{"id":70,"date":"2025-12-11T12:17:40","date_gmt":"2025-12-11T09:17:40","guid":{"rendered":"https:\/\/karincaoglu.com.tr\/?page_id=70"},"modified":"2025-12-11T14:42:03","modified_gmt":"2025-12-11T11:42:03","slug":"ileri-endoskopi","status":"publish","type":"page","link":"https:\/\/karincaoglu.com.tr\/?page_id=70","title":{"rendered":"ileri endoskopi"},"content":{"rendered":"\t\t
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Yemek Borusu, Mide, \u0130nce Ba\u011f\u0131rsak veya Kal\u0131n Ba\u011f\u0131rsak Poliplerinin Endoskopik Yolla \u00c7\u0131kar\u0131lmas\u0131nda Tedavi Se\u00e7enekleri<\/strong><\/p>

Yemek borusu, mide, ince ba\u011f\u0131rsak ve kal\u0131n ba\u011f\u0131rsak poliplerinin ameliyata gerek kalmadan endoskopik yolla tedavisi m\u00fcmk\u00fcnd\u00fcr. Bu polipleri \u00e7\u0131kartmak i\u00e7in kulland\u0131\u011f\u0131m\u0131z endoskopik y\u00f6ntemler lezyonun b\u00fcy\u00fckl\u00fc\u011f\u00fcne ve yap\u0131s\u0131na g\u00f6re de\u011fi\u015fmektedir. Klini\u011fimizde uygulanmas\u0131 teknik olarak zor bir\u00e7ok ileri endoskopik tedavi uygulanmaktad\u0131r. \u00a0\u00a0<\/p>

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ENDOSKOP\u0130K MUKOZAL REZEKS\u0130YON (EMR) NED\u0130R?<\/strong><\/p>

Poliplerin taban\u0131na s\u0131v\u0131 enjekte edildikten sonra polibin taban\u0131ndan kement \u015feklinde bir endoskopik ekipmanla kesilerek al\u0131nmas\u0131 i\u015flemidir. Bu y\u00f6ntem 2 cm\u2019den k\u00fc\u00e7\u00fck polipler i\u00e7in en s\u0131k uygulad\u0131\u011f\u0131m\u0131z y\u00f6ntemdir. \u0130\u015flem sonras\u0131 kanama ve delinme en s\u0131k izlenen iki komplikasyondur. Bu komplikasyonlar\u0131n riskini azaltmada gerekti\u011finde klini\u011fimizde klip y\u00f6ntemi veya s\u0131n\u0131rl\u0131 say\u0131da merkezde yap\u0131labilen endoskopik diki\u015f y\u00f6ntemi uygulanabilmektedir. Bu sayede hastalar\u0131m\u0131z \u00e7ok daha g\u00fcvenli ve h\u0131zl\u0131 bir \u015fekilde taburcu edilebilmektedir.<\/p>

ENDOSKOP\u0130K SUBMUKOZAL D\u0130SEKS\u0130YON (ESD) NED\u0130R? K\u0130MLERE UYGULAYALIM?<\/strong><\/p>

Yemek borusu, mide, ince ba\u011f\u0131rsak ve kal\u0131n ba\u011f\u0131rsakta 2 cm\u2019den b\u00fcy\u00fck kanser riski ta\u015f\u0131yan poliplerin endoskopik yolla \u00f6zel b\u0131\u00e7aklar ve teknikler kullan\u0131larak \u00e7\u0131kar\u0131lmas\u0131 y\u00f6ntemidir. Merkezimizde \u015fu ana kadar 2000\u2019den fazla lezyon ESD y\u00f6ntemi ile endoskopik yolla ba\u015far\u0131 ile \u00e7\u0131kar\u0131lm\u0131\u015ft\u0131r dolay\u0131s\u0131yla ESD y\u00f6nteminin uyguland\u0131\u011f\u0131 en deneyimli merkezlerden birisi olmas\u0131 hastalar\u0131m\u0131z\u0131n bize olan g\u00fcveninde en \u00f6nemli kriterlerden birisidir. ESD konusundaki deneyimimiz ile b\u00fcy\u00fck lezyonlar, \u00e7\u0131kar\u0131lmas\u0131 zor lezyonlar ve yanda\u015f hastal\u0131klar\u0131 nedeniyle h\u0131zl\u0131 i\u015flem gereken hastalar\u0131n i\u015flemlerinde en \u00f6nemli referans merkezlerden birisiyiz. ESD tecr\u00fcbemiz ile her zaman hastalar\u0131m\u0131z\u0131n yan\u0131nday\u0131z.<\/p>

ENDOSKOP\u0130K TAM KAT REZEKS\u0130YON NED\u0130R?<\/strong><\/p>

Yemek borusu, mide, ince ba\u011f\u0131rsak ve kal\u0131n ba\u011f\u0131rsakta baz\u0131 durumlarda lezyonun oldu\u011fu b\u00f6lgeyi tam kat olarak endoskopik yolla \u00e7\u0131kartmam\u0131z gerekebilir. Endoskopik ileri teknolojik cihazlar kullanarak yapt\u0131\u011f\u0131m\u0131z bu uygulama sayesinde hem do\u011fru tan\u0131 koyuyoruz hem de etkili bir tedavi sa\u011flam\u0131\u015f oluyoruz.<\/p>

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Peroral Endoskopik Myotomi (POEM) Y\u00f6ntemi ile Hangi Hastal\u0131klar\u0131 Tedavi Ediyorsunuz?<\/strong><\/p>

Teknolojik cihazlardaki geli\u015fmelerin yan\u0131nda endoskopik tedavi y\u00f6ntemlerinde de heyecan verici geli\u015fmeler olmaktad\u0131r. Yakla\u015f\u0131k 15 y\u0131l \u00f6nce ilk olarak Japonya\u2019da Akalazya hastal\u0131\u011f\u0131n\u0131n tedavisi i\u00e7in geli\u015ftirilen POEM y\u00f6ntemi y\u0131llar i\u00e7ersinde Zenker divertik\u00fcl\u00fc, mide felci tedavisi i\u00e7in uygulanabilir durumdad\u0131r.<\/p>

AKALAZYA HASTASIYIM POEM \u0130LE TEDAV\u0130 OLMAM M\u00dcMK\u00dcN M\u00dc?<\/strong><\/p>

Akalazya gibi yemek borusunun kas\u0131lmas\u0131 ile ilgili hastal\u0131klar\u0131n tedavisinde son zamanlarda en pop\u00fcler tedavi POEM\u2019dir. Bu y\u00f6ntemde a\u011f\u0131zdan girilmekte ve endoskopi cihaz\u0131 kullan\u0131lmaktad\u0131r. Endoskopik yolla yemek borusunun tabakalar\u0131 aras\u0131nda t\u00fcnel a\u00e7\u0131ld\u0131ktan sonra kas tabakas\u0131nda daralmaya neden olan k\u0131s\u0131m kesilerek hastalar tedavi edilmektedir. D\u0131\u015far\u0131dan g\u00f6\u011f\u00fcs veya kar\u0131nda herhangi bir kesi yap\u0131lmamaktad\u0131r. Klini\u011fimizde yakla\u015f\u0131k 1000 hasta bu yolla tedavi edilerek \u015fifa ile taburcu edilmi\u015ftir. Hastalar\u0131m\u0131zdaki klinik ba\u015far\u0131 oran\u0131m\u0131z %90\u2019\u0131n \u00fczerindedir. POEM sonras\u0131 en s\u0131k yan etki gastro\u00f6zefageal refl\u00fc hastal\u0131\u011f\u0131d\u0131r. Ancak bu hastalarda izlenen refl\u00fc \u00e7o\u011funlukla hafiftir ve mide koruyucu ile tedavisi m\u00fcmk\u00fcnd\u00fcr.<\/p>

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ZENKER D\u0130VERT\u0130K\u00dcL\u00dcNDE POEM TEDAV\u0130S\u0130 HAKKINDA B\u0130LG\u0130 ALMAK \u0130ST\u0130YORUM?<\/strong><\/p>

Zenker divertik\u00fcl\u00fc veya Zenker hastal\u0131\u011f\u0131 yemek borusunun \u00fcst k\u0131sm\u0131nda izlenen f\u0131t\u0131kla\u015fmad\u0131r. Tedavisi konusunda cerrahi yerini endoskopik tedavilere b\u0131rakm\u0131\u015ft\u0131r. Z-POEM tedavisi ile endoskopik yolla yakla\u015f\u0131k 30 dk\u2019l\u0131k bir i\u015flem sonras\u0131nda bu hastal\u0131\u011f\u0131n tedavisi m\u00fcmk\u00fcnd\u00fcr. A\u011f\u0131z i\u00e7ersinden endoskop ile yap\u0131lan i\u015flemde ba\u015far\u0131 oran\u0131 %90\u2019\u0131n \u00fczerindedir. Merkezimizde bu y\u00f6ntemle 50\u2019den fazla hasta ba\u015far\u0131 ile tedavi edilmi\u015ftir. Daha \u00f6nce ameliyat uygulanan ancak hastal\u0131k tekrarlayan hastalar\u0131m\u0131z yine Z-POEM y\u00f6ntemi uygulanarak ba\u015far\u0131 ile tedavi edilebilir.<\/p>

G-POEM NED\u0130R?<\/strong><\/p>

Mide felcinde \u00f6zellikle midenin \u00e7\u0131k\u0131\u015f\u0131ndaki kanal dar ise bu hastalar\u0131m\u0131z\u0131 endoskopik yolla G-POEM y\u00f6ntemi ile a\u00e7\u0131k ameliyata gerek kalmadan tedavi etmemiz m\u00fcmk\u00fcnd\u00fcr. \u015eeker hastal\u0131\u011f\u0131, ge\u00e7irilmi\u015f ameliyat sonras\u0131 veya nedeni bilinmeyen mide felci hastalar\u0131 bu tedaviden fayda g\u00f6rebilir.<\/p>

STER NED\u0130R?<\/strong><\/p>

POEM y\u00f6ntemi ile yemek borusu ve midedeki mukozan\u0131n derin tabakalar\u0131ndan kaynaklanan gastrointestinal stromal t\u00fcm\u00f6r gibi kanserlerin endoskopik yolla tedavisi m\u00fcmk\u00fcn hale gelmi\u015ftir. Bu y\u00f6nteme t\u00fcnel ile t\u00fcm\u00f6r \u00e7\u0131kartma y\u00f6ntemi di\u011fer ad\u0131 ile STER y\u00f6ntemi denir. Klini\u011fimizde bu yolla 100\u2019e yak\u0131n t\u00fcm\u00f6r \u00e7\u0131kar\u0131lm\u0131\u015ft\u0131r.<\/p>\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<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Yemek Borusu, Mide, \u0130nce Ba\u011f\u0131rsak veya Kal\u0131n Ba\u011f\u0131rsak Poliplerinin Endoskopik Yolla \u00c7\u0131kar\u0131lmas\u0131nda Tedavi Se\u00e7enekleri Yemek borusu, mide, ince ba\u011f\u0131rsak ve kal\u0131n ba\u011f\u0131rsak poliplerinin ameliyata gerek kalmadan endoskopik yolla tedavisi m\u00fcmk\u00fcnd\u00fcr. Bu polipleri \u00e7\u0131kartmak i\u00e7in kulland\u0131\u011f\u0131m\u0131z endoskopik y\u00f6ntemler lezyonun b\u00fcy\u00fckl\u00fc\u011f\u00fcne ve yap\u0131s\u0131na g\u00f6re de\u011fi\u015fmektedir. Klini\u011fimizde uygulanmas\u0131 teknik olarak zor bir\u00e7ok ileri endoskopik tedavi uygulanmaktad\u0131r. \u00a0\u00a0 \u00a0 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-70","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/karincaoglu.com.tr\/index.php?rest_route=\/wp\/v2\/pages\/70","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/karincaoglu.com.tr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/karincaoglu.com.tr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/karincaoglu.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/karincaoglu.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=70"}],"version-history":[{"count":7,"href":"https:\/\/karincaoglu.com.tr\/index.php?rest_route=\/wp\/v2\/pages\/70\/revisions"}],"predecessor-version":[{"id":111,"href":"https:\/\/karincaoglu.com.tr\/index.php?rest_route=\/wp\/v2\/pages\/70\/revisions\/111"}],"wp:attachment":[{"href":"https:\/\/karincaoglu.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=70"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}