\u015eanl\u0131urfa Mehmet Akif \u0130nan E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Cerrahi ERCP \u00dcnitesi\u2019nde, safra kanallar\u0131nda standart y\u00f6ntemlerle \u00e7\u0131kar\u0131lamayan b\u00fcy\u00fck ve impakte ta\u015flar\u0131n tedavisinde elektrohidrolik litotripsi (EHL) y\u00f6ntemi uygulanmaya ba\u015fland\u0131.<\/p>\n
Safra kanallar\u0131ndaki hastal\u0131klar\u0131n tan\u0131 ve tedavisinde kullan\u0131lan Endoskopik Retrograd Kolanjiyopankreatografi (ERCP), endoskopik ve radyolojik y\u00f6ntemlerin birlikte kullan\u0131ld\u0131\u011f\u0131 bir tedavi y\u00f6ntemi olarak uygulan\u0131yor. ERCP ile uygun hastalarda safra kanallar\u0131ndaki ta\u015flar\u0131n \u00e7\u0131kar\u0131lmas\u0131 sa\u011flanabiliyor.<\/p>\n
Ancak ta\u015flar\u0131n b\u00fcy\u00fck, sert veya safra kanal\u0131na yerle\u015fmi\u015f olmas\u0131 durumunda standart y\u00f6ntemlerle \u00e7\u0131kar\u0131lmas\u0131 m\u00fcmk\u00fcn olmayabiliyor. Bu durumlarda stentleme uygulanabilirken, stentlerin belirli aral\u0131klarla de\u011fi\u015ftirilmesi veya i\u015flemin tekrarlanmas\u0131 gerekebiliyor.<\/p>\n
B\u00fcy\u00fck ta\u015flar elektriksel \u015fok dalgalar\u0131yla par\u00e7alan\u0131yor<\/p>\n
\u0130leri endoskopik tedavi se\u00e7enekleri aras\u0131nda yer alan EHL y\u00f6nteminde, \u00f6zel bir sistem arac\u0131l\u0131\u011f\u0131yla olu\u015fturulan elektriksel \u015fok dalgalar\u0131 kullan\u0131larak safra kanal\u0131ndaki b\u00fcy\u00fck ta\u015flar par\u00e7alan\u0131yor. Par\u00e7alanan ta\u015flar daha sonra endoskopik y\u00f6ntemlerle safra kanal\u0131ndan \u00e7\u0131kar\u0131labiliyor.<\/p>\n
\u015eanl\u0131urfa Mehmet Akif \u0130nan E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Cerrahi ERCP \u00dcnitesi\u2019nde birka\u00e7 haftad\u0131r, \u00f6zellikle standart y\u00f6ntemlerle \u00e7\u0131kar\u0131lamayan b\u00fcy\u00fck ve impakte ta\u015flar\u0131n tedavisinde EHL y\u00f6ntemi kullan\u0131l\u0131yor.<\/p>\n
\u015eanl\u0131urfa Mehmet Akif \u0130nan E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Genel Cerrahi Uzman\u0131 Do\u00e7. Dr. Esat Taylan U\u011furlu, EHL y\u00f6nteminin T\u00fcrkiye\u2019de belirli merkezlerde uyguland\u0131\u011f\u0131n\u0131 belirterek, y\u00f6ntemin art\u0131k hastanenin Cerrahi ERCP \u00dcnitesi\u2019nde de kullan\u0131lmaya ba\u015fland\u0131\u011f\u0131n\u0131 bildirdi.<\/p>\n
U\u011furlu, uygulamayla ilgili \u015fu ifadeleri kulland\u0131:<\/p>\n
\u201cSafra kanallar\u0131ndaki hastal\u0131klar\u0131n tedavisinde ERCP, endoskopik ve radyolojik y\u00f6ntemlerin bir arada kullan\u0131ld\u0131\u011f\u0131 \u00f6nemli bir tedavi y\u00f6ntemidir. ERCP ile safra kanallar\u0131ndaki ta\u015flar uygun hastalarda ba\u015far\u0131l\u0131, h\u0131zl\u0131 ve pratik bir \u015fekilde tedavi edilebilmektedir.<\/p>\n
Ancak baz\u0131 durumlarda safra kanal\u0131ndaki ta\u015flar\u0131n \u00e7\u0131kar\u0131lmas\u0131 m\u00fcmk\u00fcn olmayabilmekte ve bu hastalarda stentleme y\u00f6ntemine ba\u015fvurulabilmektedir. Stentlerin de belli aral\u0131klarla de\u011fi\u015ftirilmesi veya i\u015flemin tekrarlanmas\u0131 gerekebilmektedir.<\/p>\n
Son d\u00f6nemde kulland\u0131\u011f\u0131m\u0131z elektrohidrolik litotripsi, yani EHL y\u00f6ntemiyle safra kanallar\u0131ndaki b\u00fcy\u00fck ta\u015flar\u0131 elektriksel \u015fok dalgalar\u0131yla par\u00e7alayabiliyoruz. B\u00f6ylece daha \u00f6nce \u00e7\u0131kar\u0131lmas\u0131 g\u00fc\u00e7 olan b\u00fcy\u00fck ve impakte ta\u015flar\u0131n endoskopik olarak \u00e7\u0131kar\u0131lmas\u0131 m\u00fcmk\u00fcn hale geliyor.<\/p>\n
Mehmet Akif \u0130nan E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Cerrahi ERCP \u00dcnitesi olarak biz de birka\u00e7 haftad\u0131r, safra kanallar\u0131nda \u00e7\u0131kar\u0131lamayan b\u00fcy\u00fck ta\u015flar\u0131n ve impakte dedi\u011fimiz yerle\u015fmi\u015f b\u00fcy\u00fck ta\u015flar\u0131n tedavisinde EHL y\u00f6ntemini kullan\u0131yoruz.<\/p>\n
T\u00fcrkiye genelinde belirli merkezlerde uygulanan bu y\u00f6ntem art\u0131k hastanemizin Cerrahi ERCP \u00dcnitesi\u2019nde de kullan\u0131lmaktad\u0131r. Bu sayede hastalar\u0131m\u0131z\u0131n tedavi s\u00fcre\u00e7leri daha k\u0131sa s\u00fcrebilmekte ve baz\u0131 hastalarda tekrar tekrar stentleme yap\u0131lmas\u0131na gerek kalmayabilmektedir.<\/p>\n
Bu durum hem hastalar\u0131m\u0131z\u0131n sa\u011fl\u0131klar\u0131 a\u00e7\u0131s\u0131ndan hem de ekonomik a\u00e7\u0131dan \u00f6nemli faydalar sa\u011flamaktad\u0131r. En \u00f6nemli kazan\u0131mlar\u0131m\u0131zdan biri de hastalar\u0131m\u0131z\u0131n bu t\u00fcr ileri d\u00fczey tedaviler i\u00e7in \u015fehir d\u0131\u015f\u0131ndaki merkezlere gitmek zorunda kalmamalar\u0131d\u0131r. \u0130leri endoskopik tedavi imkan\u0131n\u0131 hastalar\u0131m\u0131za kendi \u015fehirlerinde sunabilmekten dolay\u0131 mutluyuz.\u201d<\/p>\n
<\/strong> \u015eanl\u0131urfa, 11 Eyl\u00fcl (Hibya)-\u015eanl\u0131urfa Mehmet Akif \u0130nan E\u011fitim ve Ara\u015ft\u0131rma Hastanesi Cerrahi ERCP \u00dcnitesi\u2019nde, standart y\u00f6ntemlerle \u00e7\u0131kar\u0131lamayan b\u00fcy\u00fck ve safra kanal\u0131na yerle\u015fmi\u015f ta\u015flar\u0131n tedavisinde elektrohidrolik litotripsi y\u00f6ntemi kullan\u0131lmaya ba\u015fland\u0131.<\/p>\n","protected":false},"author":1,"featured_media":147629,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"googlesitekit_rrm_CAow07ekDA:productID":"","footnotes":""},"categories":[4,7],"tags":[],"class_list":["post-147628","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dunya","category-gundem"],"_links":{"self":[{"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/147628","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=147628"}],"version-history":[{"count":0,"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/147628\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/media\/147629"}],"wp:attachment":[{"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=147628"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=147628"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=147628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nEKONOM\u0130 GAZETES\u0130 <\/p>\n","protected":false},"excerpt":{"rendered":"