GASTROENTEROLOGY

All diagnostic and therapeutic gastroenterological procedures within the scope of modern medicine are carried out by expert staff, especially faculty members and officials of Erciyes University Medical Faculty Gastroenterology Unit of Internal Medicine. Gastroenterology Department is located in Gevher Nesibe Hospital and serves. There are two follow-up policlinics in which chronic liver diseases (hepatology policlinic) and gastrointestinal system diseases (gastroenterology policlinic) are observed. The department has a fully equipped endoscopy unit with all kinds of equipment. All kinds of endoscopic diagnosis and treatment are possible. In the endoscopy unit, a conventional vision system for the upper gastrointestinal endoscopy (gastroscope), a sideoscope for the lower gastrointestinal endoscopy (for imaging of the entire colon) and a flexible sigmoidoscopy (for the imaging of the distal colon), and ERCP (endoscopic retrograde cholangiopancreotikogafi) endoscope (duodenoscope) and ultrasonography devices. Our clinic has a 50-bed detached service. In our clinic, approximately 50 patients are examined at a distance, 20-25 upper endoscopy, 15-20 rectoscopy / colonoscopy, 2-3 ERCP, and 5-6 liver biopsies are performed in our clinic.

Diagnosis and treatment services provided
the Panendoscopy
esophagogastroduodenoscopy
Endoscopic biopsy
Esophageal variceal ligation therapy
Esophageal variceal sclerosis treatment
Non varicose GIS hemorrhagic sclerosis treatment
Heater probe application
Endoscopic foreign body removal
Endoscopic polypectomy
Endoscopic coagulation
Endoscopic nutrition tube placement
Percutaneous Endoscopic Gastrostomy (PEG)
Percutaneous Gastrojejunostomy
Electrosurgical treatment of gastrointestinal strictures
Dilation of plugs
Endoscopic Esophageal Endoprosthesis
Balloon Dilatation of Gastrointestinal Stenosis
Endoscopic Pyloric Balloon Dilatation
Esophageal Dilatation

Rectoscopy Flexible sigmoidoscopy Colonoscopy

Colonoterminal ileoscopy
Colonoscopic polypectomy

ERCP (Endoscopic Retrograde Cholangio-Pancreotikogafi)
Endoscopic Papillotomy or sphincteroplasty
Endoscopic Bone or Pancreatic Stone Extraction
Endoscopic Bone or Pancreatic Endoprosthesis
Lithospheres
Endoscopic Wall or Dilatation of the Pancreatic Stenosis
Nasophore Drainage
Catheter Exchange

Gastrostomy Liver biopsy

the Panendoscopy
By using an endoscope, which is a light system, food borne, stomach and twelve finger intestines are examined. The Panendoscopy; stomach and duodenal ulcer, gastrointestinal cancers and stomach cancers are the most important diagnostic methods for the diagnosis of many diseases. It also provides treatment options for upper gastrointestinal system hemorrhage, especially ulcerated hemorrhage and variceal hemorrhage in chronic liver disease. Strictures developing at the exit of the food or stomach (pyloric canal) can be widened by various endoscopic methods. The stomach (tube) is placed in the stenosis of the food borne cancancer and the patient can be fed by the normal way.

Conditions that patients should know before panendoscopy

Persons with high blood pressure, lung and heart disease should be assessed for panendoscopy feasibility by the following physician. Some drugs, such as Kumadin, may need to be withdrawn before treatment or antibiotics may be given to people who have had a changed heart valve.

During the procedure the mucosa needs to be empty in order for the mucosa to be well evaluated. In addition, there is a risk that stomach contents may escape to the lungs as the gag reflex is stimulated during the procedure. For this reason, nothing should be eaten and drunk after 24:00 hours before the procedure, but blood pressure and heart medications can be taken with a small amount of water. Diabetics need to take their pills or insulin doses and breakfast in the morning and take their medicines after panendoscopy to make breakfast.

The detailed description of the possible diagnosis of the patient, the history of previous gastrointestinal surgery, previous findings of panendoscopy, systemic diseases and, if any, drug allergies facilitated the procedure and reduced the risk of complications.

During the procedure, the throat is anesthetized with a spray to reduce the reflex. In special cases calming medicines applied to the victims are given. The procedure takes 5-30 minutes depending on the nature of the patient.

After a panendoscopy, the person may eat food in the throat over time (after about 1 hour) and continue normal life. People who are sedated from the vard should not drive a car that day.

Panendoscopy reports can be taken from the policlinic secretariat after 13:00 on the same day.

Rectoscopy
Rectoscopy is a procedure that allows the distal (distal) 25 cm of the rectum and the large intestine to be evaluated. Rectoscopy in every person with breech presentation is important for the early detection of rectal cancer. In addition, some types of hemorrhoids can be treated by binding.

Conditions that patients should know before rectoscopy

Anything should be eaten and drunk after 20:00 pm before the procedure, but blood pressure and heart medications can be taken with little water. Diabetics need to take their pills or insulin doses in the morning and take their breakfast and take their medicine after rectoscopy.
Patients should be enamored between 6:00 am and 7:00 am on the day of treatment for bowel cleansing. In order to ensure adequate bowel cleansing, persons with constipation problems should be fed with liquid-free foods the day before. For people who do not have adequate bowel cleansing, it may be necessary to repeat the procedure later. During the procedure, the person is required to take the knee-elbow position (such as prostrate). Patients need to be present at the Gastroenterology outpatient clinic at 08:00 on the day of the transaction. The process takes about 5 minutes.
Rectoscopy reports can be obtained from the policlinic secretariat after 13:00 on the same day.

Flexible sigmoidoscopy

Fibergmoidoscopy is a procedure that allows the evaluation of the distal (extreme) 60 cm of the rectum and the large intestine. Rectoscopy in every person with breech presentation is important for early detection of large bowel cancer.

Patients need to know before fibigmoidoscopy

Anything should be defeated after 24:00 hours before the procedure, but blood pressure and heart medications can be taken with little water. Diabetics need to bring their pills or insulin doses and meals with them and eat their meals by taking their medicines after flexible sigmoidoscopy.
Patients should be enamored between 6:00 am and 7:00 am on the day of treatment for bowel cleansing. In order to ensure adequate bowel cleansing, persons with constipation problems should be fed with liquid-free foods the day before. For people who do not have adequate bowel cleansing, it may be necessary to repeat the procedure later. Patients need to be present at the Gastroenterology outpatient clinic at 08:00 on the day of the transaction. The process takes about 5-15 minutes.
Flexible sigmoidoscopy reports can be obtained from the polyclinic secretariat after 13:00 on the same day.

Colonoscopy

Colonoscopy is a procedure that allows you to evaluate the entire large intestine and, where necessary, the small intestine. Early diagnosis of large bowel cancer is a necessary procedure for the diagnosis of patients with chronic diarrhea. In addition, the polyps are prepared to remove the cancers, some bleeds are stopped and narrow stenosis in the large bow can be expanded by balloon or stent (tube) can be stooled by normal way.

Conditions that patients should know before colonoscopy

Anything should be defeated after 24:00 hours before the procedure, but blood pressure and heart medications can be taken with little water. Diabetics need to bring their pills or insulin doses and meals with them and take their medicine after colonoscopy to eat their meals.
The fact that the canals have been thoroughly cleaned is essential for a healthy and adequate operation. For this reason, the recommended 3-day diarrhea should be strictly observed and diarrheal medications that should be taken before overnight should be used completely. Patients should be enamored between 6 am and 7 am on the day of the procedure. Patients need to be present at the Gastroenterology outpatient clinic at 08:00 on the day of the transaction.
The process takes about 45 minutes. During the procedure, sedatives and analgesic drugs are given to the varden because of this reason mostly people do not remember the operation.
Colonoscopy reports can be obtained from the policlinic secretariat after 13:00 on the same day.

ERCP (endoscopic retrograde cholangiopancreotikogafi)

It is a process that allows the display of bile ducts and pancreatic ducts. It makes it possible to remove bile duct stones without surgery. The benign (non-cancerous) or malignant (carcinogenic) stenosis of the bile duct can be treated by balloon dilation or stent placement.

Conditions that patients should know before ERCP

Patients to be ERCP should be followed up in the hospital one day after the procedure.
Persons with high blood pressure, lung and heart disease should be assessed by the following doctor for ERCP feasibility. Some drugs, such as Kumadin, may need to be withdrawn before treatment or antibiotics may be given to people who have had a changed heart valve.
Anything should be defeated after 24:00 hours before the procedure, but blood pressure and heart medications can be taken with little water. Diabetics need to take their pill or insulin doses and breakfast in the morning and eat their meals after taking ERCP.
The process takes about 45 minutes. However, tranquilizers are given from the varden during the process, so mostly people do not remember the process.
ERCP reports can be obtained from the policlinic secretariat after 13:00 on the same day.

Gastrostomy

Gastrostomy is an endoscopic tube placement procedure for the muscles of people who can not swallow for various reasons. It is provided to feed the people through home prepared or commercial foods given from the gastrostomy tube. If necessary, the gastrostomy tube can be transformed into a jejunostomy tube (small bowel feeding tube).

Conditions that patients should know before gastrostomy

Gastrostomy may open a patient who is hospitalized or who is admitted to a polyclinic. The gastrostomy tube to be placed during the procedure should be provided in advance. Before the procedure the person should stay fast for 8-10 hours. During the procedure, the person does not feel pain because of local pain relievers and vardenere tranquilizers when necessary. The process takes 15-20 minutes. Except in special cases, it can be used after 6-12 hours of gastrostomy tube placement. The operation of the gastrostomy tube should be controlled daily, dressed around, and monitored for infections that may develop. If the strength of swallowing improves, the gastrostomy tube can be easily removed without pain or the gastrostomy tube deformed (deformed) can be replaced.
Gastrostomy reports can be obtained from the policlinic secretariat after 13:00 on the same day.

Liver biopsy
It is a procedure that allows the doctor to examine the liver tissue when appropriate.

Conditions that patients should know before liver biopsy

After the procedure, the patients should be followed up by one day.
Anything should be defeated after 24:00 hours before the procedure, but blood pressure and heart medications can be taken with little water.
Since liver biopsy may lead to bleeding, possibly at low levels, pre-procedural bleeding parameters are checked for normality and at least 4 hours after the procedure, vital signs and, if necessary, hemoglobin follow-up.
After local pain relievers are applied, a specimen is taken from the liver tissue through a special needle through the right lateral ribs. Absolute bed rest is required for at least 4 hours, therefore it is recommended to wear comfortable clothes and keep them accompanied.
After liver biopsy, if the doctor finds it suitable, it can be eaten by taking the medicine after about 4 hours. Patient can return to normal daily life including bathing the next day.
Liver biopsy reports can be obtained from the pathology department secretary after approximately 10 working days.

Department of Gastroenterology
Department of Gastroenterology is in our polyclinic and endoscopy unit. Gevher Nesibe Hospital is located on ground floor E corridor. Our gastroenterology service is located on the 9th floor of Gevher Nesibe Hospital. There are 3 secretaries in the service, endoscopy unit and polyclinic.

To reach the episode
Polyclinic Secretary : +90 352 207 66 66 - 20909
Endoscopy Secretary : +90 352 207 66 66 - 20910
Clinical Secretary : +90 352 207 66 66 - 20902

 
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