![](\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/12\/akalazya-hastaliginda-en-basarili-tedavi-laparoskopik-cerrahi_61b839a.jpg\")
T\u00fcrkiye Endoskopik ve Laparoskopik Cerrahi Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. Emin Ersoy, nadir g\u00f6r\u00fclen yemek borusu hareket bozuklu\u011fu olan Akalazya hastal\u0131\u011f\u0131n\u0131n tedavisinde en ba\u015far\u0131l\u0131 y\u00f6ntemin Laparoskopik se\u00e7enek oldu\u011funu s\u00f6yledi.<\/p>\n
T\u00fcrkiye Endoskopik ve Laparoskopik Cerrahi Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. Emin Ersoy, Akalazya hastal\u0131\u011f\u0131na ili\u015fkin yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, nedeni tam olarak bilinmeyen ve ba\u015fka hastal\u0131klarla da kar\u0131\u015ft\u0131r\u0131labilen bu rahats\u0131zl\u0131k i\u00e7in do\u011fru tan\u0131n\u0131n son derece \u00f6nemli oldu\u011funa dikkat \u00e7ekti.<\/p>\n
Hastal\u0131\u011f\u0131n \u015fikayetlerini anlatan Prof. Dr. Ersoy, \u201cAkalazya hastal\u0131\u011f\u0131 nadir g\u00f6r\u00fclen yemek borusu hareket bozuklu\u011fudur. Yutma g\u00fc\u00e7l\u00fc\u011f\u00fc ile kendini belli eder. \u00d6nce s\u0131v\u0131 ard\u0131ndan da s\u0131v\u0131 ve kat\u0131 g\u0131dalara kar\u015f\u0131 yutma g\u00fc\u00e7l\u00fc\u011f\u00fc olu\u015fur. \u0130lerleyen zaman s\u00fcreci i\u00e7erisinde hem kat\u0131 hem de s\u0131v\u0131 g\u0131da almakta iyice zorlanan hastalar, kilo kaybederler. Yutma g\u00fc\u00e7l\u00fc\u011f\u00fc bir \u00e7ok yemek borusu hastal\u0131\u011f\u0131 ile kar\u0131\u015fabilir. Bunlar kanserler, refl\u00fc hastal\u0131\u011f\u0131, divertik\u00fcller (cepcikler) gibi hastal\u0131klard\u0131r. Akalazya hastal\u0131\u011f\u0131nda tan\u0131 ba\u015flang\u0131\u00e7ta zor konulur. Hastan\u0131n \u015fikayetleri hekimi y\u00f6nlendirir. Endoskopide, ilerlemi\u015f akalazya hastalar\u0131nda, yemek borusunda geni\u015fleme, g\u0131da art\u0131klar\u0131 gibi g\u00f6r\u00fcnt\u00fcler vard\u0131r. E\u011fer boyal\u0131 yemek borusu r\u00f6ntgeni \u00e7ekilirse, geni\u015flemi\u015f ve mide ile birle\u015fme yerinde ku\u015f gagas\u0131 gibi incelmi\u015f bir yemek borusu g\u00f6r\u00fcl\u00fcr. As\u0131l tan\u0131 motilite testi ile konulur. Alt yemek borusu kapa\u011f\u0131ndaki bas\u0131n\u00e7 y\u00fcksek de\u011ferlere ula\u015f\u0131r. G\u0131dalar\u0131n ge\u00e7i\u015fine engel olan i\u015fte bu y\u00fcksek kapak bas\u0131nc\u0131d\u0131r. Ay\u0131r\u0131c\u0131 tan\u0131da, esas korkulan yemek borusu kanserleridir ki, endoskopi bu \u015f\u00fcpheyi ortadan kald\u0131r\u0131r\u201d dedi.<\/p>\n
AKALAZYA TEDAV\u0130S\u0130 3 AYRI Y\u00d6NTEMLE YAPILAB\u0130L\u0130R<\/p>\n
Gazi \u00dcniversitesi Genel Cerrahi Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Emin Ersoy, doktor a\u00e7\u0131s\u0131ndan tan\u0131 konulmas\u0131n\u0131n ard\u0131ndan tedavi i\u00e7in uygulanabilecek 3 y\u00f6ntem bulundu\u011funu kaydetti.<\/p>\n
\u0130lk y\u00f6ntemin kapa\u011f\u0131n geni\u015fletilmesine imkan veren dilatasyon oldu\u011funu belirten Prof. Dr. Emin Ersoy, yemek borusu alt u\u00e7 kapa\u011f\u0131n\u0131n endoskopik yard\u0131ml\u0131 olarak geni\u015fletildi\u011fini bildirdi.<\/p>\n
Bu geni\u015fletme i\u015fleminden y\u00fczde 20 ila y\u00fczde 50 sonu\u00e7 al\u0131nd\u0131\u011f\u0131n\u0131 ifade eden Ersoy s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc;<\/p>\n
\u201cBu tedavide geni\u015fletme i\u015fleminin kal\u0131c\u0131l\u0131k oran\u0131n\u0131n zaman i\u00e7erisinde azald\u0131\u011f\u0131n\u0131 bilmek gerekir. \u0130kinci tedavi se\u00e7ene\u011finde Botilinyum toksini kullan\u0131l\u0131r. Bu toksinle de kapak geni\u015fletme i\u015flemi yap\u0131labilir. Ancak bu i\u015flemin de uzun s\u00fcreyle kal\u0131c\u0131 ba\u015far\u0131s\u0131 d\u00fc\u015f\u00fckt\u00fcr. T\u0131bbi se\u00e7enekleri denedikten ve ba\u015far\u0131 durumunu izledikten sonra cerrahi se\u00e7enek \u00f6nermekteyiz. Buradaki cerrahi se\u00e7ene\u011fimiz laparoskopik olarak planlan\u0131r. Laparoskopik yani kapal\u0131 cerrahi i\u015fleminde yap\u0131lanlar\u0131 \u015f\u00f6yle anlatabilirim. Operasyonda yemek borusu alt ucunu kaplayan adale dokular\u0131n\u0131n t\u00fcm\u00fc (myotomi) k\u00fc\u00e7\u00fck bir b\u00f6l\u00fcmde kesilerek ayr\u0131l\u0131r ve kapak ortadan kald\u0131r\u0131l\u0131r. Bu operasyona ilave olarak refl\u00fc olmas\u0131n\u0131 \u00f6nlemek amac\u0131yla midenin fundus (tepe kubbe) b\u00f6l\u00fcm\u00fc adaleden ar\u0131nd\u0131r\u0131lan b\u00f6lgeye yaman\u0131r.\u201d<\/p>\n
AKALAZYA TEDAV\u0130S\u0130NDE LAPAROSKOP\u0130K CERRAH\u0130N\u0130N BA\u015eARISI Y\u00dcZDE 96<\/p>\n
T\u00fcrkiye Endoskopik ve Laparoskopik Cerrahi Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. Emin Ersoy, laparoskopik cerrahi y\u00f6ntemiyle Akalazya hastal\u0131\u011f\u0131n\u0131n tedavisinde ba\u015far\u0131 oran\u0131n\u0131n y\u00fczde 96 oldu\u011funa vurgu yapt\u0131.<\/p>\n
Bu oran\u0131n di\u011fer tedavi se\u00e7enekleri aras\u0131nda en ba\u015far\u0131l\u0131s\u0131 oldu\u011funu belirten Prof. Dr. Emin Ersoy, \u00f6ncelikle di\u011fer se\u00e7eneklerin denenmesi gerekti\u011fini, ba\u015far\u0131 sa\u011flanamamas\u0131 durumunda Laparoskopik cerrahi ile hastan\u0131n sa\u011fl\u0131\u011f\u0131na kavu\u015fturulabilece\u011fini s\u00f6yledi.<\/p>\n
Prof. Dr. Ersoy, cerrahi y\u00f6ntem d\u0131\u015f\u0131ndaki tedavi se\u00e7eneklerinin uygulanmas\u0131n\u0131n ard\u0131ndan 3 ayl\u0131k bir zaman dilimi ge\u00e7tikten sonra Laparoskopik se\u00e7ene\u011fin g\u00fcndeme gelece\u011fini s\u00f6zlerine ekledi.<\/p>\n","protected":false},"excerpt":{"rendered":"
T\u00dcRK\u0130YE ENDOSKOP\u0130K VE LAPAROSKOP\u0130K CERRAH\u0130 DERNE\u011e\u0130 BA\u015eKANI PROF. DR. EM\u0130N ERSOY, NAD\u0130R G\u00d6R\u00dcLEN YEMEK BORUSU HAREKET BOZUKLU\u011eU OLAN AKALAZYA HASTALI\u011eININ TEDAV\u0130S\u0130NDE EN BA\u015eARILI Y\u00d6NTEM\u0130N LAPAROSKOP\u0130K SE\u00c7ENEK OLDU\u011eUNU S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[26767,34530,16676,18036,16650,6926],"class_list":["post-194605","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-laparoskopik","tag-akalazya","tag-basarili","tag-cerrahi","tag-hastaliginda","tag-tedavi"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/194605","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=194605"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/194605\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=194605"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=194605"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=194605"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}