{"id":1123,"date":"2025-07-10T09:59:00","date_gmt":"2025-07-10T06:59:00","guid":{"rendered":"https:\/\/hastane2.omu.edu.tr\/?p=1123"},"modified":"2026-06-10T09:11:42","modified_gmt":"2026-06-10T06:11:42","slug":"cocuk-gastroenteroloji","status":"publish","type":"post","link":"https:\/\/hastane.omu.edu.tr\/?p=1123","title":{"rendered":"\u00c7ocuk Gastroenteroloji"},"content":{"rendered":"\n<div class=\"wp-block-safirtema-mainheading singleHeading mainHeading\"><div class=\"inner\"><div class=\"icon safiricon\"><svg class=\"safiricon-takvim\"><use href=\"#safiricon-takvim\"><\/use><\/svg><\/div><div class=\"text\">Tarih\u00e7esi<\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Bilim Dal\u0131m\u0131z 1999 y\u0131l\u0131nda Dr. Ayhan Gazi Kalayc\u0131 ba\u015fkanl\u0131\u011f\u0131nda kurulmu\u015ftur. Ayn\u0131 tarihlerde endoskopi \u00fcnitemiz a\u00e7\u0131lm\u0131\u015f, endoskopi hem\u015fireli\u011fi e\u011fitimi g\u00f6ren Nevin K\u0131ro\u011flu da Bilim Dal\u0131m\u0131za dahil olmu\u015ftur. Dr. G\u00f6n\u00fcl \u00c7altepe 2007 y\u0131l\u0131nda akademik kadromuza kat\u0131lm\u0131\u015ft\u0131r. Bilim Dal\u0131m\u0131z 2009 y\u0131l\u0131ndan sonra yan dal uzmanl\u0131\u011f\u0131 e\u011fitimi vermeye ba\u015flam\u0131\u015ft\u0131r.<\/p>\n\n\n\n<div class=\"wp-block-safirtema-mainheading singleHeading mainHeading\"><div class=\"inner\"><div class=\"icon safiricon\"><svg class=\"safiricon-mouse\"><use href=\"#safiricon-mouse\"><\/use><\/svg><\/div><div class=\"text\">M\u00fcracaat \u015eekli<\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Poliklini\u011fimizde muayene olmak isteyen hastalar\u0131m\u0131z hastanemiz web sitesinden (<a href=\"http:\/\/hastane.omu.edu.tr\" title=\"\"><strong>http:\/\/hastane.omu.edu.tr<\/strong><\/a>) veya \u00e7a\u011fr\u0131 merkezimizden <strong>(0362 312 1955)<\/strong> randevu alarak muayene olabilmektedir.<\/p>\n\n\n\n<div class=\"wp-block-safirtema-mainheading singleHeading mainHeading\"><div class=\"inner\"><div class=\"icon safiricon\"><svg class=\"safiricon-takim2\"><use href=\"#safiricon-takim2\"><\/use><\/svg><\/div><div class=\"text\">\u00d6\u011fretim \u00dcyeleri<\/div><\/div><\/div>\n\n\n\n<div class=\"\" data-col=\"2\"><ul class=\"wp-block-list\">\n<li><strong><a href=\"https:\/\/personel.omu.edu.tr\/tr\/gdinler\" target=\"_blank\" rel=\"noopener\" title=\"\">Prof. Dr. G\u00f6n\u00fcl \u00c7ALTEPE<\/a>&nbsp;Bilim Dal\u0131 Ba\u015fkan\u0131<\/strong><\/li>\n\n\n\n<li><a href=\"https:\/\/personel.omu.edu.tr\/tr\/ayhangk\" target=\"_blank\" rel=\"noopener\" title=\"\"><strong>Prof. Dr. Ayhan Gazi KALAYCI<\/strong><\/a><\/li>\n<\/ul><\/div>\n\n\n\n<div class=\"wp-block-safirtema-mainheading singleHeading mainHeading\"><div class=\"inner\"><div class=\"icon safiricon\"><svg class=\"safiricon-noktalar\"><use href=\"#safiricon-noktalar\"><\/use><\/svg><\/div><div class=\"text\">Hizmet \u00d6zellikleri<\/div><\/div><\/div>\n\n\n\n<div class=\"\" data-col=\"1\"><ul class=\"wp-block-list\">\n<li>B\u00fct\u00fcnsel Beslenme ve B\u00fcy\u00fcme De\u011ferlendirmesi<\/li>\n\n\n\n<li>\u0130leri Tan\u0131sal ve Endoskopik Yetkinlik<\/li>\n\n\n\n<li>Kronik Hastal\u0131k Y\u00f6netimi ve Ya\u015fam Kalitesi Odakl\u0131l\u0131k<\/li>\n\n\n\n<li>Multidisipliner \u0130\u015fbirli\u011fi ve Aile Kat\u0131l\u0131m\u0131<\/li>\n<\/ul><\/div>\n\n\n\n<div class=\"wp-block-safirtema-mainheading singleHeading mainHeading\"><div class=\"inner\"><div class=\"icon safiricon\"><svg class=\"safiricon-soru\"><use href=\"#safiricon-soru\"><\/use><\/svg><\/div><div class=\"text\">S\u0131k\u00e7a Sorulanlar<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-safirtema-sorucevap safir-faq\"><div class=\"question\"><div class=\"safiricon icon\"><svg class=\"safiricon-soru\"><use href=\"#safiricon-soru\"><\/use><\/svg><\/div><span class=\"text\">\u00c7ocuk Gastroenteroloji Neler Yapar?<\/span><div class=\"openclose plus\"><\/div><\/div><p class=\"answer\">\u00c7ocuk Gastroenteroloji Bilim Dal\u0131 Departman\u0131m\u0131z \u00c7ocuk Hastanesinin giri\u015f kat\u0131nda, Endoskopi \u00dcnitemiz ise bir alt katta hizmet vermektedir. Bilim Dal\u0131m\u0131zda;<br><strong>\u00b7 \u00c7ocuklarda kar\u0131n a\u011fr\u0131s\u0131<br>\u00b7 \u0130shalli hastal\u0131klar<br>\u00b7 Kab\u0131zl\u0131k<br>\u00b7 Kusma<br>\u00b7 Kilo alamama<br>\u00b7 Beslenme yetersizli\u011fi<br>\u00b7 \u00c7\u00f6lyak hastal\u0131\u011f\u0131<br>\u00b7 Kistikfibrozis<br>\u00b7 Laktoz intolerans\u0131, Fr\u00fcktoz intolerans\u0131<br>\u00b7 Safra ta\u015f\u0131, safra \u00e7amuru, safra yolu anormallikleri<br>\u00b7 Hirschprung hastal\u0131\u011f\u0131<br>\u00b7 \u0130nek s\u00fct\u00fc allerjisi ve di\u011fer besin allerjileri<br>\u00b7 Hepatitler<br>\u00b7 Karaci\u011fer enzim y\u00fckseklikleri<br>\u00b7 Yenido\u011fan sar\u0131l\u0131klar\u0131 (neonatal hepatit ve neonatalkolestaz vb)<br>\u00b7 Gastrit, \u00fclser, gastro\u00f6sefagealrefl\u00fc hastal\u0131\u011f\u0131<br>\u00b7 \u0130ltehabi ba\u011f\u0131rsak hastal\u0131klar\u0131 (\u00fclseratif kolit, crohn hastal\u0131\u011f\u0131)<br>\u00b7 D\u0131\u015fk\u0131da kanamaya neden olan hastal\u0131klar<br>\u00b7 \u00c7ocuklarda rektal polip<br>\u00b7 Yabanc\u0131 cisim yutma olgular\u0131<br>\u00b7 Kronik karaci\u011fer hast, otoimm\u00fcn hepatit, Wilson hastal\u0131\u011f\u0131, hepatit A, hepatit B, hepatit C<br>\u00b7 Kar\u0131nda asit birikimine neden olan hastal\u0131klar<br>\u00b7 \u00c7ocuklarda siroza yol a\u00e7an hastal\u0131klar<br>\u00b7 T\u0131kanma sar\u0131l\u0131klar\u0131<br>\u00b7 Ba\u011f\u0131rsak parazitlerine ba\u011fl\u0131 hastal\u0131klar<br>\u00b7 Kist hidatik hastal\u0131\u011f\u0131<br>\u00b7 Pankreas hastal\u0131klar\u0131 (Akut pankreatit, kronik pankreatit, bilierpankreatit vb)<br>\u00b7 Karaci\u011ferde ya\u011flanma<br>\u00b7 Karaci\u011fer ve dalak b\u00fcy\u00fckl\u00fc\u011f\u00fcne neden olan hastal\u0131klar<br>\u00b7 \u0130\u015ftahs\u0131z \u00e7ocuk<\/strong><br>gibi sorunlara y\u00f6nelik poliklinik hizmeti verilmektedir. Yat\u0131r\u0131lmas\u0131 gereken hastalar hastanemiz yatakl\u0131 servisine yat\u0131r\u0131larak tedavi yap\u0131lmaktad\u0131r. B\u00f6l\u00fcm\u00fcm\u00fczce yap\u0131lan tan\u0131 ve tedavi ama\u00e7l\u0131 giri\u015fimsel i\u015flemler:<br><strong>1.\u00d6sefagogastroduodenoskopi (Yemek borusundan mide, oniki parmak ba\u011f\u0131rsa\u011f\u0131na kadar olan b\u00f6lgenin endoskopik olan g\u00f6r\u00fcnt\u00fclenmesi):<\/strong> Bu i\u015flem tekrarlayan kar\u0131n a\u011fr\u0131s\u0131, kusma, mide a\u011fr\u0131s\u0131, yanma, ek\u015fime gibi \u015fikayetleri olup, b\u00f6l\u00fcm\u00fcm\u00fczde muayene edildikten sonra gerek g\u00f6r\u00fclen hastalara yap\u0131lmaktad\u0131r. \u0130\u015flem i\u00e7in hastan\u0131n a\u00e7 olmas\u0131 gerekmektedir (a\u00e7l\u0131k s\u00fcresi hastaya g\u00f6re de\u011fi\u015febilir). Hastan\u0131n ya\u015f\u0131na ve durumuna g\u00f6re i\u015flem, bo\u011faz\u0131n ila\u00e7la uyu\u015fturulmas\u0131yla ya da damardan hafif aneztezik madde verilerek hastan\u0131n uyutulmas\u0131 sonras\u0131 yap\u0131lmaktad\u0131r. Gereken durumlarda anestezi b\u00f6l\u00fcm\u00fcyle g\u00f6r\u00fc\u015f\u00fclerekdaha uzun s\u00fcreli anesteziistenmektedir.\u0130\u015flem s\u0131ras\u0131nda hastal\u0131kl\u0131 b\u00f6lgeyi direkt olarak g\u00f6zle g\u00f6rmek ve bu alanlardan \u00f6rnek almak m\u00fcmk\u00fcnd\u00fcr. \u0130\u015flem sonunda hasta 1-2 saat g\u00f6zlenerek evine g\u00f6nderilmektedir.<br><strong>2.Endoskopik ince ba\u011f\u0131rsak biyopsisi:<\/strong> Bu i\u015flem kronik ishal, b\u00fcy\u00fcme gerili\u011fi, boy k\u0131sal\u0131\u011f\u0131 ve d\u00fczelmeyen demir eksikli\u011fi anemisi gibi durumlarda, \u00e7\u00f6lyak hastal\u0131\u011f\u0131ndan \u015f\u00fcphelenildi\u011finde yap\u0131l\u0131r. \u0130\u015flem \u00f6sefagogastroduodenoskopi ile ayn\u0131d\u0131r. Oniki parmak ba\u011f\u0131rsa\u011f\u0131ndan y\u00fczeyel \u00f6rnek al\u0131narak patolojiye g\u00f6nderilmektedir.<br><strong>3.Yabanc\u0131 cisim \u00e7\u0131kar\u0131lmas\u0131:<\/strong> \u00c7ocuklarda s\u0131k kar\u015f\u0131la\u015f\u0131lan para, i\u011fne, nazarl\u0131k, toka, pil gibi yabanc\u0131 cisimlerin yutulmas\u0131 durumunda yukar\u0131da bahsedilen y\u00f6ntemle (\u00f6sefagogastroduodenoskopi) giri\u015fim yap\u0131labilir. \u00d6zellikle k\u00fc\u00e7\u00fck \u00e7ocuklarda mide \u00e7\u0131k\u0131\u015f\u0131nda kalan para, kesici ve delici i\u011fne, toka gibi cisimler ve yemek borusu ve midede \u015fiddetli hasar ve zehirlenmelere neden olan pil gibi maddeler endoskopi ile \u00e7\u0131kar\u0131lmal\u0131d\u0131r.<br><strong>4.\u00d6sefagus varisi bant ligasyonu (Yemek borusundaki geni\u015flemi\u015f ve kanama e\u011filimindeki venlerin bo\u011fulmas\u0131):<\/strong> \u00d6sefagus varisleri, kronik karaci\u011fer hastal\u0131klar\u0131, siroz veya karaci\u011fer d\u0131\u015f\u0131 nedenlerle geli\u015fmi\u015f portal hipertansiyona ba\u011fl\u0131 yemek borusunda olu\u015fan geni\u015flemi\u015f ve kanamaya neden olan damarlard\u0131r. Bu damarlar\u0131n kanamas\u0131n\u0131 engellemek i\u00e7in endoskobun ucuna yerle\u015ftirilen \u00f6zel bir alet ile ayn\u0131 \u00fcst endoskopideki gibi girilir ve geni\u015flemi\u015f damarlar g\u00f6r\u00fclerek k\u00fc\u00e7\u00fck lastiklerle bo\u011fulur. \u0130\u015flemi 10-15 g\u00fcn aralarla birka\u00e7 kez tekrarlamak gerekebilir. Damardan anestezi ile yap\u0131lmas\u0131 ve i\u015flem sonras\u0131 bir gece yat\u0131r\u0131larak izlenmesi gerekebilmektedir.<br><strong>5.Kolonoskopi (Makat yoluyla girilerek, endoskop ile kal\u0131n ba\u011f\u0131rsa\u011f\u0131n sonuna kadar incelenmesi):<\/strong> Bu i\u015flem daha \u00e7ok makattan kanama, a\u00e7\u0131klanamayan kar\u0131n a\u011fr\u0131lar\u0131, uzun s\u00fcren ve kanl\u0131 ishal durumlar\u0131nda yap\u0131lmaktad\u0131r. \u0130\u015flem \u00f6ncesi 2-3 g\u00fcn posas\u0131z g\u0131da al\u0131nmas\u0131 ve bir gece \u00f6nceden ba\u011f\u0131rsak temizli\u011fi yap\u0131lmas\u0131 gerekmektedir. \u0130\u015flemin yap\u0131laca\u011f\u0131 sabah makattan yap\u0131lacak olan lavman, kendi hem\u015firemiz taraf\u0131ndan uygulanmaktad\u0131r. \u0130\u015flem a\u011fr\u0131l\u0131 olabilece\u011fi i\u00e7in hastalara damardan anestezik madde verilerek yap\u0131lmakta ve 1-2 saat g\u00f6zlemden sonra ayn\u0131 g\u00fcn evine g\u00f6nderilmektedir. \u0130\u015flem s\u0131ras\u0131nda ba\u011f\u0131rsak duvar\u0131ndaki zedelenmeler, \u00fclserler veya polip denilen \u00e7\u0131k\u0131nt\u0131l\u0131 lezyonlar direkt olarak g\u00f6r\u00fclebilmekte ve gerekli yerlerden biyopsi al\u0131narak patolojiye g\u00f6nderilmektedir.<br><strong>6.Rektosigmoidoskopi (Makat yoluyla kal\u0131n ba\u011f\u0131rsa\u011f\u0131n yakla\u015f\u0131k son 30 cm\u2019lik k\u0131sm\u0131n\u0131n endoskop ile incelenmesi):<\/strong> \u0130\u015flem kolonoskopi gibidir ve benzer \u015fikayetlerde yap\u0131l\u0131r ancak \u00e7ok daha az bir ba\u011f\u0131rsak par\u00e7as\u0131 incelendi\u011finden daha k\u0131sa s\u00fcreli ve uzun haz\u0131rl\u0131k i\u015flemi gerektirmeden yap\u0131labilir. \u0130\u015flem \u00f6ncesi yap\u0131lan lavman ba\u011f\u0131rsak temizli\u011fi i\u00e7in yeterlidir. Kolonoskopide oldu\u011fu gibi gereken durumlarda biyopsi al\u0131nabilir.<br><strong>7.Endoskopik polipektomi (Poliplerin endoskopik olarak \u00e7\u0131kar\u0131lmas\u0131):<\/strong> Polip, \u00e7ocuklarda \u00e7o\u011funlukla kal\u0131n ba\u011f\u0131rsa\u011f\u0131n son k\u0131s\u0131mlar\u0131nda g\u00f6r\u00fclen ve daha \u00e7ok a\u011fr\u0131s\u0131z, parlak k\u0131rm\u0131z\u0131 kanama ile kendini belli eden \u00e7\u0131k\u0131nt\u0131l\u0131 olu\u015fumdur. Eri\u015fkinlerin aksine \u00e7ocuklarda genellikle iyi huyludur. \u0130\u015flem yukar\u0131daki gibi endoskopi ile girilerek,polibin \u00f6zel bir aletle kesilerek \u00e7\u0131kar\u0131lmas\u0131d\u0131r.<br><strong>8.Uzun s\u00fcreli (ortalama 24 Saat) \u00f6sefaguspH izlemi: <\/strong>Yemek borusuna mide i\u00e7eri\u011finin ka\u00e7mas\u0131 \u015feklinde tan\u0131mlanan gastro\u00f6sefagealrefl\u00fc hastal\u0131\u011f\u0131n\u0131n (G\u00d6RH) kesin tan\u0131s\u0131 i\u00e7in kullan\u0131lan en g\u00fcvenilir y\u00f6ntemlerden biridir. Kusma, i\u015ftahs\u0131zl\u0131k, kilo alamama, g\u00f6\u011f\u00fcste yanma, ek\u015fime, a\u011fza ac\u0131 su gelme gibi gastrointestinal yak\u0131nmalar\u0131n yan\u0131 s\u0131ra, tekrarlayan-d\u00fczelmeyen \u00f6ks\u00fcr\u00fck, h\u0131r\u0131lt\u0131 gibi solunum sistemine ait de yak\u0131nmalarla gelen ve G\u00d6RH\u2019dan \u015f\u00fcphelenilen her ya\u015f hastaya uygulanabilmektedir. \u0130\u015flem i\u00e7in, ucunda pH de\u011fi\u015fikli\u011fini \u00f6l\u00e7en bir b\u00f6lgesi olan, yakla\u015f\u0131k 2 mm \u00e7ap\u0131nda ince, yumu\u015fak bir kateter kullan\u0131l\u0131r, burundan girilerek yemek borusunun alt k\u0131sm\u0131na yerle\u015ftirilir ve k\u00fc\u00e7\u00fck bir bilgisayara ba\u011flan\u0131r. Hasta bu s\u00fcre i\u00e7inde hastanede yat\u0131r\u0131larak izlenir ve normal beslenme ve aktivitesini yapmas\u0131 sa\u011flan\u0131r. Ertesi g\u00fcn \u00e7\u0131kar\u0131l\u0131r ve bilgisayara ba\u011flanarak sonu\u00e7 al\u0131n\u0131r. \u0130\u015flem randevusu verilen hastalar\u0131n gelirken a\u00e7 olmalar\u0131 gerekmektedir.<br><strong>9.Uzun s\u00fcreli \u00f6sefagus \u00e7ok kanall\u0131 impedans ve pH izlemi:<\/strong> G\u00d6RH tan\u0131s\u0131nda kullan\u0131lan, \u015fu anda d\u00fcnyadaki en hassas ve g\u00fcvenilir testtir. \u0130\u015flem i\u00e7in, ucunda pH de\u011fi\u015fikli\u011fini ve elektrik direncini \u00f6l\u00e7en bir b\u00f6lgesi olan, yakla\u015f\u0131k 2 mm \u00e7ap\u0131nda ince, yumu\u015fak bir katater kullan\u0131l\u0131r, burundan girilerek yemek borusunun alt k\u0131sm\u0131na yerle\u015ftirilir ve k\u00fc\u00e7\u00fck bir bilgisayara ba\u011flan\u0131r. pHmonitorizasyonunda oldu\u011fu gibi, hasta bu s\u00fcre i\u00e7inde hastanede yat\u0131r\u0131larak izlenir ve normal beslenme ve aktivitesini yapmas\u0131 sa\u011flan\u0131r. Ertesi g\u00fcn \u00e7\u0131kar\u0131l\u0131r ve bilgisayara ba\u011flanarak sonu\u00e7 al\u0131n\u0131r. \u0130\u015flem randevusu verilen hastalar\u0131n gelirken a\u00e7 olmalar\u0131 gerekmektedir.<br><strong>10.Hidrojen nefes testi: <\/strong>Kar\u0131n a\u011fr\u0131s\u0131, gaz, \u015fi\u015fkinlik, kronik ishal gibi durumlarda \u015feker emilim bozuklu\u011funu (\u00f6zellikle s\u00fct \u015fekeri, laktoz intolerans\u0131) veya ba\u011f\u0131rsakta a\u015f\u0131r\u0131 bakteri \u00e7o\u011falmas\u0131n\u0131 g\u00f6stermek i\u00e7in yap\u0131lan bir nefes testidir. 12 saat a\u00e7l\u0131k sonras\u0131 yap\u0131lan bazal \u00fcfleme testinin ard\u0131ndan \u015fekerli su i\u00e7irilerek 3 saat boyunca 15 dakikada bir nefes \u00fcfleme testi tekrarlan\u0131r. Bu s\u00fcre i\u00e7inde hastalar\u0131n endoskopi \u00fcnitemizde beklemesi gerekmektedir.S\u00fcrenin sonunda sonu\u00e7lar hemen de\u011ferlendirilebilir. \u0130\u015flem randevusu verilen hastalar\u0131n a\u00e7 gelmeleri ve \u00f6nceden kendilerine verilen diyete uymalar\u0131 gerekmektedir.<br><strong>11.Karaci\u011fer biyopsisi: <\/strong>Karaci\u011fer hastal\u0131\u011f\u0131 olan hastalarda, buna neden olan etkeni, ya da hastal\u0131\u011f\u0131n \u015fiddetini g\u00f6sterebilmek i\u00e7in karaci\u011ferden k\u00fc\u00e7\u00fck bir \u00f6rnek al\u0131nmas\u0131d\u0131r. \u0130\u015flem \u00f6ncesi hastan\u0131n gerekli kan testleri ve g\u00f6r\u00fcnt\u00fcleme testlerinin tamamlanm\u0131\u015f olmas\u0131, kanamaya e\u011filim yaratabilecek bir durumunun olmamas\u0131 gerekmektedir. \u0130\u015flem damardan verilen anestezik madde ile hafif uyutularak yap\u0131l\u0131r. Bu nedenle i\u015flem \u00f6ncesi, sizebelirtilen s\u00fcreyle hastan\u0131n a\u00e7 olmas\u0131 gerekmektedir. \u00d6zel bir i\u011fne ile karaci\u011ferden k\u00fc\u00e7\u00fck bir par\u00e7a al\u0131n\u0131r ve incelenmesi i\u00e7in patolojiye g\u00f6nderilir ya da hastal\u0131\u011f\u0131n\u0131n durumuna g\u00f6re \u00f6zel baz\u0131 testler \u00e7al\u0131\u015ft\u0131r\u0131l\u0131r. \u0130\u015flem yakla\u015f\u0131k 10 dakika s\u00fcrer ve sonras\u0131nda kanama olmamas\u0131 i\u00e7in buz torbas\u0131 ile bask\u0131 yap\u0131l\u0131r. Hastan\u0131n takibi a\u00e7\u0131s\u0131ndan bir gece hastanede yat\u0131r\u0131larak izlenmesi gerekmektedir.<\/p><\/div>\n\n\n\n<div class=\"wp-block-safirtema-sorucevap safir-faq\"><div class=\"question\"><div class=\"safiricon icon\"><svg class=\"safiricon-soru\"><use href=\"#safiricon-soru\"><\/use><\/svg><\/div><span class=\"text\">Neden \u00c7ocuk Gastroenterolojisi \u00d6nemlidir?<\/span><div class=\"openclose plus\"><\/div><\/div><p class=\"answer\">Bu uzmanl\u0131k alan\u0131, \u00e7ocuklar\u0131n sa\u011fl\u0131kl\u0131 b\u00fcy\u00fcme, geli\u015fme ve genel ya\u015fam kalitesi i\u00e7in hayati bir rol oynar:<br><strong>B\u00fcy\u00fcme ve Geli\u015fimle \u0130li\u015fki:<\/strong> Sindirim sistemi hastal\u0131klar\u0131 ve beslenme sorunlar\u0131, \u00e7ocuklarda b\u00fcy\u00fcme gerili\u011fi, zay\u0131fl\u0131k ve geli\u015fimsel gecikmelere yol a\u00e7abilir. \u00c7ocuk gastroenterologlar\u0131, bu sorunlar\u0131 \u00e7\u00f6zerek \u00e7ocu\u011fun potansiyeline ula\u015fmas\u0131n\u0131 sa\u011flarlar.<br><strong>Beslenme Optimizasyonu:<\/strong> \u00d6zellikle bebeklik ve k\u00fc\u00e7\u00fck \u00e7ocukluk \u00e7a\u011f\u0131nda do\u011fru beslenme, fiziksel ve bili\u015fsel geli\u015fim i\u00e7in temeldir. Besin alerjileri veya emilim bozukluklar\u0131 gibi durumlarda \u00f6zel beslenme planlar\u0131 olu\u015fturarak \u00e7ocu\u011fun sa\u011fl\u0131kl\u0131 b\u00fcy\u00fcmesini desteklerler.<br><strong>Hassas Sindirim Sistemi:<\/strong> \u00c7ocuklar\u0131n sindirim sistemi yeti\u015fkinlerden daha hassas ve hen\u00fcz tam geli\u015fmemi\u015ftir. Hastal\u0131klara farkl\u0131 tepkiler verebilirler. Uzmanlar, bu farkl\u0131l\u0131klara uygun tan\u0131 ve tedavi yakla\u015f\u0131mlar\u0131 uygular.<br><strong>Kronik Hastal\u0131k Y\u00f6netimi:<\/strong> \u00c7\u00f6lyak hastal\u0131\u011f\u0131, iltihabi ba\u011f\u0131rsak hastal\u0131klar\u0131 gibi kronik durumlar ya\u015fam boyu takip gerektirebilir. \u00c7ocuk gastroenterologlar\u0131, bu hastal\u0131klar\u0131 y\u00f6neterek \u00e7ocuklar\u0131n normal bir ya\u015fam s\u00fcrmelerini sa\u011flarlar.<br><strong>Ya\u015fam Kalitesinin Art\u0131r\u0131lmas\u0131:<\/strong> Kronik kar\u0131n a\u011fr\u0131s\u0131, ishal, kab\u0131zl\u0131k gibi \u015fikayetler \u00e7ocuklar\u0131n ya\u015fam kalitesini, okul ba\u015far\u0131s\u0131n\u0131 ve sosyal ili\u015fkilerini olumsuz etkileyebilir. Do\u011fru tan\u0131 ve tedavi ile bu sorunlar giderilerek \u00e7ocu\u011fun konforu art\u0131r\u0131l\u0131r.<\/p><\/div>\n\n\n\n<div class=\"wp-block-safirtema-sorucevap safir-faq\"><div class=\"question\"><div class=\"safiricon icon\"><svg class=\"safiricon-soru\"><use href=\"#safiricon-soru\"><\/use><\/svg><\/div><span class=\"text\">\u00c7ocuk Gastroenterolojisi Uzman\u0131 Kimdir?<\/span><div class=\"openclose plus\"><\/div><\/div><p class=\"answer\">\u00c7ocuk Gastroenterolojisi, Hepatoloji ve Beslenme uzman\u0131, t\u0131p fak\u00fcltesini bitirdikten sonra <strong>\u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131<\/strong> uzmanl\u0131\u011f\u0131n\u0131 tamamlam\u0131\u015f ve ard\u0131ndan <strong>\u00c7ocuk Gastroenterolojisi Bilim Dal\u0131<\/strong>nda ek bir yan dal uzmanl\u0131k e\u011fitimi (yakla\u015f\u0131k 3 y\u0131l) alm\u0131\u015f hekimdir. Bu kapsaml\u0131 e\u011fitim, kendilerine \u00e7ocuklar\u0131n sindirim sistemi, karaci\u011fer ve beslenme ile ilgili hastal\u0131klar\u0131 konusunda derinlemesine bilgi, ileri tan\u0131 y\u00f6ntemleri (endoskopi) ve tedavi yakla\u015f\u0131mlar\u0131 konusunda \u00fcst d\u00fczey beceri kazand\u0131r\u0131r. Detayl\u0131 g\u00f6zlem, hassas endoskopik beceriler, uzun d\u00f6nemli takip ve ailelerle yak\u0131n i\u015f birli\u011fi bu alandaki hekimler i\u00e7in temel \u00f6zelliklerdir.<\/p><\/div>\n\n\n\n<div class=\"wp-block-safirtema-bgtext descriptionbox question\"><div class=\"inner\"><div class=\"icon safiricon\"><svg class=\"safiricon-takim3\"><use href=\"#safiricon-takim3\"><\/use><\/svg><\/div><div class=\"header\">OM\u00dc T\u0131p Fak\u00fcltesi Sa\u011fl\u0131k Uygulama ve Ara\u015ft\u0131rma Merkezi<\/div><div class=\"content\">\u00c7ocuk Gastroenteroloji Hastal\u0131klar\u0131 hakk\u0131nda t\u00fcm detayl\u0131 bilgilendirmeler a\u015fa\u011f\u0131da yap\u0131lm\u0131\u015ft\u0131r.<\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B\u00fct\u00fcnsel Beslenme ve B\u00fcy\u00fcme De\u011ferlendirmesi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7ocuk Gastroenterolojisi hizmetlerinin temelinde <strong>b\u00fct\u00fcnsel bir beslenme ve b\u00fcy\u00fcme de\u011ferlendirmesi<\/strong> yatar. \u00c7ocuklarda sindirim sistemi sorunlar\u0131, do\u011frudan beslenme yetersizliklerine ve b\u00fcy\u00fcme gerili\u011fine yol a\u00e7abilir. Uzmanlar, sadece semptomlar\u0131 de\u011fil, \u00e7ocu\u011fun ayr\u0131nt\u0131l\u0131 beslenme \u00f6yk\u00fcs\u00fcn\u00fc, b\u00fcy\u00fcme e\u011frilerini, besin al\u0131m\u0131n\u0131 ve emilim durumunu titizlikle de\u011ferlendirirler. \u00d6zel diyetler, besin takviyeleri veya duruma g\u00f6re t\u0131bbi mamalarla beslenme optimizasyonu sa\u011flayarak \u00e7ocu\u011fun sa\u011fl\u0131kl\u0131 b\u00fcy\u00fcme ve geli\u015fimini desteklemeyi hedeflerler.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0130leri Tan\u0131sal ve Endoskopik Yetkinlik<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu hizmetler, <strong>ileri tan\u0131sal testler ve endoskopik giri\u015fimler konusunda y\u00fcksek yetkinlik<\/strong> gerektirir. \u00c7ocuklar\u0131n sindirim sistemini incelemek i\u00e7in kan testleri, d\u0131\u015fk\u0131 analizleri ve g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerinin yan\u0131 s\u0131ra, gastroskopi ve kolonoskopi gibi invaziv endoskopik i\u015flemler de uygulan\u0131r. \u00c7ocuk gastroenterologlar\u0131, bu hassas prosed\u00fcrleri \u00e7ocuklarda g\u00fcvenli bir \u015fekilde ger\u00e7ekle\u015ftirecek teknik beceriye ve deneyime sahiptir. Endoskopi s\u0131ras\u0131nda al\u0131nan biyopsiler, iltihabi ba\u011f\u0131rsak hastal\u0131klar\u0131 veya \u00e7\u00f6lyak gibi durumlar\u0131n kesin tan\u0131s\u0131 i\u00e7in vazge\u00e7ilmezdir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Kronik Hastal\u0131k Y\u00f6netimi ve Ya\u015fam Kalitesi Odakl\u0131l\u0131k<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7ocuk Gastroenterolojisi hizmetleri, <strong>kronik sindirim sistemi hastal\u0131klar\u0131n\u0131n uzun d\u00f6nemli y\u00f6netimine ve ya\u015fam kalitesinin art\u0131r\u0131lmas\u0131na<\/strong> odaklan\u0131r. \u00c7\u00f6lyak, Crohn hastal\u0131\u011f\u0131, \u00fclseratif kolit veya kronik karaci\u011fer hastal\u0131klar\u0131 gibi durumlar ya\u015fam boyu veya uzun y\u0131llar takip gerektirir. Uzmanlar, sadece hastal\u0131\u011f\u0131n akut alevlenmelerini de\u011fil, ayn\u0131 zamanda hastal\u0131\u011f\u0131n uzun vadeli seyrini, olas\u0131 komplikasyonlar\u0131 ve \u00e7ocu\u011fun g\u00fcnl\u00fck ya\u015fam\u0131n\u0131 (okul, sosyal aktivite) nas\u0131l etkiledi\u011fini de g\u00f6z \u00f6n\u00fcnde bulundurur. Tedavi planlar\u0131, \u00e7ocu\u011fun konforunu ve ya\u015fam kalitesini maksimize etmeyi ama\u00e7lar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Multidisipliner \u0130\u015fbirli\u011fi ve Aile Kat\u0131l\u0131m\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu anabilim dal\u0131, <strong>g\u00fc\u00e7l\u00fc bir multidisipliner i\u015fbirli\u011fi ve ailelerin aktif kat\u0131l\u0131m\u0131n\u0131<\/strong> gerektirir. Karma\u015f\u0131k sindirim sistemi hastal\u0131klar\u0131n\u0131n tedavisinde \u00e7ocuk diyetisyenleri, psikologlar, \u00e7ocuk cerrahlar\u0131, radyologlar, patologlar ve di\u011fer pediatrik yan dal uzmanlar\u0131 ile yak\u0131n i\u015f birli\u011fi i\u00e7inde \u00e7al\u0131\u015f\u0131l\u0131r. Ayr\u0131ca, hastal\u0131\u011f\u0131n y\u00f6netimi ve beslenme planlar\u0131n\u0131n uygulanmas\u0131nda ailelerin bilgilendirilmesi ve aktif rol almas\u0131 hayati \u00f6neme sahiptir. \u00c7ocuk gastroenterologlar\u0131, aileleri e\u011fiterek ve destekleyerek, tedavi s\u00fcrecinin bir par\u00e7as\u0131 olmalar\u0131n\u0131 sa\u011flar ve bu i\u015fbirli\u011fi, \u00e7ocu\u011fun en iyi bak\u0131m\u0131 almas\u0131na olanak tan\u0131r.<\/p>\n\n\n\n<div class=\"wp-block-safirtema-mainheading singleHeading\"><div class=\"inner\"><div class=\"icon safiricon\"><svg class=\"safiricon-telefon\"><use href=\"#safiricon-telefon\"><\/use><\/svg><\/div><div class=\"text\">\u0130leti\u015fim<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"safir-list\" data-col=\"1\"><ul class=\"wp-block-list has-white-background-color has-background\">\n<li><strong>Poliklinik Sekreteri: 3734<\/strong><\/li>\n\n\n\n<li><strong>Bilim Dal\u0131 Sekreteri: 3734<\/strong><\/li>\n\n\n\n<li><strong>Endoskopi \u00dcnitesi: 4101<\/strong><\/li>\n\n\n\n<li><strong>Ondokuz May\u0131s \u00dcniversitesi T\u0131p Fak\u00fcltesi \u00c7ocuk Gastroenteroloji Bilim Dal\u0131 55200 Atakum \/ Samsun<\/strong><\/li>\n\n\n\n<li><strong>Tel : 0 362 312 19 19<\/strong><\/li>\n\n\n\n<li><strong>Fax: 0 362 457 60 41<\/strong><\/li>\n<\/ul><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div style=\"border: 1px solid #ccc; border-radius: 5px; box-shadow: 2px 2px 5px #888888; padding: 10px;\">\n <iframe src=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d2994.111089551137!2d36.20858627654235!3d41.37167109696912!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x40887eeddaf9f141%3A0x24561b910d5e11f3!2zT25kb2t1eiBNYXnEsXMgw5xuaXZlcnNpdGVzaSBUxLFwIEZha8O8bHRlc2k!5e0!3m2!1str!2str!4v1751288237149!5m2!1str!2str\" width=\"100%\" height=\"450\" style=\"border:0;\" allowfullscreen=\"\" loading=\"lazy\" referrerpolicy=\"no-referrer-when-downgrade\"><\/iframe>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bilim Dal\u0131m\u0131z 1999 y\u0131l\u0131nda Dr. Ayhan Gazi Kalayc\u0131 ba\u015fkanl\u0131\u011f\u0131nda kurulmu\u015ftur. Ayn\u0131 tarihlerde endoskopi \u00fcnitemiz a\u00e7\u0131lm\u0131\u015f, endoskopi hem\u015fireli\u011fi e\u011fitimi g\u00f6ren Nevin K\u0131ro\u011flu da Bilim Dal\u0131m\u0131za dahil olmu\u015ftur. Dr. G\u00f6n\u00fcl \u00c7altepe 2007 y\u0131l\u0131nda akademik kadromuza kat\u0131lm\u0131\u015ft\u0131r. Bilim Dal\u0131m\u0131z 2009 y\u0131l\u0131ndan sonra yan dal uzmanl\u0131\u011f\u0131 e\u011fitimi vermeye ba\u015flam\u0131\u015ft\u0131r. Poliklini\u011fimizde muayene olmak isteyen hastalar\u0131m\u0131z hastanemiz web sitesinden (http:\/\/hastane.omu.edu.tr) veya [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1130,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,687],"tags":[69,67,68],"class_list":["post-1123","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bolumlerimiz","category-dahili-bolumler","tag-omu-mide-sorunlari","tag-cocuk-gastro","tag-omu-gastroenteroloji"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/posts\/1123","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1123"}],"version-history":[{"count":5,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/posts\/1123\/revisions"}],"predecessor-version":[{"id":4371,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/posts\/1123\/revisions\/4371"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/media\/1130"}],"wp:attachment":[{"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1123"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1123"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1123"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}