{"id":490,"date":"2024-03-01T18:39:02","date_gmt":"2024-03-01T18:39:02","guid":{"rendered":"https:\/\/istanbulbariatrics.com.tr\/?page_id=490"},"modified":"2024-03-01T18:39:02","modified_gmt":"2024-03-01T18:39:02","slug":"tup-mide","status":"publish","type":"page","link":"https:\/\/mehmetaliyerdel.com\/?page_id=490","title":{"rendered":"T\u00fcp Mide"},"content":{"rendered":"\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t

T\u00fcp Mide (Mide K\u00fc\u00e7\u00fcltme)<\/span><\/h1>\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t

Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t
<\/i><\/span>
\u0130lk kez \u015fi\u015fmanl\u0131k ameliyat\u0131 olacak olgularda art\u0131k bir yeni \u201cALTIN STANDART\u201d <\/strong>olarak kabul edilebilir.<\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t

T\u00fcp Mide Ameliyat\u0131 Nedir?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

\u0130ngilizce literat\u00fcrde \u201csleeve gastrectomy\u201d olarak bilinen bu \u201cmide k\u00fc\u00e7\u00fcltme\u201d (t\u00fcp mide)<\/strong> giri\u015fimi zaman\u0131m\u0131zda ba\u015fta A.B.D. olmak \u00fczere hem merkezimizde ve hem de t\u00fcm d\u00fcnyada en s\u0131k uygulanmakta olan \u015fi\u015fmanl\u0131k giderici ameliyatt\u0131r.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t

\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

T\u00fcp mide<\/strong> giri\u015fimi; \u015fekil ve Prof. Yerdel taraf\u0131ndan seslendirilmi\u015f \u201canimasyon\u201d \u2018dan da anla\u015f\u0131labilece\u011fi gibi, kar\u0131n \u00f6n duvar\u0131nda b\u00fcy\u00fck kesi yapmaks\u0131z\u0131n milimetrik deliklerden laparoskopik yani \u201ckapal\u0131\u201d olarak midenin % 80 -90 \u2019l\u0131k b\u00f6l\u00fcm\u00fcn\u00fc \u00f6zel ve tek kullan\u0131ml\u0131k \u201cstapler\u201d adl\u0131 el aletlerinin yard\u0131m\u0131 ile kesip \u00e7\u0131kartmaya dayal\u0131 \u201crestriktif\u201d , yani g\u0131da al\u0131n\u0131m\u0131n\u0131 \u201ck\u0131s\u0131tlay\u0131c\u0131\u201d bir giri\u015fimdir.<\/p>

T\u00fcp mide \/ mide k\u00fc\u00e7\u00fcltme ameliyat\u0131<\/strong> zaman\u0131m\u0131zda t\u00fcm d\u00fcnyada en s\u0131k uygulanan obezite cerrahisi<\/strong> y\u00f6ntemdir. Usta ellerde bir saatin alt\u0131nda tamamlanabilen bu ameliyat laparoskopik bir giri\u015fimdir. dolay\u0131s\u0131 ile b\u00fcy\u00fck bir kar\u0131n kesisi yoktur ve ameliyat milimetrik deliklerden girilerek yap\u0131lmaktad\u0131r.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t

Obezite Ve Kalp-Damar Problemleri.<\/h4>\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

\u015ei\u015fmanl\u0131k belli bir a\u015famadan sonra o ki\u015fide \u015feker hastal\u0131\u011f\u0131na, hipertansiyona ve kan ya\u011flar\u0131nda (kolesterol) artmaya neden olur ve bu komplikasyonlar \u201cmorbid obezite\u201d \u2018de \u00e7ok erken ya\u015flarda ortaya \u00e7\u0131karlar. Bilindi\u011fi gibi zaman\u0131m\u0131zdaki birinci \u00f6l\u00fcm nedeni halen damar sertli\u011fidir (atheroskleroz) ve gerek \u015feker hastal\u0131\u011f\u0131, gerek hipertansiyon ve gerekse kolesterol seviyesindeki artmalar damar sertli\u011fi geli\u015fimi a\u00e7\u0131s\u0131ndan en \u00f6nemli risk fakt\u00f6rleridir. Dolay\u0131s\u0131 ile morbid obezler, e\u011fer tedavi edilmezlerse, ya\u015fda\u015flar\u0131na g\u00f6re \u00e7ok daha erken zamanda damar sertli\u011fi ve buna ba\u011fl\u0131 olu\u015fa gelebilen; kalp krizi (enfarkt\u00fcs) ya da inme (stroke) gibi nedenlerden ya\u015famlar\u0131n\u0131 yitirmektedirler. \u201cTedavi edilmezlerse\u201d ifadesinin kullan\u0131lmas\u0131n\u0131n nedeni burada bir de iyi haberin olmas\u0131ndand\u0131r ! O da; irade, diyet ve \u00f6nlemlerle s\u0131kl\u0131kla (% 97-99) \u00e7\u00f6z\u00fclemese de art\u0131k zaman\u0131m\u0131zda bir dizi laparoskopik yani \u201ckapal\u0131\u201d ameliyatla morbid obezite tedavisinin hem de kal\u0131c\u0131 bi\u00e7imde m\u00fcmk\u00fcn olmas\u0131d\u0131r. T\u0131pta \u201cobezite cerrahisi \/ bariatrik cerrahi\u201d olarak bilinen ve \u015fi\u015fmanl\u0131\u011f\u0131 giderici cerrahi giri\u015fimler olarak tan\u0131mlayabilece\u011fimiz bu ameliyatlar san\u0131ld\u0131\u011f\u0131ndan \u00e7ok daha az riskleri olan ancak hayat kurtar\u0131c\u0131, ya\u015fam\u0131 uzat\u0131c\u0131 (estetik cerrahi ile uzaktan ya da yak\u0131ndan hi\u00e7bir ilgisi olmayan) m\u00fcdahalelerdir. Bu nedenle de ; hastay\u0131 kar\u015f\u0131 kar\u015f\u0131ya b\u0131rakt\u0131klar\u0131 risklere kar\u015f\u0131n t\u00fcm d\u00fcnyada \u00e7ok aktif ve s\u0131kl\u0131\u011f\u0131 giderek artan bi\u00e7imde uygulanmaktad\u0131rlar. \u00c7\u00fcnk\u00fc bu giri\u015fimler; \u015fi\u015fmanl\u0131\u011f\u0131 gidermenin ve ya\u015fam kalitesini m\u00fcthi\u015f \u015fekilde d\u00fczeltmenin yan\u0131 s\u0131ra, ba\u015fta Tip II \u015feker hastal\u0131\u011f\u0131, karaci\u011fer ya\u011flanmas\u0131, uyku apnesi ve hipertansiyon olmak \u00fczere di\u011fer yanda\u015f problemlerin de s\u00fcratle d\u00fczelmesini sa\u011flayarak hastalar\u0131n \u00f6mr\u00fcn\u00fc de hat\u0131r\u0131 say\u0131l\u0131r \u015fekilde uzatt\u0131\u011f\u0131 bilimsel olarak kan\u0131tlanm\u0131\u015f ameliyatlard\u0131r. Zaman\u0131m\u0131zda A.B.D. \u2018nde en s\u0131k yap\u0131lan ikinci laparoskopik ameliyatlar safra kesesi ameliyatlar\u0131ndan sonra obezite cerrahisi giri\u015fimleri olmu\u015ftur.<\/p>

Bilimsel olarak VK\u0130\u2019nin 40 \u2018\u0131n \u00fcst\u00fcnde olmas\u0131 \u201cmorbid obezite\u201d anlam\u0131na gelmektedir.<\/p>

VK\u0130 hesaplamas\u0131 ki\u015finin boyunu da bir fakt\u00f6r olarak i\u00e7erdi\u011finden t\u00fcm d\u00fcnyada \u015fi\u015fmanl\u0131ktan bahsederken kulland\u0131\u011f\u0131m\u0131z en basit form\u00fcld\u00fcr. Dolay\u0131s\u0131 ile bir insan\u0131n 110 kilo olmas\u0131 ya da bel \u00e7evresi \u00f6l\u00e7\u00fcmleri tek ba\u015f\u0131na o ki\u015finin morbid obez, hatta \u201c\u015fi\u015fman\u201d oldu\u011funu bile anlamam\u0131za yetmez. \u00c7\u00fcnk\u00fc o ki\u015fi e\u011fer 2 metre boyunda ise asl\u0131nda gene de normal kiloda olacakt\u0131r.<\/p>

Obezite ayr\u0131ca kalp kas\u0131nda a\u015f\u0131r\u0131 b\u00fcy\u00fcmelere (hipertrofi), kalp yetmezli\u011fine, de\u011fi\u015fik ritim bozukluklar\u0131na da yol a\u00e7abilmektedir ve \u00f6zellikle ciddi uyku apnesinin de bulunmas\u0131 bu riskleri artt\u0131r\u0131r. Obeziteye ba\u011fl\u0131 ciddi ritim sorunlar\u0131 ani \u00f6l\u00fcmler ile sonu\u00e7lanabilir. Obezite ayr\u0131ca kar\u0131n i\u00e7i bas\u0131nc\u0131n\u0131 artt\u0131rarak lenf ve toplar damar sistemindeki ak\u0131\u015f\u0131 bozarak bacaklarda \u015fi\u015fmelere, \u00f6dem olu\u015fumuna, varislere ve daha ileri olgularda \u201cstaz \u00fclseri\u201d olarak bilinen bacak yaralar\u0131na yol a\u00e7abilir.<\/p>

Morbid obezite, yani v\u00fccut kitle indeksinin 40\u2019\u0131n \u00fcst\u00fcnde olmas\u0131 durumu zaman\u0131m\u0131z\u0131n en s\u0131k ve \u00f6l\u00fcmc\u00fcl hastal\u0131klar\u0131n\u0131n ba\u015f\u0131nda gelmektedir. \u0130yi haber; obezite cerrahisi yani \u015fi\u015fmanl\u0131\u011f\u0131 giderici \u201ckapal\u0131\u201d ameliyatlar sayesinde bu denli \u015fi\u015fman olanlar\u0131n yeniden sa\u011fl\u0131klar\u0131na kavu\u015fmalar\u0131n\u0131n m\u00fcmk\u00fcn olabilmesidir.<\/p>

Hafif \u201cmalabsorbtif\u201d ; yani g\u0131dalar\u0131n emilimini azalt\u0131c\u0131 etkisi de vard\u0131r ancak bu etki mide \u201cby-pass\u201d ameliyat\u0131na oranla \u00e7ok daha azd\u0131r. \u00d6te yandan \u201ci\u015ftah\u201d midenin \u201cfundus\u201d olarak bilinen kubbesinin \u00e7\u0131kar\u0131lm\u0131\u015f olmas\u0131 neticesinde gene tamamen giderilmi\u015f olur.<\/p>

Cerrahi olarak yap\u0131lmas\u0131 eksperler i\u00e7in teknik a\u00e7\u0131dan son derece kolayd\u0131r ve h\u0131zla , yakla\u015f\u0131k bir saatte ger\u00e7ekle\u015ftirdi\u011fimiz bir ameliyatt\u0131r. Midenin t\u0131pta \u201cpilor\u201d olarak bilinen \u00e7\u0131k\u0131\u015f kapak\u00e7\u0131\u011f\u0131 korundu\u011fu ve sindirim sistemindeki devaml\u0131l\u0131\u011f\u0131n aynen sa\u011fland\u0131\u011f\u0131 bir teknik olmas\u0131 ameliyat sonras\u0131 baz\u0131 istenmeyen yan etkilerin daha az olmas\u0131n\u0131 sa\u011flar.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t

T\u00fcp Mide \/ Mide K\u00fc\u00e7\u00fcltme Ameliyat\u0131n\u0131n Tarih\u00e7esi.<\/h4>\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\u201cMide k\u00fc\u00e7\u00fcltme ameliyat\u0131n\u201d<\/strong>\u00a0yada \u201cT\u00fcp mide ameliyat\u0131n\u0131n\u201d<\/strong>\u00a0geli\u015fim s\u00fcreci ise ilgin\u00e7tir. Kullan\u0131lmaya ba\u015fland\u0131\u011f\u0131 ilk d\u00f6nemlerde daha \u00e7ok a\u015f\u0131r\u0131 yani VK\u0130<\/strong> \u2019si 50\u2019den y\u00fcksek \u201cs\u00fcper\u201d obezlerde hastalar\u0131 mide by-pass<\/strong> \u2019\u0131 veya \u201cduodenal switch\u201d\u00a0<\/strong>\u00a0ameliyatlar\u0131na haz\u0131rlama a\u015famas\u0131nda \u201cara\u201d ya da \u201c\u00f6nc\u00fc\u201d bir giri\u015fim olarak uygulanmakta idi. Burada ama\u00e7lanan; daha basit bir giri\u015fim olan \u201ct\u00fcp mide\u201d ameliyat\u0131\u00a0<\/strong>ile \u00f6ncelikle kilo verdirmek ve sonras\u0131nda mide by-pass ameliyatlar\u0131n\u0131<\/strong>daha rahat, risksiz ve kolayl\u0131kla yapmakt\u0131. \u00c7\u00fcnk\u00fc kilo vermeyi sa\u011flad\u0131\u011f\u0131 bilinmekle beraber, uzun d\u00f6nemde bu etkisinin mide by-pass\u2019\u0131 ile k\u0131yaslanamayacak d\u00fczeyde d\u00fc\u015f\u00fck olaca\u011f\u0131 san\u0131l\u0131yordu. \u00d6te yandan t\u0131p biliminde duygu ve hislerin hi\u00e7bir anlam\u0131 yoktur ve baz\u0131 \u00f6nyarg\u0131lar kimi zaman da bizim lehimize olacak \u015fekilde yanl\u0131\u015f \u00e7\u0131kabilmektedir ! Daha do\u011frusu \u201czaman\u0131n testi\u201d ile kar\u015f\u0131 kar\u015f\u0131ya kald\u0131ktan sonra, yani t\u00fcp mide ameliyat\u0131n\u0131n<\/strong> orta ve uzun d\u00f6nem sonu\u00e7lar\u0131 ele ge\u00e7ti\u011finde ve k\u0131yaslamalar matematiksel olarak yap\u0131ld\u0131\u011f\u0131nda bu giri\u015fimin kendisinin de son derece etkili olabilece\u011fi ger\u00e7e\u011fi ortaya \u00e7\u0131km\u0131\u015ft\u0131r. Dolay\u0131s\u0131 ile \u201cmide k\u00fc\u00e7\u00fcltme\u201d ameliyat\u0131<\/strong> son 15 y\u0131ld\u0131r ciddi bi\u00e7imde g\u00fcndemimize oturmu\u015ftur ve zaman\u0131m\u0131zda en \u00e7ok uygulan\u0131lan bariatrik prosed\u00fcrd\u00fcr.\n
\n
\n\nT\u00fcp mide ameliyat\u0131<\/strong> ayr\u0131ca tip II \u015feker hastal\u0131\u011f\u0131n\u0131 da, hem de kilo kayb\u0131 olu\u015fmadan \u00f6nce ameliyat sonras\u0131 ilk g\u00fcnlerde ortadan kald\u0131rabilmektedir. Kilo kayb\u0131 \u00fczerinden olmayan bu direk etki tam da ayd\u0131nlat\u0131lamam\u0131\u015f olan baz\u0131 hormonal mekanizmalar \u00fczerinden ger\u00e7ekle\u015fmektedir.\n\n<\/div>\n<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t

T\u00fcp Mide Ameliyat\u0131ndan Sonra Tekrar Kilo Al\u0131nabilir Mi?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

Ayr\u0131ca bu ameliyat\u0131n \u00f6nemli bir avantaj\u0131 ; y\u0131llar sonra az bir olas\u0131l\u0131k da olsa yeniden kilo al\u0131nmas\u0131 durumlar\u0131nda di\u011fer silahlar\u0131m\u0131z olan \u201cmide by-pass\u2019\u0131\u201d<\/strong>\u00a0veya \u201cduodenal switch\u201d<\/strong>\u00a0ameliyatlar\u0131na rahatl\u0131kla \u00e7evrilebilmesidir.<\/p>

T\u00fcp mide<\/strong> ameliyat\u0131ndan 5 y\u0131l sonra ki\u015filer fazla kilolar\u0131n\u0131n % 55 \u2013 70 \u2019ini halen kaybetmi\u015f olurlar. Bu obezite ameliyat\u0131<\/strong> sonras\u0131nda uzun d\u00f6nemde yeniden kilo alma oran\u0131 ise % 20\u2019ler d\u00fczeyindedir. Yeniden morbid obez olunmas\u0131 olas\u0131l\u0131\u011f\u0131 ise son derece d\u00fc\u015f\u00fck olup % 3-4\u2019leri a\u015fmaz. Cerrahi \u00f6l\u00fcmc\u00fcl risk ise % 0.1 civar\u0131ndad\u0131r. Bu y\u00f6ntem kilo vermede mide by-pass\u2019\u0131 ya da ona yak\u0131n d\u00fczeyde etkilidir. Emilim bozuklu\u011fu ise mide by-pass\u2019 \u0131 ve \u00f6zellikle \u201cduodenal switch\u201d\u2018e oranla \u00e7ok daha az oldu\u011fu i\u00e7in ameliyat sonras\u0131 s\u00fcrekli \u00e7e\u015fitli ila\u00e7 ve mineral deste\u011fi de s\u0131kl\u0131kla gerekmez. Bu y\u00f6ntemle ilgili tam bilinmeyen tek konu \u00e7ok uzun d\u00f6nemde midede tekrar b\u00fcy\u00fcme olup olmayaca\u011f\u0131d\u0131r. G\u00fcn\u00fcm\u00fczde en uzun takip s\u00fcresi olan hastalar 15 y\u0131l \u00f6nce ameliyat olmu\u015f durumdad\u0131rlar ve \u015fu ana kadar ciddi bir sorun g\u00f6z\u00fckmemektedir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t

Mide K\u00fc\u00e7\u00fcltme Ameliyat\u0131ndan Sonra A\u011fr\u0131 Var M\u0131, \u0130z Kal\u0131r M\u0131?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

\"\"T\u00fcp mide ameliyat\u0131<\/strong> laparoskopik (kapal\u0131) olarak , yani salt milimetrik deliklerden girerek yap\u0131ld\u0131\u011f\u0131ndan giri\u015fim sonras\u0131 a\u011fr\u0131 minimaldir ve estetik sonu\u00e7 da m\u00fckemmeldir. Foto\u011frafta bir olgumuzun ameliyat sonras\u0131 10. g\u00fcn\u00fcndeki kesi durumu payla\u015f\u0131lm\u0131\u015f olup, birka\u00e7 ay sonra bu \u00e7izgiler de hemen hemen g\u00f6r\u00fclemez hale gelecektir. Hastalar\u0131m\u0131z ameliyat sonras\u0131 derhal aya\u011fa kalkar ve 3. g\u00fcnde evlerinde olup, 6-7 g\u00fcn i\u00e7inde de i\u015f ve g\u00fc\u00e7lerine d\u00f6nebilirler.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t

\u0130stanbul Bariatrics\u2019in \u201cMide K\u00fc\u00e7\u00fcltme\u201c Tekni\u011fi Ve Uygulamas\u0131.<\/h4>\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

Merkezimizde t\u00fcm obezite ameliyatlar\u0131na 3 tam yetkin cerrah birlikte girmekte ve gene t\u00fcm olgular\u0131n stapler hatt\u0131 boylu boyunca \u201celle\u201d ikinci bir destek olarak dikilmektedir. Bu ek dikme i\u015fleminin kanama ve ka\u00e7ak gibi istenmeyen yan etkileri azaltaca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnmekteyiz. Nitekim 1000\u2032 e yak\u0131n olgu serimizde sadece 2 olguda cerrahi kanama ya\u015fanm\u0131\u015f olmas\u0131 ve hemen farkederek tedavi etmi\u015f olmam\u0131z ve ayr\u0131ca ba\u015far\u0131 ile tedavi edip taburcu etti\u011fimiz sadece tek olguda ka\u00e7ak g\u00f6zlemi\u015f olmam\u0131z bu ek diki\u015f tekni\u011finin etki ve \u00f6nemine i\u015faret etmektedir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t
<\/i><\/span>
Primer yani \u00f6nceden hi\u00e7bir ba\u015fka \u015fi\u015fmanl\u0131k ameliyat\u0131 olmam\u0131\u015f morbid obezlerin cerrahi tedavisinde % 99 olguda t\u00fcp mide ameliyat\u0131 tercih edilmektedir.<\/blockquote>

<\/i>Istanbul Bariatrics<\/span><\/p><\/div>\n\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<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

Ameliyat<\/strong>, size tek ba\u015f\u0131n\u0131za ba\u015faramayaca\u011f\u0131n\u0131z kilo hedefinize ula\u015fmaya yard\u0131m ediyor.<\/p>

Bu ba\u015far\u0131y\u0131, sa\u011fl\u0131kl\u0131 bir \u015fekilde s\u00fcrd\u00fcrebilmenizde profesyonel ekibimiz<\/em><\/strong>, size \u00f6m\u00fcr boyu destek<\/strong> sunuyor.<\/p>

Amac\u0131m\u0131z; sizi her daim sa\u011fl\u0131kl\u0131, mutlu<\/strong> ve fit<\/strong> g\u00f6rmek.<\/p>\t\t\t\t\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<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

T\u00fcp Mide (Mide K\u00fc\u00e7\u00fcltme) Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r? \u0130lk kez \u015fi\u015fmanl\u0131k ameliyat\u0131 olacak olgularda art\u0131k bir yeni \u201cALTIN STANDART\u201d olarak kabul edilebilir. T\u00fcp Mide Ameliyat\u0131 Nedir? \u0130ngilizce [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":479,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-490","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages\/490","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=490"}],"version-history":[{"count":0,"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages\/490\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages\/479"}],"wp:attachment":[{"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=490"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}