.webp\" alt=\"Chirurgie de pontage gastrique \" width=\"2560\" height=\"1707\" srcset=\"https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/neurourgeons-are-operating-with-medical-robotic-surgery-machine-modern-automated-medical-device-surgical-room-hospital-with-robotic-technology-equipment-machine-arm-neurosurgeon-scaled-1.webp 2560w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/neurourgeons-are-operating-with-medical-robotic-surgery-machine-modern-automated-medical-device-surgical-room-hospital-with-robotic-technology-equipment-machine-arm-neurosurgeon-scaled-1-300x200.webp 300w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/neurourgeons-are-operating-with-medical-robotic-surgery-machine-modern-automated-medical-device-surgical-room-hospital-with-robotic-technology-equipment-machine-arm-neurosurgeon-scaled-1-1024x683.webp 1024w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/neurourgeons-are-operating-with-medical-robotic-surgery-machine-modern-automated-medical-device-surgical-room-hospital-with-robotic-technology-equipment-machine-arm-neurosurgeon-scaled-1-768x512.webp 768w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/neurourgeons-are-operating-with-medical-robotic-surgery-machine-modern-automated-medical-device-surgical-room-hospital-with-robotic-technology-equipment-machine-arm-neurosurgeon-scaled-1-1536x1024.webp 1536w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/neurourgeons-are-operating-with-medical-robotic-surgery-machine-modern-automated-medical-device-surgical-room-hospital-with-robotic-technology-equipment-machine-arm-neurosurgeon-scaled-1-2048x1366.webp 2048w, https:\/\/drburakkavlakoglu.com\/wp-content\/uploads\/2024\/07\/neurourgeons-are-operating-with-medical-robotic-surgery-machine-modern-automated-medical-device-surgical-room-hospital-with-robotic-technology-equipment-machine-arm-neurosurgeon-scaled-1-800x533.webp 800w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p><h4 class=\"vc_custom_heading\">Qu\u2019est-ce que la chirurgie de pontage gastrique ?<\/h4><section class=\"av_textblock_section \"><div class=\"avia_textblock \"><p>La chirurgie de d\u00e9rivation gastrique, l&rsquo;une des m\u00e9thodes qui attirent l&rsquo;attention avec ses r\u00e9sultats positifs dans la chirurgie de l&rsquo;ob\u00e9sit\u00e9, est la chirurgie de l&rsquo;ob\u00e9sit\u00e9 la plus appr\u00e9ci\u00e9e au monde apr\u00e8s la chirurgie de r\u00e9duction de l&rsquo;estomac. Cette op\u00e9ration est g\u00e9n\u00e9ralement r\u00e9alis\u00e9e sur des personnes qui ne parviennent pas \u00e0 obtenir des r\u00e9sultats avec un r\u00e9gime alimentaire et de l&rsquo;exercice et dont le poids commence \u00e0 affecter s\u00e9rieusement leur sant\u00e9. Le but de l&rsquo;op\u00e9ration est : Elle est diff\u00e9rente de la chirurgie de gastrectomie en manchon. Alors que la chirurgie du manchon gastrique donne des r\u00e9sultats en r\u00e9duisant la capacit\u00e9 de l&rsquo;estomac, la chirurgie de d\u00e9rivation gastrique vise \u00e0 obtenir des r\u00e9sultats en r\u00e9tr\u00e9cissant et en r\u00e9duisant l&rsquo;absorption.<\/p><\/div><\/section><div class=\"av-special-heading av-special-heading-h3 avia-builder-el-5 el_after_av_textblock el_before_av_textblock \">\u00a0<\/div><h4 class=\"vc_custom_heading\">Quels sont les types de pontage gastrique ?<\/h4><p>Chirurgie de pontage gastrique ; C\u2019est l\u2019une des m\u00e9thodes les plus appr\u00e9ci\u00e9es en chirurgie de l\u2019ob\u00e9sit\u00e9. Le bypass gastrique, qui vise \u00e0 r\u00e9duire la prise alimentaire en reliant l\u2019estomac et l\u2019intestin gr\u00eale, contrairement \u00e0 la chirurgie du manchon gastrique, restreint non seulement la prise alimentaire mais \u00e9galement l\u2019absorption des aliments.<\/p><ol><li><strong>Roux-en-Y (Proximal) : <\/strong>Roux-en-Y, proc\u00e9dure bariatrique, est l&rsquo;une des techniques de pontage gastrique les plus utilis\u00e9es dans notre pays. Une poche gastrique proximale inf\u00e9rieure \u00e0 30 ml est cr\u00e9\u00e9e \u00e0 l\u2019entr\u00e9e de l\u2019estomac. Cette poche gastrique cr\u00e9\u00e9e a un volume inf\u00e9rieur \u00e0 environ 1 verre de th\u00e9. La poche gastrique cr\u00e9\u00e9e par cette op\u00e9ration, qui provoque des probl\u00e8mes nutritionnels minimes, d\u00e9sactive l&rsquo;estomac existant et permet aux nutriments d&rsquo;arriver ici.<\/li><li><strong>Roux-en-Y (Distal): <\/strong>Normal ince ba\u011f\u0131rsak 600 \u2013 1000 cm aras\u0131ndad\u0131r. Safran\u0131n, ince barsa\u011f\u0131n sonuna do\u011fru g\u0131dayla birle\u015fmesi temel olarak ya\u011f ve ni\u015fastalar\u0131n \u00e7e\u015fitli mineral ve ya\u011fda eriyen vitaminlerin emilimine neden olur. Baz\u0131 vakalarda beslenme ile ilgili vitamin eksikli\u011fi gibi daha ciddi sorunlar g\u00f6r\u00fclebilmektedir. Buradaki bakteriyel ektivite irritan maddelerin \u00fcretimine ve k\u00f6t\u00fc kokulu gaz olu\u015fumuna yol a\u00e7maktad\u0131r.<\/li><li><strong>Loop Gastrik Bypass (Mini Gastrik Bypass):<\/strong> Loop Gastrik Bypass varyant\u0131nda ba\u011f\u0131rsak ikiye b\u00f6l\u00fcnmeden direkt olarak mide ile birle\u015ftirilmektedir. Olu\u015fturulmas\u0131 daha basit olmakla beraber bu y\u00f6ntem safra ve pankreas enzimlerinin ince ba\u011f\u0131rsaktan mideye oradan da yemek borusuna ka\u00e7mas\u0131na ve yemek borusunda ciddi enflamasyon ve \u00fclserasyona yol a\u00e7maktad\u0131r. Her ne kadar uygulamas\u0131 daha basit olsa da \u00e7ok tercih edilen bir y\u00f6ntem de\u011fildir.<\/li><\/ol><h4 class=\"vc_custom_heading\">Gastrik Bypass\u2019\u0131n Uyguland\u0131\u011f\u0131 Durumlar<\/h4><section class=\"av_textblock_section \"><div class=\"avia_textblock \"><p>Gastrik Bypass ameliyat\u0131; bir morbid obezite ameliyat\u0131 olup, beden kitle indeksi 40\u2019\u0131n \u00fczerinde olan veya 35\u2019in \u00fczerinde ama yanda\u015f hastal\u0131\u011f\u0131 olan hastalara uygulanmaktad\u0131r. Gastrik Bypass ameliyat\u0131n\u0131n ki\u015fi i\u00e7in uygun bir prosed\u00fcr oldu\u011funa emin olmak i\u00e7in farkl\u0131 testlere ba\u015fvurulmaktad\u0131r. Ki\u015finin t\u0131bbi hikayesinin yan\u0131 s\u0131ra v\u00fccut kitle indeksi ve ki\u015fisel kilo kayb\u0131 hedefleri, Gastrik Bypass i\u00e7in uygun bir aday olup olmad\u0131\u011f\u0131n\u0131n belirlenmesinde \u00f6nemli fakt\u00f6rlerdir. Gastrik Bypas ameliyat\u0131 daha \u00f6nce bir obezite ameliyat\u0131 ge\u00e7irmi\u015f hastalara revizyon cerrahisi olarak da uygulanabilmektedir.<\/p><p><strong>Fizyolojisi<\/strong><\/p><p>Obezite cerrahisinde ba\u015far\u0131l\u0131 sonu\u00e7lar\u0131yla dikkat \u00e7eken y\u00f6ntemlerden biri olan gastrik bypass ameliyat\u0131, d\u00fcnyada mide k\u00fc\u00e7\u00fcltme ameliyat\u0131ndan sonra en \u00e7ok tercih edilen obezite ameliyat\u0131d\u0131r. S\u00f6z konusu y\u00f6ntem mide boyutunu y\u00fczde 90\u2019\u0131n \u00fczerinde azaltarak kilo verilmesine yard\u0131mc\u0131 olur. Normal bir mide bazen 1000 ml\u2019e kadar geni\u015fleyebilmektedir. Gastrik bypass po\u015fu ise 30-40 ml boyutundad\u0131r. Gastrik bypass po\u015fu genellikle midenin en az esneyebilen \u00fcst k\u0131sm\u0131nda olu\u015fturulmaktad\u0131r. Po\u015fun zamanla fonksiyonel kapasitesinin artmas\u0131, kilo kayb\u0131 ger\u00e7ekle\u015ftikten sonra d\u00fc\u015f\u00fck olan kilonun korunmas\u0131n\u0131 sa\u011flamakt\u0131r.<\/p><p><strong>Ne Kadar Kilo Verilir?<\/strong><\/p><p>Morbid obezite tedavisinde en etkili y\u00f6ntemlerden biri olan gastrik bypass ameliyat\u0131, b\u00fct\u00fcn obezite cerrahisi i\u00e7erisinde en fazla ve en iyi \u015fekilde kilo kaybettiren uygulamalardan bir tanesidir. Gastrik bypass ameliyat\u0131 sonras\u0131nda kilo kayb\u0131 kademeli olarak en h\u0131zl\u0131 ilk aylarda olmak \u00fczere ger\u00e7ekle\u015fir. Maksimum kilo kayb\u0131 i\u00e7in 1 bu\u00e7uk 2 y\u0131l gerekebilir. Bu s\u00fcre diliminde fazla kilonun yakla\u015f\u0131k y\u00fczde 70 \u2013 80\u2019i kaybedilmektedir.<\/p><p><strong>Gastrik Bypass Ameliyat\u0131 \u00d6nce ve Sonras\u0131<\/strong><\/p><p>Bir\u00e7ok obezite hastas\u0131 kilo vermede ameliyat \u00f6ncesi tedavilerden sonu\u00e7 alamad\u0131\u011f\u0131nda, obezite ameliyatlar\u0131n\u0131 se\u00e7enek olarak de\u011ferlendirmektedir. Bu ba\u011flamda Gastrik Bypass ameliyat\u0131 da tedavi se\u00e7eneklerinden bir tanesidir.<\/p><p>Ameliyat olmas\u0131 planlanan hastalar \u00f6ncelikle detayl\u0131 bir de\u011ferlendirmeden ge\u00e7irilir. Fiziksel tetkiklerin yan\u0131 s\u0131ra endokrinoloji ve psikiyatri uzmanlar\u0131 taraf\u0131ndan her hasta mutlaka ameliyat \u00f6ncesinde detayl\u0131 bir \u015fekilde de\u011ferlendirilir.<\/p><p>Hastalar ameliyat sonras\u0131nda genellikle 3-4 g\u00fcn hastanede kalarak, doktor kontrol\u00fcnde tutulurlar. Taburcu olurken diyetisyen taraf\u0131ndan ilk kontrole kadar olan beslenme program\u0131 planlan\u0131r. \u0130lk y\u0131l boyunca obezite cerrah\u0131 haricinde endokrinoloji, psikiyatri ve diyetisyen taraf\u0131ndan yak\u0131ndan takip edilirler.<\/p><p><strong>Gastrik Bypass Sonu\u00e7lar\u0131<\/strong><\/p><ul><li>Halk aras\u0131nda y\u00fcksek kolestrol olarak bilinen Hiperlipidemi, hastalar\u0131n y\u00fczde 70\u2019den fazlas\u0131nda d\u00fczelir.<\/li><li>Hipertansiyon y\u00fczde 70\u2019den fazla hastada d\u00fczelirler, kalanlarda ise ila\u00e7 gereksinimi daha az d\u00fczeyde olur.<\/li><li>Uyku apnesi, kilo kayb\u0131yla birlikte d\u00fczelmeye ba\u015flar.<\/li><li>Tip 2 diyabet, hastalar\u0131n yakla\u015f\u0131k y\u00fczde 90\u2019\u0131ndan fazlas\u0131nda d\u00fczelir. \u00c7ok merkezli 10 y\u0131ll\u0131k datalarda ayn\u0131 y\u00f6nde sonu\u00e7lanm\u0131\u015ft\u0131r. (Rubino F et al. Metabolic surgery versus conventional medical therapy in patients with type 2 diabetes: 10-year follow-up of an open-label, single-centre, randomised controlled trial. Lancet. 2021 Jan 23;397(10271):293-304).<\/li><li>Ameliyattan sonra hemen hemen t\u00fcm hastalarda gastro\u00f6zofageal refl\u00fc d\u00fczelmeye ba\u015flar.<\/li><li>Bacakta \u015fi\u015flik gibi ven\u00f6z tromboembolik hastal\u0131k belirtileri tipik olarak d\u00fczelir.<\/li><li>Hastalardaki bel ve eklem a\u011fr\u0131lar\u0131 ortadan kalkar.<\/li><\/ul><p><strong>Gastrik Bypass ile Ya\u015famak<\/strong><\/p><p>Gastrik Bypass, bireye emosyonel ve psikolojik anlamda baz\u0131 y\u00fckler getirmektedir. Ameliyat ge\u00e7irenlerin \u00e7o\u011fu operasyon sonras\u0131n\u0131 takip eden aylarda depresyona girebilmektedir. Bu durum ki\u015filerin \u00e7o\u011fu zaman emosyonel anlamda iyi hissetmelerinde besinin oynad\u0131\u011f\u0131 role ba\u011fl\u0131d\u0131r. Pek \u00e7ok morbid obez hasta, g\u0131day\u0131 emosyonel bir ka\u00e7\u0131\u015f olarak kullanmaktad\u0131r.<\/p><p>Emosyonel d\u00fczeyin normale d\u00f6nmesi 3 ay kadar s\u00fcrebilir.<\/p><p>Cerrahiyi izleyen aylarda kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc s\u0131k\u00e7a g\u00f6r\u00fclmektedir. Bu durum protein al\u0131m\u0131ndaki k\u0131s\u0131tlanma, kas kitle kayb\u0131 ve enerji seviyelerindeki d\u00fc\u015f\u00fc\u015f gibi pek \u00e7ok fakt\u00f6rden kaynaklanabilir. Bu sorunlar\u0131n t\u00fcm\u00fc g\u0131da al\u0131m\u0131n\u0131n dengelenmesiyle birlikte ortadan kalkmaktad\u0131r.<\/p><\/div><\/section><h4 class=\"vc_custom_heading\">Gastrik Bypass Nas\u0131l Yap\u0131l\u0131r?<\/h4><section class=\"av_textblock_section \"><div class=\"avia_textblock \"><p>Gastrik Bypass i\u015fleminin tamam\u0131 laparoskopik ameliyat y\u00f6ntemi ile yap\u0131lmaktad\u0131r. K\u00fc\u00e7\u00fck kesiler yap\u0131larak ger\u00e7ekle\u015ftirilen laparoskopik cerrahi operasyonu 2 a\u015famal\u0131d\u0131r.<\/p><p>\u0130lk a\u015famada midenin yemek borusuyla birle\u015fen k\u0131sm\u0131nda biraz mide b\u0131rakacak \u015fekilde b\u00fcy\u00fck bir par\u00e7a kesilerek ayr\u0131l\u0131r. B\u00f6ylece k\u00fc\u00e7\u00fck bir mide torbas\u0131 olu\u015fturulur. Kalan mide hacmi ise yakla\u015f\u0131k olarak 30 \u2013 50 ml\u2019dir. Bu operasyonda t\u00fcp mide ameliyat\u0131ndan farkl\u0131 olarak midenin herhangi bir par\u00e7as\u0131 \u00e7\u0131kart\u0131lmaz. Kesilerden yerle\u015ftirilen portlar arac\u0131l\u0131\u011f\u0131yla el aletlerinin kar\u0131na ula\u015fmas\u0131 sa\u011flan\u0131r. Bu portlardan bir tanesi video kameraya ba\u011flanan bir cerrahi teleskop, di\u011feri ise \u00f6zelle\u015fmi\u015f cerrahi aletlerinin girmesi i\u00e7indir. Kameran\u0131n elde etti\u011fi g\u00f6r\u00fcnt\u00fc bir ekrana yans\u0131t\u0131l\u0131r ve cerrah ameliyat\u0131 b\u00f6ylece sorunsuz bir \u015fekilde izleyerek yapabilir. V\u00fccuttan herhangi bir par\u00e7a \u00e7\u0131kar\u0131lmad\u0131\u011f\u0131 i\u00e7in sindirim sisteminin eski haline d\u00f6nd\u00fcr\u00fclebilmesi m\u00fcmk\u00fcnd\u00fcr.<\/p><p>Ameliyat\u0131n ikinci a\u015famas\u0131nda ise olu\u015fturulan 30-50 ml hacmindeki k\u00fc\u00e7\u00fck mide torbas\u0131na ince ba\u011f\u0131rsaklar tekni\u011fe uygun uzunlukta ayarlanarak ba\u011flan\u0131r yani anastomoz yap\u0131l\u0131r.<\/p><p>Sonu\u00e7ta yedi\u011fimiz besinler hem hacim k\u0131s\u0131tlay\u0131c\u0131 etkiyle az yeme hemde bu yeni olu\u015fturulan k\u0131sa yol nedeniyle az emilme sonucunda kolayca kilo verilmesi sa\u011flan\u0131r. Ancak emilimin azalmas\u0131 sonucunda v\u00fccuda gerekli besin ve minerallerde k\u0131smen at\u0131ld\u0131\u011f\u0131ndan ya\u015fam boyu takviyesi gerekebilir.<\/p><\/div><\/section><h4 class=\"vc_custom_heading\">Ameliyat\u0131n Riskleri Nelerdir?<\/h4><section class=\"av_textblock_section \"><div class=\"avia_textblock \"><p>Her cerrahi i\u015flemde oldu\u011fu gibi Gastrik Bypass ameliyatlar\u0131nda da potansiyel riskler ve komplikasyonlar mevcuttur. Bu nedenle do\u011fru doktor se\u00e7imi ameliyat \u00f6ncesi i\u00e7in oldu\u011fu kadar ameliyat sonras\u0131 s\u00fcre\u00e7 i\u00e7inde olduk\u00e7a \u00f6nemlidir. Baz\u0131 komplikasyonlar t\u00fcm kar\u0131n ameliyatlar\u0131nda s\u0131k g\u00f6r\u00fcl\u00fcrken, baz\u0131lar\u0131 da bariatrik cerrahiye spesifiktir. Bariatrik cerrahiye karar veren her hasta bu riskler hakk\u0131nda mutlaka bilgi sahibi olmal\u0131d\u0131r.<\/p><p><strong>Bat\u0131n Cerrahisinin Komplikasyonlar\u0131<\/strong><\/p><ul><li><strong>Enfeksiyon:<\/strong> Ameliyat s\u0131ras\u0131nda ba\u011f\u0131rsak bakterilerinin a\u00e7\u0131\u011fa \u00e7\u0131kmas\u0131yla birlikte yara yeri enfeksiyonlar\u0131 veya bat\u0131n i\u00e7i enfeksiyonlar g\u00f6r\u00fclebilmektedir.<\/li><li><strong>Kanama:<\/strong> Mideyi b\u00f6lmek ve ba\u011f\u0131rsa\u011f\u0131 hareketlendirmek i\u00e7in pek \u00e7ok kan damar\u0131n\u0131n kesilmesi gerekmektedir. Bunlardan herhangi biri sonradan bat\u0131n veya ba\u011f\u0131rsak i\u00e7ine do\u011fru kanayabilir. B\u00f6yle bir durumda kan verilmesi veya tekrardan operasyon yap\u0131lmas\u0131 gerekebilir.<\/li><li><strong>Kar\u0131n F\u0131t\u0131\u011f\u0131:<\/strong> F\u0131t\u0131k, kar\u0131n i\u00e7inde veya kar\u0131n kaslar\u0131n\u0131n d\u0131\u015f\u0131na anormal bir a\u00e7\u0131l\u0131m durumudur. \u0130\u00e7 f\u0131t\u0131k, cerrahiye ve ba\u011f\u0131rsaklar\u0131n yeniden dizayn\u0131na ba\u011fl\u0131 olup, ba\u011f\u0131rsak t\u0131kan\u0131kl\u0131\u011f\u0131na neden olmas\u0131 a\u00e7\u0131s\u0131ndan olduk\u00e7a \u00f6nemlidir. Laparoskopik cerrahi ile kar\u0131n duvar\u0131 f\u0131t\u0131\u011f\u0131 riski en aza indirgenmektedir.<\/li><li><strong>Ba\u011f\u0131rsak T\u0131kan\u0131kl\u0131\u011f\u0131:<\/strong> Kar\u0131n cerrahisi daima ba\u011f\u0131rsak yap\u0131\u015f\u0131kl\u0131klar\u0131na neden olmaktad\u0131r. \u0130\u00e7 ya da d\u0131\u015f f\u0131t\u0131k da \u00e7o\u011fu zaman buna neden olabilir.<\/li><li><strong>Ven\u00f6z Tromboemboli:<\/strong> Cerrahi operasyon gibi herhangi bir incinme, kan p\u0131ht\u0131la\u015fmas\u0131n\u0131n artmas\u0131na yol a\u00e7abilir. Bir p\u0131ht\u0131n\u0131n koparak akci\u011fere gitmesi ve orada bir damar\u0131 t\u0131kamas\u0131 pulmoner emboli olarak adland\u0131r\u0131lan \u00e7ok tehlikeli bir durumu da beraberinde getirir. Bu tip komplikasyon olas\u0131l\u0131\u011f\u0131n\u0131 azaltmak i\u00e7in ameliyattan \u00f6nce genellikle kan suland\u0131r\u0131c\u0131 uygulanmaktad\u0131r.<\/li><\/ul><p><strong>Gastrik Bypass\u2019\u0131n Komplikasyonlar\u0131<\/strong><\/p><ul><li><strong>Anastomoz S\u0131z\u0131nt\u0131s\u0131:<\/strong> Anastomoz, mideyle ba\u011f\u0131rsak veya ba\u011f\u0131rsa\u011f\u0131n iki b\u00f6l\u00fcm\u00fc aras\u0131ndaki cerrahi ba\u011flant\u0131d\u0131r. Cerrah, ba\u011f\u0131rsak duvar\u0131nda delikler olu\u015fturan diki\u015f ya da stapler kullanarak, iki organ aras\u0131nda su ge\u00e7irmez bir ba\u011flant\u0131 yapmaya \u00e7al\u0131\u015fmaktad\u0131r. Herhangi bir nedenle, e\u011fer bu kaplama ba\u015far\u0131s\u0131z olursa, sindirim sistemindeki s\u0131v\u0131lar kar\u0131n bo\u015flu\u011funa s\u0131zarak enfeksiyon ve abse olu\u015fumuna neden olmaktad\u0131r.<\/li><li><strong>Anastomotik Darl\u0131k:<\/strong> Anastomoz iyile\u015ftik\u00e7e skar denilen ve do\u011fal olarak b\u00fcz\u00fc\u015fmeye meyilli bir dokunun geli\u015fmesi, ge\u00e7i\u015flerin daralmas\u0131na yol a\u00e7maktad\u0131r. Bu olay t\u0131p literat\u00fcr\u00fcnde strikt\u00fcr olarak adland\u0131r\u0131l\u0131r.<\/li><li><strong>Komplike Marjinal \u00dclser:<\/strong> Marjinal \u00fclser; gastrojejunal anastomozun kenar\u0131ndaki mukozada olu\u015fan peptik bir \u00fclserdir. Gastrik bypasstan sonra erken veya ge\u00e7 d\u00f6nemde g\u00f6r\u00fclebilmektedir. Genellikle y\u00fczde 50\u2019si anastomozda, y\u00fczde 40\u2019\u0131 ise jejunum\u2019da yerle\u015fmektedir.<\/li><li><strong>Dumping Sendromu:<\/strong> Midenin alt ucunda bulunan pylor valvi, g\u0131dan\u0131n ince ba\u011f\u0131rsa\u011fa ge\u00e7i\u015fini d\u00fczenlemektedir. Gastrik bypass hastalar\u0131 \u015fekerli g\u0131da yediklerinde \u015feker h\u0131zl\u0131ca ba\u011f\u0131rsa\u011fa ge\u00e7ererek, Dumping sendromu denilen fizyolojik duruma yol a\u00e7maktad\u0131r. Dumping Sendromu, ya\u015fam\u0131 tehdit eden bir tablo de\u011fildir.<\/li><\/ul><p><strong>Besin Eksiklikleri<\/strong><\/p><ul><li><strong>Hipoparatiroidizm:<\/strong> Kalsiyumun yetersiz emilimine ba\u011fl\u0131 olarak gastrik bypass hastalar\u0131n\u0131n y\u00fczde \u2018unda ortaya \u00e7\u0131kabilir. Pek \u00e7ok hasta vitamin D ve kalsiyum sitrat deste\u011fi alarak yeterli kalsiyum emilimi sa\u011flayabilmektedir.<\/li><li><strong>Demir:<\/strong> \u00d6zellikle mens g\u00f6ren kad\u0131nlarda s\u0131kl\u0131kla ciddi bir noksanl\u0131k olup mutlaka yerine konmal\u0131d\u0131r. Demir s\u00fclfat normal dozlarda anlaml\u0131 sindirim sistemi rahats\u0131zl\u0131\u011f\u0131na yol a\u00e7abilir.<\/li><li><strong>Vitamin B-12:<\/strong> Emilmesi i\u00e7in mide mukozas\u0131ndan salg\u0131lanan intrinsik fakt\u00f6r gereklidir. K\u00fc\u00e7\u00fck mide po\u015fu olan hastalarda a\u011f\u0131z yolu ile verilse bile emilemeyebilir.<\/li><li><strong>Tiamin Eksikli\u011fi:<\/strong> Emilim alan\u0131 olan jejunumun bypass\u2019lanmas\u0131na ba\u011fl\u0131 olarak nadiren g\u00f6r\u00fcl\u00fcr. Beriberi olarak da bilinmektedir. Ameliyattan sonra yeterli nutrisyonel destek al\u0131nmamas\u0131na ba\u011fl\u0131 olarak eksiklik g\u00f6r\u00fclebilir.<\/li><li><strong>Protein Maln\u00fctrisyonu:<\/strong> Baz\u0131 hastalar sindirim sistemleri duruma al\u0131\u015fana kadar ameliyattan sonra ciddi kusma ya\u015fayarak, yeterince beslenemezler. Pek \u00e7ok hasta h\u0131zl\u0131 kilo kaybedilen bu erken d\u00f6nemlerde a\u015f\u0131r\u0131 kas k\u00fctlesi kayb\u0131n\u0131n \u00f6nlenmesi i\u00e7in protein deste\u011fine ihtiya\u00e7 duyarlar.<\/li><\/ul><p><strong>Nutrisyonel Etkiler<\/strong><\/p><p>Cerrahiden sonra k\u00fc\u00e7\u00fck hacimlerde g\u0131da al\u0131nmas\u0131yla birlikte hastalar doygunluk hissetmeye ba\u015flarlar. Bir s\u00fcre sonra bu tokluk i\u015ftah kayb\u0131na d\u00f6n\u00fc\u015ferek, total g\u0131da al\u0131m\u0131 anlaml\u0131 \u015fekilde azalmaya ba\u015flar.<\/p><ul><li><strong>Proteinler: <\/strong>Protein en temel g\u0131da maddesidir. G\u0131da al\u0131mlar\u0131ndaki k\u0131s\u0131tlanmaya ba\u011fl\u0131 olarak gastrik bypass\u2019l\u0131 hastalar \u00f6ncelikle her \u00f6\u011f\u00fcnde protein gereksinimlerini kar\u015f\u0131lamaya odaklanmal\u0131d\u0131r. E\u011fer bu basit \u00f6nleme uyulursa, proksimal gastrik bypass\u2019ta protein yetmezli\u011fi nadir olarak g\u00f6r\u00fcl\u00fcr.<\/li><li><strong>Kalori Al\u0131m\u0131: <\/strong>Bariatrik cerrahiden sonraki derin kilo kayb\u0131, her g\u00fcn v\u00fccudun gereksindi\u011finden \u00e7ok daha az enerji al\u0131nmas\u0131d\u0131r. Bu a\u00e7\u0131\u011f\u0131 gidermek i\u00e7in ya\u011f dokusu yak\u0131lmal\u0131d\u0131r. Kilo kayb\u0131 bu \u015fekilde olu\u015fmaktad\u0131r.<\/li><li><strong>Vitaminler: <\/strong>Vitaminler normalde g\u0131dalarda bulunur ve ila\u00e7 olarak al\u0131nabilirler. GBP\u2019de g\u0131da al\u0131m\u0131 ciddi miktarda azald\u0131\u011f\u0131ndan orant\u0131l\u0131 olarak vitamin i\u00e7eri\u011fi de azalmaktad\u0131r. Bu nedenle g\u00fcnl\u00fck vitamin ve mineral ihtiyac\u0131n\u0131 kar\u015f\u0131layacak kadar vitamin destekleri al\u0131nmal\u0131d\u0131r. Proksimal GBP\u2019den sonra pek \u00e7ok vitaminin emilmesi \u00e7ok ciddi etkilenmezken, vitamin B12 baz\u0131 hastalarda yeterince emilemeyebilir. Distal GBP\u2019da emilim sorunu daha fazla oldu\u011fundan vitamin ve eser elementlerin d\u00fczey takibi ve deste\u011fi daha dikkatli yap\u0131lmal\u0131d\u0131r.<\/li><\/ul><\/div><\/section><h4 class=\"vc_custom_heading\">Gastrik Bypass Ameliyat\u0131na Yakla\u015f\u0131m Nas\u0131ld\u0131r?<\/h4><p>Bir\u00e7ok obezite hastas\u0131 kilo vermede ameliyat \u00f6ncesi tedavilerden sonu\u00e7 alamad\u0131\u011f\u0131nda, obezite ameliyatlar\u0131n\u0131 se\u00e7enek olarak de\u011ferlendirmektedir. Bu ba\u011flamda Gastrik Bypass ameliyat\u0131 da tedavi se\u00e7eneklerinden bir tanesidir.<\/p><ul><li>Gastrik Bypass tedavisi ile ilgilenen hastalar\u0131n sa\u011fl\u0131klar\u0131yla ilgili genel hedeflerini dinleyerek, mevcut prosed\u00fcrler hakk\u0131nda bilgi edinmelerini sa\u011flar,<\/li><li>Hastan\u0131n genel sa\u011fl\u0131k durumu ameliyata izin vermedi\u011fi durumlarda ameliyat \u00f6ncesi tedaviler hakk\u0131nda bilgilendirme yaparak, gerekli y\u00f6nlendirmeleri yapar.<\/li><li>Diyetisyenlik hizmetimiz sayesinde hastalar\u0131n kendileri i\u00e7in do\u011fru olan diyet se\u00e7imlerini yapmalar\u0131na yard\u0131mc\u0131 olur ve tedavi s\u00fcreciyle ilgili olarak gerekli psikolojik deste\u011fi sunmaktay\u0131z.<\/li><\/ul><h4 class=\"vc_custom_heading\">Ameliyata Karar Vermeden \u00d6nce\u2026<\/h4><p>Gastrik Bypass ameliyat\u0131na karar vermeden \u00f6nce cerrah\u0131n\u0131zda g\u00f6r\u00fc\u015ferek, a\u015fa\u011f\u0131daki sorular\u0131n cevaplar\u0131n\u0131 bildi\u011finizden emin olman\u0131z gerekmektedir.<\/p><ul><li>Bu uygulamay\u0131 neden tercih ediyorsunuz?<\/li><li>Uygulamadan nas\u0131l sonu\u00e7 beklemelisiniz?<\/li><li>Ameliyat\u0131n veya uygulaman\u0131n riskleri ve avantajlar\u0131 nelerdir?<\/li><li>Olas\u0131 yan etkiler veya komplikasyonlar nelerdir?<\/li><li>D\u00fc\u015f\u00fcn\u00fclmesi gereken alternatif ameliyat ve uygulamalar nelerdir?<\/li><li>Ameliyat\u0131n sonu\u00e7lar\u0131n\u0131 ne zaman g\u00f6receksiniz?<\/li><li>Sorular\u0131n\u0131z varsa ameliyattan sonra kiminle payla\u015facaks\u0131n\u0131z?<\/li><li>Gastrik Bypass ameliyat\u0131 i\u00e7in ne kadar \u00f6denmesi gerekiyor?<\/li><\/ul><\/div><\/section><\/div><\/section><\/div><\/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 Chirurgie de pontage gastrique Chirurgie de pontage gastrique ; C\u2019est l\u2019une des m\u00e9thodes privil\u00e9gi\u00e9es en chirurgie de l\u2019ob\u00e9sit\u00e9, selon la situation. 5 JOURS H\u00e9bergement \u00c9TUDE 2-4 heures 1-2 SEMAINES Le temps de r\u00e9cup\u00e9ration 5 JOURS Visite de suivi Nos soins Chirurgie de pontage gastrique Chirurgie de pontage gastrique ; C\u2019est l\u2019une des m\u00e9thodes privil\u00e9gi\u00e9es [&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-28630","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drburakkavlakoglu.com\/fr\/wp-json\/wp\/v2\/pages\/28630","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=28630"}],"version-history":[{"count":0,"href":"https:\/\/drburakkavlakoglu.com\/fr\/wp-json\/wp\/v2\/pages\/28630\/revisions"}],"wp:attachment":[{"href":"https:\/\/drburakkavlakoglu.com\/fr\/wp-json\/wp\/v2\/media?parent=28630"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}