{"id":43,"date":"2022-10-25T06:39:58","date_gmt":"2022-10-25T06:39:58","guid":{"rendered":"https:\/\/drmedgroup.com\/blog\/?p=43"},"modified":"2022-10-25T06:50:28","modified_gmt":"2022-10-25T06:50:28","slug":"ameliyat-adayi-kimdir","status":"publish","type":"post","link":"https:\/\/drmedgroup.com\/blog\/?p=43","title":{"rendered":"AMEL\u0130YAT ADAYI K\u0130MD\u0130R ?"},"content":{"rendered":"\n<p>Uluslararas\u0131 kriterlere g\u00f6re obezite ameliyat\u0131 olmaya uygun ki\u015filer, kendi ba\u015f\u0131na kilo verme olas\u0131l\u0131\u011f\u0131 \u00e7ok d\u00fc\u015f\u00fck olan, belirli bir v\u00fccut kitle indeksine sahip hastalard\u0131r.<\/p>\n\n\n\n<p><br>Obezite cerrahisinin (bariatrik cerrahi) ser\u00fcveni 1800&#8217;l\u00fc y\u0131llarda hastalar\u0131n dudaklar\u0131na diki\u015f at\u0131lmas\u0131 fikri ile ba\u015flam\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p>Modern bariatrik cerrahi denemeleri ilk olarak 1954&#8217;te Kremen taraf\u0131ndan ba\u011f\u0131rsaklar\u0131 ba\u011flamak i\u00e7in yeni bir giri\u015fimle yay\u0131nland\u0131.&nbsp;1967 y\u0131l\u0131nda gastrik bypass y\u00f6ntemi geli\u015ftirildi.&nbsp;Bilopankreatik diversiyon tekni\u011fi 1978 y\u0131l\u0131nda tan\u0131mlanm\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p>&nbsp;1970&#8217;lerde, obezitenin \u00fclke i\u00e7in olu\u015fturdu\u011fu tehdidin b\u00fcy\u00fckl\u00fc\u011f\u00fcn\u00fc kabul ederek obezite cerrahisi ABD taraf\u0131ndan kar\u015f\u0131land\u0131.<\/p>\n\n\n\n<p>1991 y\u0131l\u0131nda Ulusal Sa\u011fl\u0131k Enstit\u00fcs\u00fc (NIH), obezite cerrahisinin kimlere uygulanaca\u011f\u0131 konusunda bir fikir birli\u011fi toplant\u0131s\u0131 d\u00fczenledi.&nbsp;Bu kriterler 2001 y\u0131l\u0131nda revize edilmi\u015f ve A\u011fustos 2016&#8217;daki en son IFSO toplant\u0131s\u0131nda nihai hale getirilmi\u015ftir.<\/p>\n\n\n\n<p>&nbsp;<br><br>Burada dikkat edilmesi gereken kriterler, uzun vadede hayati tehlike olu\u015fturmas\u0131 muhtemel komorbiditeleri olan, kilo verme olas\u0131l\u0131\u011f\u0131 \u00e7ok d\u00fc\u015f\u00fck olan hastay\u0131 hastal\u0131k geri d\u00f6n\u00fc\u015f\u00fcms\u00fcz hale gelmeden kurtarmakt\u0131r.<br>&nbsp;<\/p>\n\n\n\n<p><br><strong>OBEZ\u0130TE CERRAH\u0130S\u0130 KR\u0130TERLER\u0130<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>18-65 ya\u015f<\/li><li>BMI<ul><li>&gt; 40<\/li><li>&gt; 35 + Obeziteye ba\u011fl\u0131 e\u015flik eden hastal\u0131k (\u00f6rn. hipertansiyon, karaci\u011fer ya\u011flanmas\u0131&#8230;)<\/li><li>&gt; 30 + Diyabet (tedavi gerektiren)<\/li><\/ul><\/li><li>Di\u011fer kilo verme y\u00f6ntemlerini denedi ama ba\u015far\u0131l\u0131 olamad\u0131.<\/li><li>En az 5 y\u0131ld\u0131r obez olmak<\/li><li>Obeziteye neden olan hormonal hastal\u0131klar\u0131n eksikli\u011fi<\/li><li>Alkol, uyu\u015fturucu ve uyu\u015fturucu ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 eksikli\u011fi<\/li><li>Uygulanacak y\u00f6ntemi anlamak ve ameliyat sonras\u0131 uyum sa\u011flayabilmek<\/li><li>Ameliyat\u0131n risklerini kabul edin<\/li><\/ul>\n\n\n\n<p>&nbsp;<br>OBEZ\u0130TE CERRAH\u0130S\u0130 KONTREND\u0130KASYONLARI<\/p>\n\n\n\n<p>Hasta baz\u0131 durumlarda obezite cerrahisi kriterlerini kar\u015f\u0131lasa da hastan\u0131n ameliyat olmas\u0131n\u0131 \u00f6nermiyoruz.&nbsp;Hastan\u0131n ba\u015fvurusundan sonra yap\u0131lan tetkiklerde (kan tahlili, ultrasonografi, endoskopi, EKG, EKO, solunum fonksiyon testi, G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 kons\u00fcltasyonu, Kardiyoloji kons\u00fcltasyonu, Psikiyatri kons\u00fcltasyonu) hastan\u0131n genel sa\u011fl\u0131k durumu de\u011ferlendirilir.&nbsp;Bu de\u011ferlendirmeleri yapmak hayati \u00f6nem ta\u015f\u0131maktad\u0131r.&nbsp;Ameliyat\u0131n yap\u0131lmas\u0131n\u0131 engelleyen durumlar\u0131 temel olarak b\u00f6l\u00fcyoruz.&nbsp;Birincisi kesinlikle yap\u0131lmamal\u0131, ikincisi ancak mevcut durum d\u00fczeltilirse \u00e7al\u0131\u015ft\u0131r\u0131lacakt\u0131r.&nbsp;Buradaki en \u00f6nemli grup ge\u00e7ici kriterlere sahip hastalard\u0131r, \u00e7\u00fcnk\u00fc bu hastalarda komplikasyon riski normal operasyonlara g\u00f6re daha fazlad\u0131r.<br>Op. Dr. Bar\u0131\u015f Demiriz<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Modern bariatrik cerrahi denemeleri ilk olarak 1954&#8217;te Kremen taraf\u0131ndan ba\u011f\u0131rsaklar\u0131 ba\u011flamak i\u00e7in yeni bir giri\u015fimle yay\u0131nland\u0131.\u00a01967 y\u0131l\u0131nda gastrik bypass y\u00f6ntemi geli\u015ftirildi.\u00a0Bilopankreatik diversiyon tekni\u011fi 1978 y\u0131l\u0131nda tan\u0131mlanm\u0131\u015ft\u0131r.<\/p>\n","protected":false},"author":1,"featured_media":44,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-43","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-obezite-cerrahisi"],"_links":{"self":[{"href":"https:\/\/drmedgroup.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/43","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drmedgroup.com\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drmedgroup.com\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drmedgroup.com\/blog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drmedgroup.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=43"}],"version-history":[{"count":2,"href":"https:\/\/drmedgroup.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/43\/revisions"}],"predecessor-version":[{"id":48,"href":"https:\/\/drmedgroup.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/43\/revisions\/48"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drmedgroup.com\/blog\/index.php?rest_route=\/wp\/v2\/media\/44"}],"wp:attachment":[{"href":"https:\/\/drmedgroup.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=43"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drmedgroup.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=43"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drmedgroup.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=43"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}