—> Bilrot 1 \u00fczr\u0259 rezeksiya \u2013 m\u0259d\u0259nin antral v\u0259 pilorik \u015f\u00f6b\u0259l\u0259rinin sirkulyar k\u0259silm\u0259si, m\u0259d\u0259 v\u0259 onikibarmaq ba\u011f\u0131rsaq g\u00fcd\u00fcll\u0259rinin uc-uca tipli anastomozla\u015fmas\u0131.<\/p>\n

\u00dcst\u00fcnl\u00fckl\u0259ri: 1) H\u0259zm sisteminin normal anatomiyas\u0131 v\u0259 funksiyas\u0131 saxlan\u0131l\u0131r (m\u0259d\u0259 v\u0259 onkibarmaq ba\u011f\u0131rsa\u011fa anastomoz qoyuldu\u011funa g\u00f6r\u0259). N\u0259tic\u0259d\u0259 qida duodenal v\u0259 pankreatik fermentl\u0259rl\u0259, \u00f6dl\u0259 qar\u0131\u015faraq, h\u0259zm normal gedir. Lakin n\u0259z\u0259r\u0259 alsaq ki, sfinktor olmad\u0131\u011f\u0131na g\u00f6r\u0259 qida m\u0259d\u0259d\u0259n onikibarmaq ba\u011f\u0131rsa\u011fa, ordan is\u0259 nazik ba\u011f\u0131rsa\u011fa ke\u00e7idi s\u00fcr\u0259tl\u0259 ba\u015f verir. Bel\u0259likl\u0259, bu \u00fcst\u00fcnl\u00fck daha \u00e7ox n\u0259z\u0259ri xarakter da\u015f\u0131y\u0131r. 2) Texniki icras\u0131 daha asand\u0131r. \u018fm\u0259liyyat sah\u0259si qar\u0131n bo\u015flu\u011funun yuxar\u0131 \u015f\u00f6b\u0259sini \u0259hat\u0259 edir. 3) Dempinq sindromun inki\u015faf etm\u0259 hallar\u0131 daha az m\u00fc\u015fahid\u0259 olunur. 4) Daxili y\u0131rt\u0131q v\u0259 \u201cg\u0259tirici ilg\u0259k\u201d sindromu ehtimal\u0131 y\u00fcks\u0259k deyil.<\/p>\n

\u00c7at\u0131\u015fmazl\u0131qlar\u0131: 1) Anastomozun v\u0259 onikibarmaq ba\u011f\u0131rsa\u011f\u0131n xorala\u015fmas\u0131 hallar\u0131na s\u0259b\u0259b olur. 2) B\u0259z\u0259n onikibarmaq ba\u011f\u0131rsaq kifay\u0259t q\u0259d\u0259r mobiliz\u0259 oluna bilm\u0259diyind\u0259n, tiki\u015f x\u0259ttind\u0259 g\u0259rginlik yaran\u0131r. N\u0259tic\u0259d\u0259 duodenal xoralar, \u00e7ap\u0131q deformasiyalar\u0131 v\u0259 ba\u011f\u0131rsaq m\u0259nf\u0259zinin daralmas\u0131, m\u0259d\u0259nin proksimal \u015f\u00f6b\u0259sinin xoralar\u0131n\u0131n inki\u015faf\u0131na \u015f\u0259rait yarad\u0131r. B\u0259z\u0259n h\u0259m\u00e7inin dala\u011f\u0131n v\u0259 m\u0259d\u0259 g\u00fcd\u00fcl\u00fcn\u00fcn d\u0259 mobilizasiyas\u0131na ehtiyac yaran\u0131r ki, bu da \u0259m\u0259liyyat\u0131 \u00e7\u0259tinl\u0259\u015fdirir v\u0259 riskini art\u0131r\u0131r. 3) M\u0259d\u0259 x\u0259r\u00e7\u0259ngi diaqnozu il\u0259 Bilrot 1 \u0259m\u0259liyyat\u0131 apar\u0131lm\u0131r.<\/p>\n

—> Bilrot 2 \u00fczr\u0259 rezeksiya zaman\u0131 m\u0259d\u0259 g\u00fcd\u00fcl\u00fc \u00f6n v\u0259 ya arxa qastroenteroanstomoz qoyulmaqla tiklib ba\u011flan\u0131r. Bu texnikaya olan g\u00f6st\u0259ri\u015fl\u0259r daha geni\u015fdir \u2013 m\u0259d\u0259nin proksimal, distal v\u0259 orta 1\/3-nin xoralar\u0131, peptik xoralar.<\/p>\n

\u00dcst\u00fcnl\u00fckl\u0259ri: 1) Orqan\u0131n geni\u015f rezeksiyas\u0131 apar\u0131laraq, qastroyeyunal tiki\u015fl\u0259r dart\u0131lm\u0131r. 2) Onikibarmaq ba\u011f\u0131rsa\u011f\u0131n xoras\u0131 zaman\u0131 \u0259m\u0259liyyatdan sonrak\u0131 peptik xoralar\u0131 daha az rast g\u0259linir. 3) Kobud patoloji d\u0259yi\u015fiklikl\u0259r olan duodenal xoralar zaman\u0131 ba\u011f\u0131rsa\u011f\u0131n g\u00fcd\u00fcl\u00fcn\u00fc tikm\u0259k daha asand\u0131r, n\u0259inki m\u0259d\u0259 il\u0259 anastomoz formala\u015fd\u0131rmaq.<\/p>\n

\u00c7at\u0131\u015fmazl\u0131qlar\u0131: 1) Dempinq sindromu inki\u015faf etm\u0259 ehtimal\u0131 daha y\u00fcks\u0259kdir. 2) Nadir olsa da, g\u0259tirici ilg\u0259k sindromu v\u0259 daxili y\u0131rt\u0131q kimi a\u011f\u0131rla\u015fmalar m\u00fcmk\u00fcnd\u00fcr.<\/p>\n

Treyninq proqram\u0131ndan<\/a> \u00f6yr\u0259dil\u0259c\u0259k texnika v\u0259 prosedurlar bar\u0259d\u0259 daha \u0259trafl\u0131 m\u0259lumat ala bil\u0259rsiniz.<\/p>\n