{"id":518,"date":"2024-03-01T19:26:50","date_gmt":"2024-03-01T19:26:50","guid":{"rendered":"https:\/\/istanbulbariatrics.com.tr\/?page_id=518"},"modified":"2024-03-01T19:26:50","modified_gmt":"2024-03-01T19:26:50","slug":"revizyon-cerrahisi","status":"publish","type":"page","link":"https:\/\/mehmetaliyerdel.com\/?page_id=518","title":{"rendered":"Revizyon Cerrahisi"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"518\" class=\"elementor elementor-518\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d3806f7 elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"d3806f7\" data-element_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-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-caf6059\" data-id=\"caf6059\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-5d2b40f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5d2b40f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-c2850cc\" data-id=\"c2850cc\" data-element_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-db378e4 elementor-widget elementor-widget-heading\" data-id=\"db378e4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Revizyon <span style=\"color:#2B6CF5\">Mide<\/span> <br \/>Ameliyat\u0131<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-88d1f89 elementor-widget elementor-widget-mfn_blockquote\" data-id=\"88d1f89\" data-element_type=\"widget\" data-widget_type=\"mfn_blockquote.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"blockquote\"><span class=\"mfn-blockquote-icon\"><i class=\"icon-quote\" aria-hidden=\"true\"><\/i><\/span><blockquote class=\"mfn-inline-editor\">\u00c7a\u011f\u0131m\u0131z\u0131n en yayg\u0131n hastal\u0131klar\u0131ndan olan obezitenin tek etkin tedavisi cerrahi olmak ile beraber, bu bile obezitenin kesin \u00e7\u00f6z\u00fcm\u00fc olamamaktad\u0131r. <\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b2e0b9 elementor-widget elementor-widget-text-editor\" data-id=\"5b2e0b9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e0862ad elementor-widget elementor-widget-text-editor\" data-id=\"e0862ad\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\"><div class=\"elementor-widget-container\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p>Yap\u0131lan ara\u015ft\u0131rmalara g\u00f6re, \u015fi\u015fmanl\u0131k nedeni ile ameliyat olan hastalar\u0131n % 10-15\u2019inin, 10 y\u0131l i\u00e7inde yeniden ameliyat olacak kadar kilo ald\u0131\u011f\u0131 g\u00f6r\u00fclmektedir. Bu nedenle, \u00f6zellikle erken ya\u015flarda ameliyat olmu\u015f hastalar, \u00f6nlerinde uzun bir ya\u015fam s\u00fcresi bulunmas\u0131 nedeni ile bu olas\u0131l\u0131kla \u00e7ok daha fazla kar\u015f\u0131 kar\u015f\u0131yad\u0131rlar. T\u0131bb\u0131n, \u00f6zellikle cerrahi biliminin, \u015fi\u015fmanl\u0131k tekrar bir hastal\u0131k olarak ba\u015fg\u00f6sterdi\u011finde bu insanlara yard\u0131mc\u0131 olmas\u0131 gerekmektedir. \u201cRevizyonel Bariatrik Cerrahi\u201d bu a\u015famada devreye girer.<\/p><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a724182 elementor-widget elementor-widget-heading\" data-id=\"a724182\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Revizyonel Bariatrik Cerrahi (RBC) Nedir?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f27fb7d elementor-widget elementor-widget-text-editor\" data-id=\"f27fb7d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e0862ad elementor-widget elementor-widget-text-editor\" data-id=\"e0862ad\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\"><div class=\"elementor-widget-container\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p>Revizyon, kelime anlam\u0131 olarak d\u00fczeltme anlam\u0131na gelir. Revizyonel cerrahi de herhangi bir nedenle bozulmu\u015f, yani tedavi etkisi ortadan kalkm\u0131\u015f bir ameliyat\u0131n, yeni bir ameliyatla d\u00fczeltilerek tedavinin tekrar etkin hale getirilmesi olarak tan\u0131mlanabilir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e194cff e-flex e-con-boxed e-con e-parent\" data-id=\"e194cff\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4e410fe elementor-widget elementor-widget-video\" data-id=\"4e410fe\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/0TXsuCYGXAY&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\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<div class=\"elementor-element elementor-element-e3f7d37 elementor-widget elementor-widget-heading\" data-id=\"e3f7d37\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Revizyonel Mide Ameliyat\u0131 Kimlere Ve Ne Zaman Uygulan\u0131r?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b111283 elementor-widget elementor-widget-text-editor\" data-id=\"b111283\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Revizyonel mide ameliyat\u0131, daha \u00f6nceden \u015fi\u015fmanl\u0131k nedeni ile ameliyat ge\u00e7irmi\u015f, ancak ameliyat sonras\u0131 s\u00fcre\u00e7te kilo verme ba\u015far\u0131s\u0131n\u0131 koruyamayarak tekrar kilo alm\u0131\u015f hastalara uygulan\u0131r. Elbette ki, bu karar al\u0131nmadan \u00f6nce, yeniden kilo alma sonras\u0131, bu kilolar\u0131 tekrar verebilmek i\u00e7in t\u00fcm ameliyat d\u0131\u015f\u0131 y\u00f6ntemler (diyetin d\u00fczenlenmesi, psikolojik destek, zaman zaman ila\u00e7 tedavileri vb.) denenmi\u015f ve t\u00fcm bu \u00e7abalar ba\u015far\u0131s\u0131zl\u0131kla sonu\u00e7lanm\u0131\u015f olmal\u0131d\u0131r. Ba\u015fka bir deyi\u015fle RBC, t\u00fcm y\u00f6ntemler t\u00fcketildikten sonra son \u00e7are olarak g\u00fcndeme gelmelidir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b1aa107 elementor-widget elementor-widget-heading\" data-id=\"b1aa107\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Revizyonel Cerrahide Hangi Y\u00f6ntemler Uygulan\u0131r?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff7c9ac elementor-widget elementor-widget-text-editor\" data-id=\"ff7c9ac\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Revizyonal bariatrik ameliyatlarda hangi y\u00f6ntemin uygulanaca\u011f\u0131 \u00f6nceden ger\u00e7ekle\u015ftirilmi\u015f ameliyat\u0131n t\u00fcr\u00fcne ve hastan\u0131n mide ba\u011f\u0131rsak sisteminin anatomisine g\u00f6re \u00e7e\u015fitlilik g\u00f6sterir. G\u00fcn\u00fcm\u00fczde t\u00fcm d\u00fcnyada yayg\u0131n olarak uygulanan bariatrik cerrahi y\u00f6ntemleri \u015fu \u015fekilde s\u0131ralanabilir:<\/p><ul><li><a href=\"https:\/\/dryerdel.com\/index.php\/tup-mide-mide-kucultme-ameliyati-nasil-yapilir\/\">T\u00fcp mide ameliyat\u0131<\/a> (sleeve gastrektomi\/SG)<\/li><li>Roux en Y gastrik bypass<\/li><li>Tek anastomozlu (Mini) gastrik bypass<\/li><li>Biliopankreatik diversiyon ile birlikte duodenal switch (BPD\/DS)<\/li><li>Sleeve gastrektomi ile birlikte tek anastomozlu duodenoileal bypass (SADI-S)<span class=\"Apple-converted-space\">\u00a0<\/span><\/li><\/ul><p>Uygulanacak revizyon cerrahisinin belirlenmesinde ilk ameliyat\u0131n hangi y\u00f6ntemle yap\u0131ld\u0131\u011f\u0131 as\u0131l belirleyicidir. Buna g\u00f6re;<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><ul><li>\u0130lk ameliyat\u0131n t\u00fcp mide (sleeve gastrektomi) olmas\u0131 durumunda, e\u011fer midede ameliyat\u0131n k\u0131s\u0131tlay\u0131c\u0131 etkisini belirgin olarak ortadan kald\u0131racak \u015fekilde bir b\u00fcy\u00fcme varsa ya da ilk ameliyatta kurallara uygun bir t\u00fcp mide ameliyat\u0131 yap\u0131lmam\u0131\u015fsa (\u00f6rne\u011fin mide t\u00fcp\u00fc biraz geni\u015f b\u0131rak\u0131lm\u0131\u015f ya da midenin fundus k\u0131sm\u0131 tamamen \u00e7\u0131kar\u0131lmam\u0131\u015fsa) yeniden t\u00fcp mide ameliyat\u0131 (Re-sleeve) d\u00fc\u015f\u00fcn\u00fclebilir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li><li>\u0130lk ameliyat t\u00fcp mide olsa dahi, e\u011fer yeniden t\u00fcp mide ameliyat\u0131 yapmay\u0131 gerektirecek (mide geni\u015flemesi, yetersiz mide \u00e7\u0131kar\u0131m\u0131) bir durum yoksa ameliyat\u0131n gastrik bypass ameliyata \u00e7evrilmesi d\u00fc\u015f\u00fcn\u00fclebilir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li><li>Baz\u0131 hastalar\u0131n ba\u015flang\u0131\u00e7 kilolar\u0131 \u00e7ok fazla oldu\u011funda (s\u00fcper obez ve \u00fczeri hastalar), sadece t\u00fcp mide ameliyat\u0131 yeterli kilo vermeyi sa\u011flamayabilir. Bu durumda t\u00fcp mide ameliyat\u0131 BPD\/DS \u00a0ya da<span class=\"Apple-converted-space\">\u00a0 <\/span>SADI-S gibi ameliyatlara d\u00f6n\u00fc\u015ft\u00fcr\u00fclerek daha fazla kilo vermenin \u00f6n\u00fc a\u00e7\u0131l\u0131r.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li><li>\u0130lk ameliyat gastrik bypass ise revizyon i\u00e7in se\u00e7enekler s\u0131n\u0131rl\u0131d\u0131r. Bypass ameliyat\u0131 s\u0131ras\u0131nda devre d\u0131\u015f\u0131 b\u0131rak\u0131lan ba\u011f\u0131rsak uzunlu\u011fu art\u0131r\u0131larak ya da geride b\u0131rak\u0131lan mide cebi ve mide ba\u011f\u0131rsak anastomozu k\u00fc\u00e7\u00fclt\u00fclerek revizyon yap\u0131labilir ancak ba\u015far\u0131 \u015fans\u0131 d\u00fc\u015f\u00fckt\u00fcr. Ameliyatla bypass ameliyat\u0131n\u0131n geriye \u00e7evrilerek t\u00fcp mide ya da BPD\/DS ya da SADI-S ameliyat\u0131na d\u00f6n\u00fc\u015ft\u00fcr\u00fclmesi teorik olarak m\u00fcmk\u00fcnse de bu t\u00fcr giri\u015fimlerin komplikasyon oran\u0131 \u00e7ok y\u00fcksek oldu\u011fundan pratikte uygulanmaz.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li><li>BPD\/DS ya da SADI-S ameliyat\u0131 olmu\u015f hastalarda revizyon s\u0131kl\u0131kla devre d\u0131\u015f\u0131 b\u0131rak\u0131lan ba\u011f\u0131rsak uzunluklar\u0131n\u0131n art\u0131r\u0131lmas\u0131 \u015feklinde m\u00fcmk\u00fcn olsa da bu ameliyatlar kilo verdirme etkisi \u00e7ok y\u00fcksek olan ameliyatlar oldu\u011fundan geri kilo alma nadiren olu\u015fur, bu nedenle revizyon cerrahisi \u00e7ok az g\u00fcndeme gelir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dab2187 elementor-widget elementor-widget-heading\" data-id=\"dab2187\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Revizyonel Mide Ameliyat\u0131n\u0131n Olas\u0131 Komplikasyonlar\u0131.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fce71e elementor-widget elementor-widget-text-editor\" data-id=\"3fce71e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Revizyon ameliyatlar\u0131n\u0131n hem \u00f6l\u00fcm hem de komplikasyon oranlar\u0131, daha \u00f6nce olduklar\u0131 ameliyatlar nedeni ile hastalarda kar\u0131n i\u00e7inde yap\u0131\u015f\u0131kl\u0131klar geli\u015fmi\u015f olmas\u0131 ve zaman zaman da anatominin de de\u011fi\u015fmi\u015f olmas\u0131 nedeni ile ilk kez yap\u0131lan ameliyatlara g\u00f6re \u00e7ok daha y\u00fcksektir. Ka\u00e7ak olas\u0131l\u0131\u011f\u0131, kom\u015fu organlarda olas\u0131 yaralanmalar, yap\u0131\u015f\u0131kl\u0131klara ba\u011f\u0131rsak t\u0131kan\u0131kl\u0131klar\u0131 daha s\u0131k g\u00f6r\u00fcl\u00fcr. \u0130lk kez yap\u0131lan ameliyatlara g\u00f6re daha uzun s\u00fcrmeleri de anesteziye ait komplikasyonlarda da art\u0131\u015fa neden olur. Ameliyat karar\u0131 al\u0131n\u0131rken bu ger\u00e7ekler mutlaka g\u00f6z \u00f6n\u00fcnde bulundurulmal\u0131d\u0131r.<\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7ec37a0f elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"7ec37a0f\" data-element_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-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5fe6a647\" data-id=\"5fe6a647\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-31fcad85 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"31fcad85\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-5eff69e3\" data-id=\"5eff69e3\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-54bc6c3c elementor-widget elementor-widget-image\" data-id=\"54bc6c3c\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/istanbulbariatrics.com.tr\/wp-content\/uploads\/2022\/10\/bedoctor-icon4.svg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-495a8d41 elementor-widget elementor-widget-text-editor\" data-id=\"495a8d41\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Ameliyat<\/strong>, size tek ba\u015f\u0131n\u0131za ba\u015faramayaca\u011f\u0131n\u0131z kilo hedefinize ula\u015fmaya yard\u0131m ediyor.<\/p><p>Bu ba\u015far\u0131y\u0131, sa\u011fl\u0131kl\u0131 bir \u015fekilde s\u00fcrd\u00fcrebilmenizde <strong><em>profesyonel ekibimiz<\/em><\/strong>, size <strong>\u00f6m\u00fcr boyu destek<\/strong> sunuyor.<\/p><p>Amac\u0131m\u0131z; sizi her daim sa\u011fl\u0131kl\u0131, <strong>mutlu<\/strong> ve <strong>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":"<p>Revizyon Mide Ameliyat\u0131 \u00c7a\u011f\u0131m\u0131z\u0131n en yayg\u0131n hastal\u0131klar\u0131ndan olan obezitenin tek etkin tedavisi cerrahi olmak ile beraber, bu bile obezitenin kesin \u00e7\u00f6z\u00fcm\u00fc olamamaktad\u0131r. Yap\u0131lan ara\u015ft\u0131rmalara g\u00f6re, \u015fi\u015fmanl\u0131k<span class=\"excerpt-hellip\"> [\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-518","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages\/518","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=518"}],"version-history":[{"count":0,"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages\/518\/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=518"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}