\u00a0 Morbid obesite tedavisinde etkin kilo vermeyi sa\u011flayan, restriktif ve hormonal de\u011fi\u015fime neden olan nispeten yeni bir tekniktir. T\u00fcp mide ameliyat\u0131nda midenin yakla\u015f\u0131k %80\u2019 lik bir b\u00f6l\u00fcm\u00fc stapler (z\u0131mba) yard\u0131m\u0131yla b\u00f6l\u00fcn\u00fcr ve v\u00fccuttan \u00e7\u0131kar\u0131l\u0131r. Geriye kalan mide ise uzun bir t\u00fcp \u015feklini ald\u0131\u011f\u0131 i\u00e7in bu operasyon T\u00fcrk\u00e7e\u2019de \u2018\u2019t\u00fcp mide\u2019\u2019 veya \u0130ngilizce \u2018\u2019sleeve gastrectomy\u2019\u2019 olarak adland\u0131r\u0131lmaktad\u0131r.<\/p>\n
\u00a0T\u00fcp mide operasyonu olan bir ki\u015fi normale g\u00f6re daha az yemek t\u00fcketebilir ama yenilen g\u0131dalar\u0131n emiliminde herhangi bir azalma olmad\u0131\u011f\u0131 i\u00e7in, t\u00fcketilen g\u0131dan\u0131n kalorisi v\u00fccut taraf\u0131ndan tamamiyle emilir. \u00d6zellikle i\u015ftah olu\u015fumunda \u00f6nemli olan Ghrelin isimli hormon \u00fcreten b\u00f6lgelerin \u00e7\u0131kar\u0131lmas\u0131 ile g\u0131dalara kar\u015f\u0131 duyulan istek azalmaktad\u0131r.<\/p>\n
T\u00fcp mide operasyonu genellikle laparoskopik olarak ger\u00e7ekle\u015ftirilir. Yani kapal\u0131 olarak ger\u00e7ekle\u015ftirilir. Be\u015f adet ufak ke\u015fiden kar\u0131n bo\u015flu\u011funa giri\u015f yap\u0131l\u0131r. T\u00fcp mide operasyonlar\u0131 s\u0131ras\u0131nda midenin b\u00fcy\u00fck bir b\u00f6l\u00fcm\u00fc v\u00fccuttan \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 i\u00e7in bu operasyon t\u00fcr\u00fcn\u00fcn geri d\u00f6n\u00fc\u015f\u00fcm\u00fc m\u00fcmk\u00fcn olmamaktad\u0131r. <\/em><\/p>\n T\u00fcp mide operasyonu sonucunda k\u00fc\u00e7\u00fclt\u00fclm\u00fc\u015f mide ile t\u00fcketilen g\u0131da miktar\u0131 azal\u0131rken emilimin ayn\u0131 kalmas\u0131 bu operasyonun dezavantajlar\u0131ndan birini olu\u015fturur. Veya ba\u015fka bir deyi\u015fle az miktarda ama kalori de\u011feri y\u00fcksek g\u0131dalarla beslenen biri yediklerinin kalorisini tamam\u0131yla al\u0131r. Bu da t\u00fcp mide ameliyat\u0131 sonras\u0131 geri kilo al\u0131m\u0131 oran\u0131n\u0131 y\u00fckseltir. Bir di\u011fer dezavantaj\u0131 ise v\u00fccuttan \u00e7\u0131kar\u0131lan y\u00fczde seksen oran\u0131ndaki midenin yok ediliyor olmas\u0131d\u0131r. Bu sebeple midenin art\u0131k orijinaline geri d\u00f6n\u00fc\u015f\u00fc art\u0131k m\u00fcmk\u00fcn olmayacakt\u0131r.<\/p>\n T\u00fcp mide operasyonu sonras\u0131 pilor ve duodenum korundu\u011fu i\u00e7in diare veya dumping sendromunun olmamas\u0131, ciddi malabsorbsiyona neden olmamas\u0131, kolay uygulanabilir bir teknik ve dolay\u0131s\u0131yla ameliyat s\u00fcresinin daha k\u0131sa olmas\u0131, anastomoz yap\u0131lmamas\u0131 \u00f6nemli avantajlar\u0131ndand\u0131r.<\/p>\n <\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" \u00a0 Morbid obesite tedavisinde etkin kilo vermeyi sa\u011flayan, restriktif ve hormonal de\u011fi\u015fime neden olan nispeten yeni bir tekniktir. T\u00fcp mide ameliyat\u0131nda midenin yakla\u015f\u0131k %80\u2019 lik bir b\u00f6l\u00fcm\u00fc stapler (z\u0131mba) yard\u0131m\u0131yla b\u00f6l\u00fcn\u00fcr ve v\u00fccuttan \u00e7\u0131kar\u0131l\u0131r. Geriye kalan mide ise uzun bir t\u00fcp \u015feklini ald\u0131\u011f\u0131 i\u00e7in bu operasyon T\u00fcrk\u00e7e\u2019de \u2018\u2019t\u00fcp mide\u2019\u2019 veya \u0130ngilizce \u2018\u2019sleeve gastrectomy\u2019\u2019 olarak adland\u0131r\u0131lmaktad\u0131r. …<\/p>\n","protected":false},"author":1,"featured_media":113,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17,5],"tags":[6,7],"class_list":["post-16","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-manset","category-obezite-cerrahisi","tag-tup-mide","tag-tup-mide-ameliyati"],"_links":{"self":[{"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/posts\/16","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16"}],"version-history":[{"count":2,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/posts\/16\/revisions"}],"predecessor-version":[{"id":112,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/posts\/16\/revisions\/112"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=\/wp\/v2\/media\/113"}],"wp:attachment":[{"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/umuterenerdogdu.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Do\u00e7.Dr. Umut Eren Erdo\u011fdu
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