{"id":69310,"date":"2024-06-05T07:02:57","date_gmt":"2024-06-05T07:02:57","guid":{"rendered":"https:\/\/meditravelist.com\/?page_id=69310"},"modified":"2024-06-13T09:58:28","modified_gmt":"2024-06-13T09:58:28","slug":"loop-duodenal-switch","status":"publish","type":"page","link":"https:\/\/meditravelist.com\/tr\/loop-duodenal-switch\/","title":{"rendered":"Loop Duodenal Switch"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"69310\" class=\"elementor elementor-69310\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0c0b2dd e-flex e-con-boxed e-con e-parent\" data-id=\"0c0b2dd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-007d723 elementor-widget elementor-widget-image\" data-id=\"007d723\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"795\" height=\"410\" src=\"https:\/\/meditravelist.com\/wp-content\/uploads\/2019\/06\/Meditravelist_Duodenal-Switch.jpg\" class=\"attachment-large size-large wp-image-39490\" alt=\"loop dupdenal switch\" srcset=\"https:\/\/meditravelist.com\/wp-content\/uploads\/2019\/06\/Meditravelist_Duodenal-Switch.jpg 795w, https:\/\/meditravelist.com\/wp-content\/uploads\/2019\/06\/Meditravelist_Duodenal-Switch-300x155.jpg 300w, https:\/\/meditravelist.com\/wp-content\/uploads\/2019\/06\/Meditravelist_Duodenal-Switch-768x396.jpg 768w\" sizes=\"(max-width: 795px) 100vw, 795px\" title=\"\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-85bcad1 e-flex e-con-boxed e-con e-parent\" data-id=\"85bcad1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-058fb34 e-con-full e-flex e-con e-child\" data-id=\"058fb34\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6f03277 elementor-widget elementor-widget-text-editor\" data-id=\"6f03277\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Loop Duodenal Switch (SADI-S = Sleeve Gastrektomi + Tek Anastomoz Duodeno-Ileal bypass), hem sleeve gastrektomi (t\u00fcp mide) hem de gastrik bypass ameliyatlar\u0131n\u0131 birle\u015ftiren duodenal switch prosed\u00fcr\u00fcn\u00fcn bir modifikasyonudur (BPD-DS).<\/p><p>\u0130lk ad\u0131m olarak, mide hacmini azaltmak i\u00e7in sleeve gastrektomi (t\u00fcp mide) yap\u0131l\u0131r ve daha sonra muz \u015feklinde kalan mide b\u00f6l\u00fcnm\u00fc\u015f ince ba\u011f\u0131rsa\u011f\u0131n alt k\u0131sm\u0131na anastomozla\u015ft\u0131r\u0131l\u0131r (a\u011f\u0131zla\u015ft\u0131r\u0131l\u0131r).<\/p><p>B\u00f6ylece, mide hacmi k\u0131s\u0131tlan\u0131r ve duodenum ile ince ba\u011f\u0131rsa\u011f\u0131n \u00fcst k\u0131sm\u0131 atlan\u0131r. Yeni olu\u015fturulan ve k\u0131salt\u0131lm\u0131\u015f gastrointestinal sistem ile a\u00e7l\u0131k hissi azal\u0131r ve bu prosed\u00fcr daha az yemeye ve daha sonras\u0131nda da kilo vermeye neden olur.<\/p><h2>Loop Duodenal Switch Nedir?<\/h2><p>Obezite sorunu ya\u015fayan ve belirli ko\u015fullar\u0131 sa\u011flayan hastalar\u0131n midesinde ve ince ba\u011f\u0131rsaklar\u0131nda cerrahi de\u011fi\u015fiklikler yapmak, t\u00fcketilen g\u0131da miktar\u0131n\u0131 s\u0131n\u0131rland\u0131r\u0131p g\u0131dalar\u0131n emilimini azaltarak hastan\u0131n kilo vermesini sa\u011flamak i\u00e7in metabolik cerrahi ya da bariatrik cerrahisi olarak da bilinen obezite cerrahisinden faydalan\u0131labilir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-87b21ea elementor-button-info elementor-align-center elementor-widget elementor-widget-button\" data-id=\"87b21ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905066758234&#038;text=TR%3A+Merhabalar%2C+size+nas%C4%B1l+yard%C4%B1mc%C4%B1+olabiliriz%3FEN%3A+Hello%2C+How+may+I+help+you%3F&#038;app_absent=0\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Whatsapp Destek i\u00e7in T\u0131klay\u0131n\u0131z<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-259d90a e-con-full e-flex e-con e-child\" data-id=\"259d90a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a7613ea elementor-widget elementor-widget-image\" data-id=\"a7613ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"483\" height=\"558\" src=\"https:\/\/meditravelist.com\/wp-content\/uploads\/2020\/04\/duodenal-loop-sadis-schema.jpg\" class=\"attachment-large size-large wp-image-39475\" alt=\"loop duodenal\" srcset=\"https:\/\/meditravelist.com\/wp-content\/uploads\/2020\/04\/duodenal-loop-sadis-schema.jpg 483w, https:\/\/meditravelist.com\/wp-content\/uploads\/2020\/04\/duodenal-loop-sadis-schema-260x300.jpg 260w\" sizes=\"(max-width: 483px) 100vw, 483px\" title=\"\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aa80b8f e-flex e-con-boxed e-con e-parent\" data-id=\"aa80b8f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b80d62b elementor-widget elementor-widget-text-editor\" data-id=\"b80d62b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Hastalarda diyabet, hipertansiyon ve kolesterol-lipid y\u00fcksekli\u011fi sorunlar\u0131n\u0131n bir arada g\u00f6r\u00fclmesi durumu metabolik sendrom olarak adland\u0131r\u0131l\u0131r. Obezite cerrahisi ise bu sa\u011fl\u0131k sorunlar\u0131n\u0131n giderilmesini sa\u011flad\u0131\u011f\u0131ndan metabolik cerrahi olarak da adland\u0131r\u0131l\u0131r.<\/p><p>\u00a0<\/p><p>Obezite cerrahisi prosed\u00fcrleri; restriktif (g\u0131da al\u0131m\u0131n\u0131 k\u0131s\u0131tlay\u0131c\u0131 \u2013 mide k\u00fc\u00e7\u00fclt\u00fcc\u00fc), malabsorbtif (g\u0131da emilimini bozucu ve engelleyici \u2013 ince ba\u011f\u0131rsak de\u011fi\u015fiklikleri) ve mikst (her iki \u00f6zelli\u011fi ta\u015f\u0131yan) \u00f6zellikte olabilir.<\/p><p>\u00a0<\/p><p>Loop duodenal switch olarak da adland\u0131r\u0131lan duodenal switch ameliyat\u0131, obezite sorununu tedavi etme amac\u0131yla s\u0131kl\u0131kla uygulan\u0131r. Loop duodenal switch ameliyat\u0131 sleeve gastrektomi ve gastrik bypass y\u00f6ntemlerini birle\u015ftiren iki a\u015famal\u0131 bir cerrahi prosed\u00fcrd\u00fcr.<\/p><p>\u00a0<\/p><p>Uzun s\u00fcredir uygulanmakta olan loop duodenal switch ameliyat\u0131 sonras\u0131 hastalar k\u0131sa s\u00fcre i\u00e7erisinde kilo kaybedebilir, diyabet ve hipertansiyon gibi mevcut sa\u011fl\u0131k problemlerinden kurtulabilir. Geni\u015f kapsaml\u0131 bir kilo verme y\u00f6ntemi oldu\u011fundan s\u0131kl\u0131kla tercih edilen loop duodenal switch ameliyat\u0131 ile y\u00fcksek kalorili beslenme program\u0131 uygulayan hastalarda etkili sonu\u00e7lar al\u0131nabilir. Ayn\u0131 zamanda kolesterol, diyabet ve hipertansiyon gibi sa\u011fl\u0131k sorunlar\u0131na y\u00f6nelik fayda sa\u011flanabilir.<\/p><p>\u00a0<\/p><p>Loop duodenal switch ameliyat\u0131 kapsam\u0131nda mide b\u00f6lgesinin yakla\u015f\u0131k %70\u2019i kaybedilmesine ve hastan\u0131n mide kapasitesi azalmas\u0131na kar\u015f\u0131n, midenin normal fonksiyonlar\u0131n\u0131n olumsuz y\u00f6nde etkilenmesi gibi bir durum s\u00f6z konusu de\u011fildir. Mide kapasitesinin belirli bir k\u0131sm\u0131n\u0131 kaybeder, ancak eskiden oldu\u011fu gibi \u00e7al\u0131\u015fmaya devam eder. Y\u00fcksek miktarda kilo vermek isteyen ki\u015filer taraf\u0131ndan tercih edilen loop duodenal switch ameliyat\u0131 s\u0131ras\u0131nda, midenin fundus b\u00f6lgesi \u00e7\u0131kar\u0131l\u0131r. Bu sayede ki\u015finin diyabet hastal\u0131\u011f\u0131ndan kurtulmas\u0131 sa\u011flanabilir.<\/p><p>\u00a0<\/p><p>Loop duodenal switch ameliyat\u0131n\u0131n temelde biliopankreatik diversiyon y\u00f6ntemine benzedi\u011fi s\u00f6ylenebilse de, bu y\u00f6ntemde daha b\u00fcy\u00fck bir mide kesiti b\u0131rak\u0131lmas\u0131 s\u00f6z konusudur. Midenin alt k\u0131sm\u0131 yerine, t\u00fcp mide ameliyat\u0131yla benzerlik g\u00f6steren bir \u015fekilde sol d\u0131\u015f k\u0131sm\u0131 al\u0131n\u0131r. Tek ba\u015f\u0131na ger\u00e7ekle\u015ftirilen t\u00fcp mide ameliyat\u0131ndan di\u011fer bir farkl\u0131 ise \u00e7ok daha geni\u015f bir t\u00fcp mide prosed\u00fcr\u00fc uygulanmas\u0131d\u0131r.<\/p><p>\u00a0<\/p><p>Ameliyat kapsam\u0131nda midenin alt k\u0131sm\u0131nda yer alan ve t\u00fcketilen besinlerin ba\u011f\u0131rsaklara giri\u015fini d\u00fczenleyen kas yap\u0131s\u0131n\u0131n i\u015flevi devam eder. Kas\u0131n bitti\u011fi yerin yakla\u015f\u0131k 2 cm alt\u0131ndan olacak \u015fekilde onikiparmak ba\u011f\u0131rsa\u011f\u0131 mideden ayr\u0131l\u0131r ve yemek giri\u015fine kapat\u0131l\u0131r. \u0130nce ba\u011f\u0131rsaklarda i\u015faretleme i\u015flemine ge\u00e7ilse de, biliopankreatik diversiyon ameliyat\u0131ndan farkl\u0131 olarak son 50 cm yerine son 100 cm\u2019lik k\u0131s\u0131m i\u015faretlenir. Ortak kanal olarak da adland\u0131r\u0131lan bu k\u0131sm\u0131n uzun tutulmas\u0131 nedeniyle, emilim sorunlar\u0131 biliopankreatik diversiyon ameliyat\u0131na g\u00f6re daha az olur.<\/p><p>\u00a0<\/p><p>Mideyle ba\u011flant\u0131 ise son 250 cm\u2019lik b\u00f6l\u00fcmden yap\u0131larak di\u011fer ucun ba\u011flant\u0131s\u0131 safra ve pankreas enzimlerinin yiyeceklerle bulu\u015fturulmas\u0131 istenen 100 cm\u2019e ba\u011flan\u0131r. Beslenme sorunlar\u0131 g\u00f6r\u00fclme riski biliopankreatik diversiyon y\u00f6ntemine g\u00f6re daha d\u00fc\u015f\u00fck oldu\u011fu gibi biliopankreatik diversiyon y\u00f6nteminde yakla\u015f\u0131k 50 cm olan ortak kanal, duodenal switch ameliyat\u0131nda ortalama 100 cm\u2019dir. Mide ve ince ba\u011f\u0131rsak aras\u0131ndaki ba\u011flant\u0131 mideye do\u011frudan de\u011fil, korunan 2 cm\u2019lik onikiparmak ba\u011f\u0131rsa\u011f\u0131na yap\u0131ld\u0131\u011f\u0131ndan mide \u00fclseri geli\u015fmesi riski son derece azd\u0131r.<\/p><h2>Loop Duodenal Switch Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r?<\/h2><p>Loop duodenal switch ameliyat\u0131 genel anestezi alt\u0131nda ve iki farkl\u0131 ad\u0131mda uygulan\u0131r. Ameliyat\u0131n ilk a\u015famas\u0131, t\u00fcp mide ameliyat\u0131n\u0131n ilk a\u015famas\u0131yla benzemekte olup midenin b\u00fcy\u00fck bir k\u0131sm\u0131 \u00e7\u0131kar\u0131l\u0131r. Hastan\u0131n g\u0131da al\u0131m\u0131n\u0131n k\u0131s\u0131tlanmas\u0131 i\u00e7in ameliyat\u0131n ilk a\u015famas\u0131nda mide ince bir t\u00fcp haline getirilir. Daha sonraki a\u015famada ise midenin \u00e7\u0131k\u0131\u015f\u0131ndaki bir kas tabakas\u0131 olan Pylor b\u00f6lgesinin birka\u00e7 cm ilerisinde yer alan ba\u011f\u0131rsak kesilip mideden ayr\u0131l\u0131r. Kesilen ba\u011f\u0131rsak ince ba\u011f\u0131rsak ile a\u011f\u0131zla\u015ft\u0131r\u0131larak ba\u011f\u0131rsa\u011f\u0131n uzunlu\u011fu k\u0131salt\u0131l\u0131r. B\u00f6ylece hasta t\u00fcketti\u011fi besinlerden daha az emilim ve ya\u011f al\u0131r.<\/p><p>\u00a0<\/p><p>Duodenal switch ameliyat\u0131nda her hasta \u00f6zelinde mevcut duruma ve cerrah\u0131n tercihlerine g\u00f6re farkl\u0131 y\u00f6ntemler tercih edilebilir. Bu y\u00f6ntemlerden ilki olan a\u00e7\u0131k cerrahinin tercih edilmesi halinde, ameliyat b\u00fcy\u00fck bir kesi yap\u0131larak ger\u00e7ekle\u015ftirilir. Kesinin b\u00fcy\u00fck olmas\u0131, ameliyat\u0131n ard\u0131ndan baz\u0131 estetik kayg\u0131lara neden olabilir. Doktorlar duodenal switch ameliyat\u0131n\u0131n genellikle laparoskopik y\u00f6ntemle yani kapal\u0131 olarak yap\u0131lmas\u0131n\u0131 tercih etmesine kar\u015f\u0131n, operasyon s\u0131ras\u0131nda bir sorun ya\u015fand\u0131\u011f\u0131 takdirde a\u00e7\u0131k cerrahi uygulanmas\u0131 s\u00f6z konusu olabilir.<\/p><p>\u00a0<\/p><p>Kapal\u0131 ameliyat tekni\u011fi ile uygulanan laparoskopik duodenal switch ameliyat\u0131, kar\u0131n b\u00f6lgesine minimal kesiler yap\u0131larak ger\u00e7ekle\u015ftirilir. Ameliyat\u0131 ger\u00e7ekle\u015ftirmek i\u00e7in doktor 2 ve 3 boyutlu g\u00f6r\u00fcnt\u00fclerden yard\u0131m al\u0131r.<\/p><p>\u00a0<\/p><p>Duodenal switch ameliyat\u0131 uygulanacak hastalarda a\u00e7\u0131k ve kapal\u0131 cerrahi tekniklerinin yan\u0131 s\u0131ra robotik cerrahi de tercih edilebilir. Robotik cerrahi ile duodenal switch ameliyat\u0131 kapsam\u0131nda hastan\u0131n kar\u0131n b\u00f6lgesinden giri\u015f yap\u0131l\u0131r. Bu ameliyat mutlaka bu alanda uzman ve deneyimli bir ekip taraf\u0131ndan yap\u0131lmal\u0131d\u0131r. \u00c7\u00fcnk\u00fc bir yandan ameliyat yap\u0131l\u0131rken di\u011fer yandan g\u00f6r\u00fcnt\u00fcn\u00fcn 16 kata kadar 3D olarak b\u00fcy\u00fcmesini sa\u011flayan robotik cerrahi kameras\u0131 yard\u0131m\u0131yla s\u00fcre\u00e7 izlenmelidir.<\/p><h2>Loop Duodenal Switch Ameliyat\u0131 Sonras\u0131<\/h2><p>Duodenal switch ameliyat\u0131ndan sonra hastalar genellikle 1 ila 2 g\u00fcn hastanede g\u00f6zetim alt\u0131nda tutulur. Bu s\u00fcre zarf\u0131ndan hastan\u0131n hareket etmesi ve s\u0131v\u0131 t\u00fcketmesi \u00f6nemlidir. Ameliyat\u0131 izleyen ilk g\u00fcnlerde hastalar\u0131n yava\u015f yava\u015f y\u00fcr\u00fcy\u00fc\u015f yapmas\u0131 ve doktorun \u00f6nerdi\u011fi ila\u00e7lar\u0131 d\u00fczenli olarak kullanmas\u0131 \u00f6nemlidir.<\/p><p>\u00a0<\/p><p>Ameliyat sonras\u0131 diyete uyum g\u00f6stermek konusunda \u00f6zenli olunmal\u0131d\u0131r. \u0130lk birka\u00e7 hafta s\u0131v\u0131 g\u0131dalar tercih edilmeli, daha sonra p\u00fcre haline getirilen g\u0131dalar ve yumu\u015fak g\u0131dalar t\u00fcketilmelidir.\u00a0 Besin emilimi azalaca\u011f\u0131ndan vitamin ve mineral eksiklikleri ya\u015fanabilir. Hasta bu nedenle besin takviyelerini almay\u0131 aksatmamal\u0131d\u0131r.<\/p><p>\u00a0<\/p><p>Duodenal switch ameliyat\u0131ndan sonra kilo kayb\u0131n\u0131 desteklemek ve v\u00fccut fonksiyonlar\u0131n\u0131 d\u00fczenlemek i\u00e7in fiziksel aktivite \u00e7ok \u00f6nemlidir. Ancak erken d\u00f6nemde a\u011f\u0131r egzersizlerden uzak durulmal\u0131d\u0131r. Bunun yerine y\u00fcr\u00fcy\u00fc\u015f, hafif egzersizler ve doktorun \u00f6nerdi\u011fi fiziksel aktiviteler tercih edilmelidir.\u00a0 Ameliyat sonras\u0131 iyile\u015fme ve kilo kayb\u0131 s\u00fcrecinin kontrol alt\u0131na al\u0131nmas\u0131 i\u00e7in rutin doktor ziyaretleri aksat\u0131lmamal\u0131d\u0131r.<\/p><p>\u00a0<\/p><p>Duodenal switch ameliyat\u0131ndan sonra hastalar h\u0131zl\u0131 bir kilo kayb\u0131 ya\u015fayabilir. Bu s\u00fcre\u00e7te \u00f6zel bir diyet listesinin uygulanmas\u0131yla sindirim sisteminin iyile\u015fmesi ve yeni de\u011fi\u015fikliklere uyum sa\u011flanmas\u0131 s\u00f6z konusu olabilir.<\/p><h2>Loop Duodenal Switch Ameliyat\u0131 Kimler i\u00e7in Uygun De\u011fil?<\/h2><p>Etkili sonu\u00e7lar sa\u011flayan bir obezite cerrahisi prosed\u00fcr\u00fc olan loop duodenal switch ameliyat\u0131, v\u00fccudunda vitamin ve mineral eksiklikleri olan ki\u015filer i\u00e7in uygun de\u011fildir. Kronik hastal\u0131klar\u0131 olan, kar\u0131n b\u00f6lgesinde ameliyat ge\u00e7irmi\u015f bulunan ve \u00e7e\u015fitli ba\u011f\u0131rsak hastal\u0131klar\u0131 olan ki\u015filerin duodenal switch ameliyat\u0131 g\u00f6r\u00fclmesi genellikle uygun olarak de\u011ferlendirilmez.\u00a0<\/p><p>\u00a0<\/p><p>Duodenal switch ameliyat\u0131na uygunluk karar\u0131, yap\u0131lan de\u011ferlendirmelerin ard\u0131ndan hasta \u00f6zelinde verilir. Bu nedenle, ameliyata engel olabilecek durumlar\u0131 bulunan ki\u015filer de \u00f6ncelikle doktorlar\u0131na dan\u0131\u015fmal\u0131 ve ameliyata uygunluk konusunda doktor karar\u0131n\u0131 beklemelidir.<\/p><h2>Loop Duodenal Switch Ameliyat\u0131 Sonras\u0131 Beslenme\u00a0<\/h2><p>En etkili obezite cerrahisi prosed\u00fcrlerinden biri olan duodenal switch ameliyat\u0131, hastan\u0131n hedefledi\u011fi kilo kayb\u0131n\u0131n kal\u0131c\u0131l\u0131\u011f\u0131n\u0131 sa\u011flamakt\u0131r. Emilimi azalt\u0131c\u0131 etkiye sahip bir ameliyat olan duodenal switch ameliyat\u0131ndan sonra beslenme s\u00fcreci 5 farkl\u0131 ad\u0131mda izlenir.<\/p><p>\u00a0<\/p><p>Berrak s\u0131v\u0131 d\u00f6nemi, kulp s\u0131v\u0131lar d\u00f6nemi, \u00e7orbalar d\u00f6nemi, yumu\u015fak kat\u0131lar d\u00f6nemi ve normal besinler d\u00f6nemi olarak s\u0131ralanabilen bu ad\u0131mlar\u0131n her birinin farkl\u0131 uygulama s\u00fcreleri vard\u0131r. Bu s\u00fcreler her hasta \u00f6zelinde de\u011fi\u015fiklik g\u00f6sterebilir.\u00a0<\/p><p>\u00a0<\/p><p>Hastalar duodenal switch ameliyat\u0131ndan sonra s\u0131k\u0131 bir beslenme program\u0131 uygulamaya ba\u015flar. Bu plana eksiksiz bir \u015fekilde uyulmas\u0131, ameliyat\u0131n ba\u015far\u0131s\u0131 a\u00e7\u0131s\u0131ndan son derece \u00f6nemlidir. Duodenal switch ameliyat\u0131 olan hastalar\u0131n b\u00fcy\u00fck bir k\u0131sm\u0131 ilk 9 ay i\u00e7erisinde fazla kilolar\u0131n\u0131n \u00e7o\u011funu verir ve g\u00fcnl\u00fck ya\u015fant\u0131s\u0131n\u0131 s\u00fcrd\u00fcrebilir.<\/p><h2>Loop Duodenal Switch Ameliyat\u0131 Sonras\u0131 Takipler Nas\u0131ld\u0131r?<\/h2><p>Loop duodenal switch ameliyat\u0131 sonras\u0131 vitamin ve minerallerin emilim oran\u0131 biliopankreatik diversiyon ameliyat\u0131na g\u00f6re daha fazla olacakt\u0131r. Buna ba\u011fl\u0131 olarak vitamin ve mineral takviyesine duyulan ihtiya\u00e7 daha azd\u0131r. Hastalar genellikle 4 ila 5 g\u00fcn hastanede kal\u0131r, daha sonra taburcu edilir.\u00a0<\/p><p>\u00a0<\/p><p>Loop duodenal switch ameliyat\u0131ndan sonra hastalar ilk olarak s\u0131v\u0131 g\u0131dalar\u0131 t\u00fcketmeye ba\u015flar. Sonra kademeli olarak p\u00fcreli g\u0131dalara ve kat\u0131 g\u0131dalara ge\u00e7er. Duodenal switch ameliyat\u0131ndan sonra midenin korunan k\u0131sm\u0131 b\u00fcy\u00fck oldu\u011fundan beslenme s\u00fcreci daha kolay ger\u00e7ekle\u015fir.\u00a0<\/p><p>\u00a0<\/p><p>Loop duodenal switch ameliyat\u0131 genellikle v\u00fccut kitle indeksi 40 ve \u00fczerinde olan hastalara uygulanmakta olup diyabet hastalar\u0131n\u0131n kan \u015fekeri kontrol\u00fcne de katk\u0131 sa\u011flar. Ameliyat\u0131n ard\u0131ndan hastalar\u0131n \u00f6m\u00fcr boyu vitamin ve mineral takviyesine ihtiya\u00e7 duymas\u0131 m\u00fcmk\u00fcnd\u00fcr. \u00d6zellikle demir, kalsiyum ve B12 oranlar\u0131n\u0131n s\u00fcrekli olarak takip edilmesi gerekir. Ameliyat\u0131n ard\u0131ndan hastalar\u0131n d\u00fczenli olarak takip edilmemesi halinde beslenme problemleri ortaya \u00e7\u0131kabilir. Baz\u0131 hastalarda duodenal switch ameliyat\u0131ndan sonra ishal, protein eksikli\u011fi, k\u00f6t\u00fc kokulu gaz \u00e7\u0131karma ve safra kesesi ta\u015f\u0131 gibi yan etkiler ortaya \u00e7\u0131kabilir.<\/p><p>\u00a0<\/p><p>Duodenal switch ameliyat\u0131ndan sonra kilo verme zaman \u00e7izelgesi ki\u015fi \u00f6zelinde de\u011fi\u015febilse de, genel baz\u0131 e\u011fi\u015fimler oldu\u011fu ger\u00e7e\u011fi g\u00f6z ard\u0131 edilemez. Duodenal switch ameliyat\u0131 olan hastalarda en h\u0131zl\u0131 kilo kayb\u0131, ameliyat\u0131 izleyen ilk 3 ayda ya\u015fan\u0131r. Hastalar bu s\u00fcre zarf\u0131nda normal \u015fartlarda fazla kilolar\u0131n\u0131n yakla\u015f\u0131k %30\u2019unu kaybeder. Sonraki 3 ay i\u00e7erisinde kilo kayb\u0131 daha yava\u015f olur. Ameliyattan sonraki 1 y\u0131l i\u00e7inde fazla kilolar\u0131n %50 ila %75\u2019i verilebilir. Ameliyattan 12 ila 18 ay sonra genellikle kilo kayb\u0131 zirve yapmakta olup fazla kilonun %75 ila %85\u2019ine eri\u015febilir.<\/p><p>\u00a0<\/p><p>Duodenal switch ameliyat\u0131n\u0131n ciddi bir durum i\u00e7in ciddi bir m\u00fcdahale oldu\u011fu s\u00f6ylenebilir. Ameliyat kapsam\u0131nda sindirim sisteminin \u00e7al\u0131\u015fma \u015feklinde etkileyici de\u011fi\u015fiklikler yap\u0131lmas\u0131 s\u00f6z konusu olsa da, etkileyici sonu\u00e7lar\u0131 beraberinde getirir. Duodenal switch ameliyat\u0131n\u0131n en \u00f6nemli riski, beslenme yetersizli\u011fi geli\u015febilecek olmas\u0131d\u0131r. Hasta ameliyat sonras\u0131 doktor tavsiyelerine d\u00fczenli olarak uyar ve rutin kontrollerini aksatmazsa, olas\u0131 olumsuzluklar\u0131n \u00f6nlenmesi i\u00e7in gerekli \u00f6nlemlerin al\u0131nmas\u0131 s\u00f6z konusu olabilir. Duodenal switch ameliyat\u0131 sayesinde ya\u015fanan etkili ve kal\u0131c\u0131 kilo kayb\u0131, obeziteye ba\u011fl\u0131 hastal\u0131klara ili\u015fkin risklerden de uzakla\u015f\u0131labilir.<\/p><p>\u00a0<\/p><p>Duodenal switch ameliyat\u0131ndan sonra ya\u015fam boyu vitamin ve mineral deste\u011fi kullan\u0131lmas\u0131 konusunda gereken \u00f6zen g\u00f6sterilmezse, baz\u0131 sorunlarla kar\u015f\u0131 kar\u015f\u0131ya kal\u0131nmas\u0131 m\u00fcmk\u00fcnd\u00fcr. Bunlar aras\u0131nda demir ve B12 vitamini eksikli\u011finin neden oldu\u011fu anemi, D vitamini ve kalsiyum eksikli\u011finin neden oldu\u011fu kemik erimesi say\u0131labilir. Ayr\u0131ca ya\u011f ve karbonhidrat kaynakl\u0131 enerji azalmas\u0131ndan kaynaklanan halsizlik ve a\u015f\u0131r\u0131 yorgunluk geli\u015febilir. T\u00fcm bu durumlar ameliyat sonras\u0131 geli\u015febilecek durumlar aras\u0131nda yer almas\u0131na kar\u015f\u0131n; doktor tavsiyelerine uyulmas\u0131, gerekli takviyelerin kullan\u0131lmas\u0131 ve rutin kontrollerin aksat\u0131lmamas\u0131 sayesinde kar\u015f\u0131la\u015f\u0131lmas\u0131 olas\u0131 risklerin minimize edilmesi s\u00f6z konusu olabilecektir.<\/p><h2>Loop Duodenal Switch Ameliyat\u0131 Fiyat\u0131 Nedir?<\/h2><p>Loop duodenal switch ameliyat\u0131n\u0131n fiyat\u0131 ameliyat\u0131 yapan cerrah\u0131n uzmanl\u0131\u011f\u0131 ve deneyimi, ameliyat\u0131n yap\u0131laca\u011f\u0131 klini\u011fin fiyat politikas\u0131, hastan\u0131n ka\u00e7 g\u00fcn hastanede yataca\u011f\u0131 ve daha bir\u00e7ok farkl\u0131 unsura ba\u011fl\u0131 olarak hasta \u00f6zelinde belirlenir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ebe4367 e-flex e-con-boxed e-con e-parent\" data-id=\"ebe4367\" 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Kapal\u0131<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9d560b3 e-con-full e-flex e-con e-child\" data-id=\"9d560b3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e7db483 elementor-widget elementor-widget-google_maps\" data-id=\"e7db483\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"google_maps.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-custom-embed\">\n\t\t\t<iframe loading=\"lazy\"\n\t\t\t\t\tsrc=\"https:\/\/maps.google.com\/maps?q=Meditravelist%20Medical%20%2F%20Health%20Assistance%20Company%2C%20Maltepe%20Mahallesi%2C%20Y%C4%B1lanl%C4%B1%20Ayazma%20Yolu%20No%3A13%2C%20E%20Blok%2C%2034010%20Zeytinburnu&#038;t=m&#038;z=10&#038;output=embed&#038;iwloc=near\"\n\t\t\t\t\ttitle=\"Meditravelist Medical \/ Health Assistance Company, Maltepe Mahallesi, Y\u0131lanl\u0131 Ayazma Yolu No:13, E Blok, 34010 Zeytinburnu\"\n\t\t\t\t\taria-label=\"Meditravelist Medical \/ Health Assistance Company, Maltepe Mahallesi, Y\u0131lanl\u0131 Ayazma Yolu No:13, E Blok, 34010 Zeytinburnu\"\n\t\t\t><\/iframe>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-54978d3 e-flex e-con-boxed e-con e-parent\" data-id=\"54978d3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-928a15d elementor-widget elementor-widget-text-editor\" data-id=\"928a15d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 class=\"p1\">M\u00fc\u015fteri Yorumlar\u0131m\u0131z<\/h3><p class=\"p1\"><pre class=\"ti-widget\" style=\"display: none\"><template 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class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a\/ACg8ocL6Wx-VOhe5E2DSISecXaLu9z7cEUczEiVo0d_llacauw=w40-h40-c-rp-mo-br100\" alt=\"Nasrena Nurul profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Nasrena Nurul <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" 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class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->A Heartfelt Gratitude to Meditravelist: Seamless Excellence in Every Step\n\nHello, I\u2019m from the UK, London specifically. I am compelled to express my deepest appreciation for the exceptional support and unparalleled service provided by Meditravelist Medical\/Health Assistance Company throughout my surgical journey. From the moment I contemplated the surgery to my safe return to the UK, their commitment to my well-being was unwavering.\n\nYasmina, with her expertise, guided me with a thorough and specialized answer during the online consultation, making my decision-making process incredibly informed. Emrah, the main coordinator, orchestrated every detail seamlessly\u2014from accommodation arrangements to hospital visits. His genuine care extended beyond professional duties, ensuring my comfort and well-being at every turn.\n\nDuring my stay, Emrah went above and beyond by personally checking in on me daily, assisting me with post-surgery walks, and providing essential items without expecting anything in return. His dedication reflects the true essence of Meditravelist's commitment to patient care.\n\nA special mention goes to Ilhan, an incredibly smart dentist, whose assistance in transportation to and from the hospital, as well as post-op check-ups, added an extra layer of reassurance.\n\nMeditravelist is not just a medical assistance company; it's a beacon of excellence in patient care. My gratitude knows no bounds, and I wholeheartedly recommend their services to anyone seeking a seamless, supportive, and expertly curated medical experience. Thank you, Meditravelist, for turning a significant chapter in my life into a journey marked by professionalism, compassion, and genuine care.<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1695254400\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a-\/ALV-UjXemfprszxAyJo6zgSVLMguwBHuLLFXpBq9cNCJiYi5tw=w40-h40-c-rp-mo-br100\" alt=\"DansstudioWB Lelystad profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> DansstudioWB Lelystad <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->Hele goede begeleiding !!\nOp naar mn 2de operatie eind november<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1687132800\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a-\/ALV-UjVsBVObmqqS7HYPfNwNIQJwv8WJOc-fQ8papS5apnAHoKU=w40-h40-c-rp-mo-br100\" alt=\"reenie xoxo profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> reenie xoxo <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->Taken care of very well throughout, from airport to being greeted and helped by wonderful team throughout,any concerns wer answered at anytime, Very happy with procedure results,strongly recommend<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1685664000\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a-\/ALV-UjWY6aJB8J4Yt1dYDKPpW1pOZil5chMA9vMxUnuQ2Q_g4w=w40-h40-c-rp-mo-br100\" alt=\"santos vega profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> santos vega <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->Im soo glad i came to see Dr.Eren Pera!! Im glad with his work an Im looking forward for my 2 appointment! I would definitely recommend him to anyone who is looking to get work done !!<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1683331200\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a-\/ALV-UjUnpgCvGEcA09LPvJZPCJ3YWv5PakmnzFS5y9C4Ay_epIM=w40-h40-c-rp-mo-br100\" alt=\"Talimano T profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Talimano T <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->Saya membawa saudaraku untuk operasi sedok lemak dan tanam rambut di clinic ini.\n\nSangat puas dengan pelayanannya.\nKomunikasi sangat baik,  mereka sangat lancar bahasa inggris,  sangat membantu dan fast respon juga.\n\nDengan offer yg di bawah rata-rata pasar Turkey,  tetapi kualitas dokter bintang lima.<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1680652800\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a\/ACg8ocIY3wtKg619pZyLhJkgRxcCOT2Jb2wurZOQGpU7gczX=w40-h40-c-rp-mo-br100\" alt=\"Yassmina Kamr ezzaman profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Yassmina Kamr ezzaman <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->un service si charmant, des gens accueillants, une bonne ambiance et des m\u00e9decins exp\u00e9riment\u00e9s\nTu dis confiance, je dis meditravelist\u270b<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1675641600\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a\/ACg8ocLCe8O_9YN1QKTsOzBw9oR3MOMizNwRbqXtzoIWbY_u=w40-h40-c-rp-mo-br100\" alt=\"Kayla Warner profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Kayla Warner <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->This was the best medical experience I have had in a very long time. Yasemin was my hands-on coordinator that guided me through my entire experience and ongoing communication with meditravelist. She was also available for any questions or concerns I had before I traveled to Turkey. She even greeted me once I arrived (11\/25\/22)  to my own nice apartment (which they provided for me) and continued to guide me through the rest of the time I was there. She sent me my personalized handbook of who my doctor was and my doctor\u2019s detailed medical background and experience in the field of cosmetic surgery which was extensive. I received a rhinoplasty and 360 liposuction done by Op. Dr. Feryal Yildiz Deger. I am completely happy about my surgery results. She gave me the surgery results that are exactly what I asked of and expected. The liposuction led to me having more of an hourglass figure. The entire hospital staff were kind, professional and very patient. I traveled to Turkey alone from the U.S so I was very grateful for this. I was also grateful that the hospital itself was very clean and modern. I received medical attention that most ppl in the U.S would think pertained to millionaire affordability. The hospital staff catered to my every need and came to me promptly after pressing my hospital room call button. I would definitely recommend meditravelist to those who are looking into getting cosmetic surgery.<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1665705600\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a\/ACg8ocJSG1qATVEwikuxo02MinLd9lM6UFKP8xeF4D94ELui=w40-h40-c-rp-mo-ba4-br100\" alt=\"Aslan Sv\u00e4rd profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Aslan Sv\u00e4rd <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->Sincerely thanks for a great service, friendly and professional support through all phases during our time in Istanbul. Yasemin, you are the best.\nI will add later with more info and pictures.\nAs promised. More pictures from our amazing adventure with Yasemin and her team.\nHere you se my wife the day of surgery, 5 days later and 8 days later at her last check up at the surgeon Dr. Mehmet.\nThen it was my turn. Extensive dental treatment. Good to mention is that I suffer from extreme dental fear.\nBut Best dental \u0130stanbul took it out of me. 2,5 hours later in a very fancy environment I woke up with 9 new implants. Well done.<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <\/div> <div class=\"ti-controls-line\"> <div class=\"dot\"><\/div> <\/div> <\/div>    <\/div> <\/div> <\/template><\/pre><div data-src=\"https:\/\/cdn.trustindex.io\/loader.js?wp-widget\" data-template-id=\"trustindex-google-widget-html\" data-css-url=\"https:\/\/meditravelist.com\/wp-content\/uploads\/trustindex-google-widget.css?1788358347\"><\/div><\/p>\t\t\t\t\t\t\t\t<\/div>\n\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":"<p>Loop Duodenal Switch (SADI-S = Sleeve Gastrektomi + Tek Anastomoz Duodeno-Ileal bypass), hem sleeve gastrektomi (t\u00fcp mide) hem de gastrik bypass ameliyatlar\u0131n\u0131 birle\u015ftiren duodenal switch prosed\u00fcr\u00fcn\u00fcn bir modifikasyonudur (BPD-DS). \u0130lk ad\u0131m olarak, mide hacmini azaltmak i\u00e7in sleeve gastrektomi (t\u00fcp mide) yap\u0131l\u0131r ve daha sonra muz \u015feklinde kalan mide b\u00f6l\u00fcnm\u00fc\u015f ince ba\u011f\u0131rsa\u011f\u0131n alt k\u0131sm\u0131na anastomozla\u015ft\u0131r\u0131l\u0131r (a\u011f\u0131zla\u015ft\u0131r\u0131l\u0131r)&#8230;.<\/p>\n","protected":false},"author":1,"featured_media":39490,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-69310","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/meditravelist.com\/tr\/wp-json\/wp\/v2\/pages\/69310","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/meditravelist.com\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/meditravelist.com\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/meditravelist.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/meditravelist.com\/tr\/wp-json\/wp\/v2\/comments?post=69310"}],"version-history":[{"count":4,"href":"https:\/\/meditravelist.com\/tr\/wp-json\/wp\/v2\/pages\/69310\/revisions"}],"predecessor-version":[{"id":69314,"href":"https:\/\/meditravelist.com\/tr\/wp-json\/wp\/v2\/pages\/69310\/revisions\/69314"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/meditravelist.com\/tr\/wp-json\/wp\/v2\/media\/39490"}],"wp:attachment":[{"href":"https:\/\/meditravelist.com\/tr\/wp-json\/wp\/v2\/media?parent=69310"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}