{"id":49714,"date":"2023-03-28T12:49:14","date_gmt":"2023-03-28T09:49:14","guid":{"rendered":"https:\/\/mehmetcaglikulekci.com\/?page_id=49714"},"modified":"2025-12-04T18:18:39","modified_gmt":"2025-12-04T15:18:39","slug":"mide-kanseri","status":"publish","type":"page","link":"https:\/\/mehmetcaglikulekci.com\/ar\/%d8%b3%d8%b1%d8%b7%d8%a7%d9%86-%d8%a7%d9%84%d9%85%d8%b9%d8%af%d8%a9\/","title":{"rendered":"\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0645\u0639\u062f\u0629"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"49714\" class=\"elementor elementor-49714\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fa43ad9 yazikapsa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fa43ad9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column 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\u0627\u0644\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0628\u0639\u064a\u062f\u0629 (\u0627\u0644\u062b\u0644\u062b \u0627\u0644\u0633\u0641\u0644\u064a) \u0648\u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0627\u0644\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0642\u0631\u064a\u0628\u0629 \u0627\u0644\u0645\u062e\u062a\u0627\u0631\u0629 \u062c\u062f\u064b\u0627 \u0648<br \/>2. \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u0645\u0639\u062f\u0629 \u0628\u0627\u0644\u0643\u0627\u0645\u0644 (\u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u0645\u0639\u062f\u0629 = \u0625\u0632\u0627\u0644\u0629 \u0627\u0644\u0645\u0639\u062f\u0629)<\/p><p>Norve\u00e7 Mide Kanser Ara\u015ft\u0131rmas\u0131na g\u00f6re proksimal gastektomide morbidite ve mortalite s\u0131ras\u0131 ile %52 ve 16 iken total gastrektomi sonras\u0131 ise %38 ve 8 dir. Bu nedenle proksimal lezyonlarda total gastrektomi tercih edilmektedir. T\u00fcm\u00f6r\u00fcn lokalizasyonu, t\u00fcm\u00f6r\u00fcn horizontal yay\u0131l\u0131m\u0131, kom\u015fu organ tutulumu t\u00fcm\u00f6r rezeksiyonunu geni\u015fli\u011finde rol oynamaktad\u0131r. Temiz, negatif bir s\u0131n\u0131r elde etmek i\u00e7in en az 6 cm lik bir proksimal mide \u00e7\u0131kart\u0131lmas\u0131 gerekir. 4-6 cm.lik bir rezeksiyonda pozitif kenar kalma riski % 10; 2 cm.lik bir rezeksiyonda bu risk % 30. dur. Bu nedenle orta ve \u00fcst 1\/3 t\u00fcm\u00f6rlerde total gastrektomi gerekmektedir. Distal 1\/3 t\u00fcm\u00f6rlerde subtotal gastrektomi yeterlidir. Yap\u0131lan \u00e7al\u0131\u015fmalarda negatif marjinin sa\u011fland\u0131\u011f\u0131 olgularda total gastrektomi ile aras\u0131nda survi fark\u0131 bulunmam\u0131\u015ft\u0131r. Ayr\u0131ca morbidite ve mortalite subtotal gastrektomide daha d\u00fc\u015f\u00fckt\u00fcr. 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\u0627\u0644\u0648\u0635\u0648\u0644 \u0625\u0644\u0649 \u0645\u0646\u0637\u0642\u0629 \u0627\u0644\u0634\u0631\u064a\u0627\u0646 \u0627\u0644\u0643\u0628\u062f\u064a \u0648\u0627\u0644\u0634\u0631\u064a\u0627\u0646 \u0627\u0644\u0645\u0639\u062f\u064a \u0627\u0644\u0625\u062b\u0646\u0627 \u0639\u0634\u0631\u064a. \u0627\u0644\u062b\u0631\u0628 \u0623\u0642\u0644\u061b \u064a\u062a\u0645 \u0625\u0637\u0644\u0627\u0642 HDL \u0645\u0646 \u062e\u0644\u0627\u0644 \u0641\u062c\u0648\u0629 \u0627\u0644\u0645\u0631\u064a\u0621 \u0648\u0627\u0644\u062c\u0632\u0621 \u0627\u0644\u0633\u0641\u0644\u064a \u0645\u0646 \u0627\u0644\u0643\u0628\u062f. \u064a\u062a\u0645 \u0645\u0633\u062d \u0627\u0644\u062c\u0632\u0621 \u0627\u0644\u0623\u064a\u0633\u0631 \u0648\u0627\u0644\u0633\u0641\u0644\u064a \u0645\u0646 HDL. \u064a\u062a\u0645 \u0631\u0628\u0637 \u0627\u0644\u0634\u0631\u064a\u0627\u0646 \u0627\u0644\u0645\u0639\u062f\u064a \u0627\u0644\u0623\u064a\u0645\u0646. \u062b\u0645 \u064a\u062a\u0645 \u0631\u0628\u0637 \u0627\u0644\u0634\u0631\u064a\u0627\u0646 \u0627\u0644\u0645\u0639\u062f\u064a \u0627\u0644\u0623\u064a\u0633\u0631 \u0639\u0646\u062f \u0645\u062e\u0631\u062c \u0627\u0644\u0627\u0636\u0637\u0631\u0627\u0628\u0627\u062a \u0627\u0644\u0647\u0636\u0645\u064a\u0629. \u064a\u062a\u0645 \u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u0639\u0642\u062f \u0627\u0644\u0644\u064a\u0645\u0641\u0627\u0648\u064a\u0629 7-8-9-10-11 \u0648\u0627\u0644\u0639\u0642\u062f \u0627\u0644\u0644\u064a\u0645\u0641\u0627\u0648\u064a\u0629 \u0627\u0644\u062b\u0627\u0646\u064a\u0629 \u0639\u0634\u0631\u0629. \u0625\u0630\u0627 \u062a\u0645 \u0625\u062c\u0631\u0627\u0621 \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u0645\u0639\u062f\u0629 \u0627\u0644\u0643\u0644\u064a\u060c \u064a\u062a\u0645 \u0635\u0639\u062f \u0645\u0646\u0637\u0642\u0629 \u0627\u0644\u0645\u0631\u064a\u0621 \u0648\u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u0639\u0642\u062f 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\u0628\u0625\u062c\u0631\u0627\u0621 \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u0637\u062d\u0627\u0644 \u0648\u0623\u062d\u064a\u0627\u0646\u0627\u064b \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u0628\u0646\u0643\u0631\u064a\u0627\u0633 \u0627\u0644\u0628\u0639\u064a\u062f \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u0645\u0639\u062f\u0629 \u0627\u0644\u0643\u0644\u064a\u060c \u0623\u064a \u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u0645\u0646\u0637\u0642\u0629 \u0627\u0644\u0648\u0633\u0637\u0649 \u0648\u0627\u0644\u0639\u0644\u064a\u0627\u060c \u0644\u062a\u0648\u0641\u064a\u0631 \u062a\u0646\u0638\u064a\u0641 \u0623\u0641\u0636\u0644 \u0644\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0644\u0645\u0641\u0627\u0648\u064a. \u0645\u0631\u0629 \u0623\u062e\u0631\u0649\u060c \u064a\u0648\u0635\u064a \u0627\u0644\u064a\u0627\u0628\u0627\u0646\u064a\u0648\u0646 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\u0627\u0644\u064a\u0627\u0628\u0627\u0646\u064a\u0648\u0646 \u0628\u0633\u0628\u0628 \u0642\u064a\u0627\u0645\u0647\u0645 \u0628\u0625\u062c\u0631\u0627\u0621 \u0627\u0644\u0645\u0632\u064a\u062f \u0645\u0646 \u0627\u0644\u0639\u0645\u0644\u064a\u0627\u062a \u0627\u0644\u062c\u0631\u0627\u062d\u064a\u0629.<\/p><p>\u0641\u064a \u0647\u0630\u0647 \u0627\u0644\u0628\u0644\u062f\u0627\u0646\u060c \u0625\u0630\u0627 \u0644\u0645 \u062a\u0643\u0646 \u0647\u0646\u0627\u0643 \u0639\u0644\u0627\u0645\u0627\u062a \u0639\u0644\u0649 \u0648\u062c\u0648\u062f \u0648\u0631\u0645 \u062e\u0628\u064a\u062b \u0641\u064a \u0627\u0644\u063a\u062f\u062f \u0627\u0644\u0644\u064a\u0645\u0641\u0627\u0648\u064a\u0629\u060c \u064a\u062a\u0645 \u0625\u062c\u0631\u0627\u0621 \u062a\u0634\u0631\u064a\u062d D1 \u0628\u0634\u0643\u0644 \u0639\u0627\u0645\u060c \u0623\u064a \u0648\u0641\u0642\u064b\u0627 \u0644\u0644\u062a\u0635\u0646\u064a\u0641 \u0627\u0644\u064a\u0627\u0628\u0627\u0646\u064a\u060c \u064a\u062a\u0645 \u062a\u0634\u0631\u064a\u062d N1 \u0641\u0642\u0637 (\u0627\u0644\u0639\u0642\u062f \u0627\u0644\u0644\u064a\u0645\u0641\u0627\u0648\u064a\u0629 \u0627\u0644\u0645\u062d\u064a\u0637\u0629 \u0628\u0627\u0644\u0645\u0639\u062f\u0629).<br \/>\u0648\u0645\u0639 \u0630\u0644\u0643\u060c \u064a\u0642\u0648\u0645 \u0645\u0639\u0638\u0645 \u0627\u0644\u064a\u0627\u0628\u0627\u0646\u064a\u064a\u0646 \u0648\u0627\u0644\u0623\u0644\u0645\u0627\u0646 \u0628\u0625\u062c\u0631\u0627\u0621 \u062a\u0634\u0631\u064a\u062d D2 \u0639\u0644\u0649 \u0627\u0644\u0623\u0642\u0644 \u0641\u064a \u0645\u062b\u0644 \u0647\u0630\u0647 \u0627\u0644\u062d\u0627\u0644\u0629\u060c \u0648\u064a\u0642\u0648\u0645\u0648\u0646 \u0628\u0625\u062c\u0631\u0627\u0621 \u062a\u0634\u0631\u064a\u062d D3 \u0623\u0648 \u062d\u062a\u0649 D4 \u0627\u0639\u062a\u0645\u0627\u062f\u064b\u0627 \u0639\u0644\u0649 \u0627\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0644\u0633\u0631\u064a\u0631\u064a\u0629 \u0648\u0627\u0644\u062c\u0631\u0627\u062d\u064a\u0629.<br \/>Japonlar ve baz\u0131 bat\u0131 (GGCSG) serilerinde Evre II ve Evre IIIA mide kanserlerinde D1\/D2 kar\u015f\u0131la\u015ft\u0131rm\u0131\u015flard\u0131r. Evre II olgular\u0131nda %50; Evre IIIA %30 daha y\u00fcksek 5 y\u0131ll\u0131k survi sa\u011flam\u0131\u015flard\u0131r.<br \/>\u0641\u064a \u062c\u0645\u064a\u0639 \u0627\u0644\u062f\u0631\u0627\u0633\u0627\u062a \u0627\u0644\u0627\u0633\u062a\u0631\u062c\u0627\u0639\u064a\u0629 \u0648\u0627\u0644\u062f\u0631\u0627\u0633\u0627\u062a \u0627\u0644\u0645\u0633\u062a\u0642\u0628\u0644\u064a\u0629 \u0627\u0644\u062a\u064a \u0623\u062c\u0631\u064a\u062a \u0641\u064a \u0627\u0644\u063a\u0631\u0628\u060c \u0644\u0645 \u064a\u0643\u0646 \u0643\u0627\u0641\u064a\u064b\u0627 \u062a\u063a\u064a\u064a\u0631 \u0627\u0644\u0627\u062a\u062c\u0627\u0647 \u0627\u0644\u0642\u0627\u0626\u0644 \u0628\u0623\u0646 D2 \u064a\u062a\u0641\u0648\u0642 \u0639\u0644\u0649 D1. \u0648\u0645\u0639 \u0630\u0644\u0643\u060c \u062a\u0645\u062a \u0645\u0642\u0627\u0631\u0646\u0629 D1 \u0648D2 \u0641\u064a \u062f\u0631\u0627\u0633\u062a\u064a\u0646 \u0639\u0634\u0648\u0627\u0626\u064a\u062a\u064a\u0646 \u0643\u0628\u064a\u0631\u062a\u064a\u0646 \u0645\u0646 \u0623\u0648\u0631\u0648\u0628\u0627 \u0648\u062f\u0631\u0627\u0633\u0629 \u0645\u0633\u062a\u0642\u0628\u0644\u064a\u0629 \u0623\u0636\u064a\u0642 \u0645\u0646 \u062c\u0646\u0648\u0628 \u0623\u0641\u0631\u064a\u0642\u064a\u0627. \u0641\u064a \u0647\u0630\u0647 \u0627\u0644\u062f\u0631\u0627\u0633\u0627\u062a\u060c \u0648\u062c\u062f \u0623\u0646 \u0645\u0639\u062f\u0644\u0627\u062a \u0627\u0644\u0625\u0635\u0627\u0628\u0629 \u0628\u0627\u0644\u0623\u0645\u0631\u0627\u0636 \u0648\u0627\u0644\u0648\u0641\u064a\u0627\u062a \u0623\u0639\u0644\u0649 \u0641\u064a D2.<\/p><p>Genel g\u00f6r\u00fc\u015f mide kanserlerinde %20 oran\u0131nda k\u00fcratif rezeksiyon m\u00fcmk\u00fcn olabilmektedir. \u00d6zellikle evre II, IIIA ve se\u00e7ilmi\u015f IIIB olgular\u0131nda D2 disseksiyon standart olarak uygulanmaktad\u0131r. D2 disseksiyon ile kabul edilebilir morbidite ve mortalite sa\u011flanmas\u0131 i\u00e7in bu konuda deneyimli cerrah olarak 15-25 aras\u0131nda D2 rezeksiyon yapmak gerekti\u011fi bildirilmektedir.<\/p><p>Erken mide kanserinde yaln\u0131zca mukoza tutulmu\u015f ise lenf nod tutulumu %0-5 ve 10 y\u0131ll\u0131k survi %95 dir. 3cm. den k\u00fc\u00e7\u00fck mukozaya s\u0131n\u0131rl\u0131, lenfatik ve mikrovask\u00fcler invazyon olmayan bu t\u00fcm\u00f6rlerde endoskopik mukozal rezeksiyon, lokal rezeksiyon yap\u0131labilir.<\/p><p>Submukozaya s\u0131n\u0131rl\u0131 t\u00fcm\u00f6rlerde lenf nod metastaz riski %10-25 ve rezeksiyon sonras\u0131 5 y\u0131ll\u0131k survi %92dir. D1 yap\u0131lan olgularda 10 y\u0131ll\u0131k s\u00fcrvi % 55 iken D2 yap\u0131lan olgularda 10 y\u0131ll\u0131k survi % 80 olarak bildirilmi\u015ftir.<\/p><h4><strong>\u0627\u0644\u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u062a\u0644\u0637\u064a\u0641\u064a\u0629:<\/strong><\/h4><p>Diff\u00fcz metastatik hastal\u0131klarda bazen kanama, obstr\u00fcksiyon ve perforasyon nedeni ile %20-30 olguda palyatif rezeksiyon veya palyatif giri\u015fim yap\u0131labilir. \u00c7\u0131kar\u0131lamayacak durumdaki mide kanserindeki kanamalarda endoskopik koaguloterapi veya endoskopik laser terapi yap\u0131labilir. Palyatif rezeksiyon yap\u0131labilen her durumda palyatif by-pass y\u00f6ntemine tercih edilmelidir. \u00c7\u00fcnk\u00fc daha iyi palyasyon sa\u011flar. Proksimal lezyonlarda endoskopik laser tedavisi veya endoprotezler kullan\u0131labilinir. Yeni endostentler ile migrasyon ve perforasyon riski daha d\u00fc\u015f\u00fck olarak ortaya \u00e7\u0131kmaktad\u0131r.<\/p><h4><strong>\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0625\u0634\u0639\u0627\u0639\u064a:<\/strong><\/h4><p><strong>\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0625\u0634\u0639\u0627\u0639\u064a \u0644\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0645\u0639\u062f\u0629<\/strong>\u00a0\u0625\u0646\u0647\u0627 \u0645\u0642\u0627\u0648\u0645\u0629. \u064a\u0645\u0643\u0646 \u0625\u062c\u0631\u0627\u0621 EBRT (\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0625\u0634\u0639\u0627\u0639\u064a \u0628\u0627\u0644\u0634\u0639\u0627\u0639 \u0627\u0644\u062e\u0627\u0631\u062c\u064a) \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0627\u0644\u062a\u0643\u0631\u0627\u0631 \u0627\u0644\u0645\u0648\u0636\u0639\u064a \u0623\u0648 \u0627\u0644\u0622\u0641\u0627\u062a \u0627\u0644\u0646\u0642\u064a\u0644\u064a\u0629. \u0648\u0644\u0627 \u064a\u0633\u0627\u0647\u0645 \u0641\u064a \u0627\u0644\u0628\u0642\u0627\u0621. \u0644\u0627 \u064a\u0633\u0627\u0647\u0645 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0633\u0627\u0639\u062f RT \u0648\u062d\u062f\u0647 \u0641\u064a \u0627\u0644\u0628\u0642\u0627\u0621 \u0639\u0644\u0649 \u0642\u064a\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0628\u0639\u062f \u0627\u0644\u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u0639\u0644\u0627\u062c\u064a. \u0641\u064a \u062f\u0631\u0627\u0633\u0629 \u0627\u0644\u0645\u062c\u0645\u0648\u0639\u0629 \u0627\u0644\u0628\u0631\u064a\u0637\u0627\u0646\u064a\u0629 \u0644\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0645\u0639\u062f\u0629\u060c \u0644\u0645 \u064a\u062a\u0645 \u062a\u062d\u0642\u064a\u0642 \u0623\u064a \u0645\u064a\u0632\u0629 \u0627\u0644\u0628\u0642\u0627\u0621 \u0639\u0644\u0649 \u0642\u064a\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0628\u064a\u0646 \u0623\u0648\u0644\u0626\u0643 \u0627\u0644\u0630\u064a\u0646 \u062a\u0644\u0642\u0648\u0627 RT \u0627\u0644\u0645\u0633\u0627\u0639\u062f \u0648\u0623\u0648\u0644\u0626\u0643 \u0627\u0644\u0630\u064a\u0646 \u0644\u0645 \u064a\u062a\u0644\u0642\u0648\u0627 RT \u0641\u064a \u0627\u0644\u062d\u0627\u0644\u0627\u062a \u0627\u0644\u062a\u064a \u062e\u0636\u0639\u062a \u0644\u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0639\u0644\u0627\u062c\u064a. \u0641\u064a \u062f\u0631\u0627\u0633\u0629 \u0623\u062c\u0631\u0627\u0647\u0627 \u0627\u0644\u0645\u0639\u0647\u062f \u0627\u0644\u0648\u0637\u0646\u064a \u0644\u0644\u0633\u0631\u0637\u0627\u0646\u060c \u0644\u0645 \u062a\u0643\u0646 \u0647\u0646\u0627\u0643 \u0645\u064a\u0632\u0629 \u0643\u0628\u064a\u0631\u0629 \u0644\u0644\u0628\u0642\u0627\u0621 \u0639\u0644\u0649 \u0642\u064a\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0628\u064a\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0630\u064a\u0646 \u062a\u0644\u0642\u0648\u0627 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0625\u0634\u0639\u0627\u0639\u064a \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0639\u0645\u0644\u064a\u0629 (IORT) \u0628\u0639\u062f \u0627\u0644\u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u0639\u0644\u0627\u062c\u064a \u0648\u0623\u0648\u0644\u0626\u0643 \u0627\u0644\u0630\u064a\u0646 \u0644\u0645 \u064a\u062a\u0644\u0642\u0648\u0627 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0625\u0634\u0639\u0627\u0639\u064a \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0639\u0645\u0644\u064a\u0629 (IORT).<\/p><h4><strong>\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0643\u064a\u0645\u064a\u0627\u0626\u064a:<\/strong><\/h4><p>En s\u0131k kullan\u0131lan ila\u00e7 5 FU dur. Paclitaxel (Taxol), taxotere, mitomycin ve cisplatin di\u011fer ila\u00e7lard\u0131r. Amerikan Klinik Onkoloji toplulu\u011funun 2000 y\u0131l\u0131ndaki toplant\u0131s\u0131nda k\u00fcratif rezeksiyon sonras\u0131nda adjuvan KRT(5FU ve l\u00f6kovorin takiben 4000 cGy EBRT) uygulanmas\u0131 ile % 28 oran\u0131nda survi avantaj\u0131 sa\u011fland\u0131\u011f\u0131 bildirilmektedir. G\u00fcney Bat\u0131 Onkoloji grup \u00e7al\u0131\u015fmas\u0131nda reazktab\u0131l mide kanserinde yaln\u0131z cerrahi yap\u0131lanlarda ortalama ya\u015fam s\u00fcresi 27 ay, cerrahi+KT+RT yap\u0131lanlarda 37 ay bulunmu\u015ftur. Yine bu \u00e7al\u0131\u015fmada 3 y\u0131ll\u0131k s\u00fcrvi yaln\u0131z cerrahi yap\u0131lanlarda %41, cerrahi+KT+RT yap\u0131lanlarda %50 olarak bulunmu\u015ftur.<\/p><h4><strong>\u0645\u0627 \u0647\u064a \u0637\u0631\u0642 \u0627\u0644\u062a\u062a\u0628\u0639\u061f<\/strong><\/h4><p>\u062a\u062d\u062f\u062b \u0645\u0639\u0638\u0645 \u0627\u0644\u0627\u0646\u062a\u0643\u0627\u0633\u0627\u062a \u0641\u064a \u0627\u0644\u0633\u0646\u0648\u0627\u062a \u0627\u0644\u062b\u0644\u0627\u062b \u0627\u0644\u0623\u0648\u0644\u0649. \u064a\u062c\u0628 \u0625\u062c\u0631\u0627\u0621 FM \u0643\u0627\u0645\u0644 \u0648\u0627\u062e\u062a\u0628\u0627\u0631\u0627\u062a \u0643\u0644 4 \u0623\u0634\u0647\u0631 \u0644\u0644\u0633\u0646\u0629 \u0627\u0644\u0623\u0648\u0644\u0649 \u0648\u0643\u0644 6 \u0623\u0634\u0647\u0631 \u0644\u0644\u0633\u0646\u062a\u064a\u0646 \u0627\u0644\u062a\u0627\u0644\u064a\u062a\u064a\u0646. \u0645\u0646 \u0628\u064a\u0646 \u0627\u0644\u0627\u062e\u062a\u0628\u0627\u0631\u0627\u062a \u0627\u0644\u062a\u064a \u064a\u062c\u0628 \u0625\u062c\u0631\u0627\u0624\u0647\u0627 \u062a\u0639\u062f\u0627\u062f \u0627\u0644\u062f\u0645 \u0627\u0644\u0643\u0627\u0645\u0644 \u0648\u0627\u062e\u062a\u0628\u0627\u0631\u0627\u062a \u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u0643\u0628\u062f \u0648\u0627\u0644\u0623\u0634\u0639\u0629 \u0627\u0644\u0633\u064a\u0646\u064a\u0629 \u0644\u0644\u0635\u062f\u0631 \u0648\u0627\u0644\u062a\u0635\u0648\u064a\u0631 \u0627\u0644\u0645\u0642\u0637\u0639\u064a \u0644\u0644\u0628\u0637\u0646. \u064a\u062c\u0628 \u0625\u062c\u0631\u0627\u0621 \u0627\u0644\u0641\u062d\u0635 \u0628\u0627\u0644\u062a\u0646\u0638\u064a\u0631 \u0645\u0631\u0629 \u0648\u0627\u062d\u062f\u0629 \u0641\u064a \u0627\u0644\u0633\u0646\u0629.<\/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<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-7217bc6\" data-id=\"7217bc6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-284912c elementor-widget elementor-widget-sidebar\" data-id=\"284912c\" data-element_type=\"widget\" data-widget_type=\"sidebar.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<section id=\"text-5\" class=\"widget widget_text\"><h5 class=\"widget-title\">\u0627\u062d\u0635\u0644 \u0639\u0644\u0649 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a<\/h5>\t\t\t<div class=\"textwidget\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f32106-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"32106\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ar\/wp-json\/wp\/v2\/pages\/49714#wpcf7-f32106-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u0646\u0645\u0648\u0630\u062c \u0627\u0644\u0627\u062a\u0635\u0627\u0644\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/ar\/wp-json\/wp\/v2\/pages\/49714#wpcf7-f32106-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"32106\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f32106-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"book-appointment-contact\">\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"isim\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0627\u0633\u0645 \u0627\u0644\u0644\u0642\u0628\" value=\"\" type=\"text\" name=\"isim\" \/><\/span><span><i class=\"fa fa-user\" aria-hidden=\"true\"><\/i><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0647\u0627\u062a\u0641\" value=\"\" type=\"tel\" name=\"telefon\" \/><\/span><span><i class=\"fa fa-phone\" aria-hidden=\"true\"><\/i><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"eposta\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0628\u0631\u064a\u062f \u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a\" value=\"\" type=\"email\" name=\"eposta\" \/><\/span><span><i class=\"fa fa-envelope-o\" aria-hidden=\"true\"><\/i><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mesaj\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0631\u0633\u0627\u0644\u0629\" name=\"mesaj\"><\/textarea><\/span><span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"hcap-cf7\">\t\t<input\n\t\t\t\ttype=\"hidden\"\n\t\t\t\tclass=\"hcaptcha-widget-id\"\n\t\t\t\tname=\"hcaptcha-widget-id\"\n\t\t\t\tvalue=\"eyJzb3VyY2UiOlsiY29udGFjdC1mb3JtLTdcL3dwLWNvbnRhY3QtZm9ybS03LnBocCJdLCJmb3JtX2lkIjozMjEwNn0=-97683bc28fa853fa37cfc617a4369e25\">\n\t\t\t\t<span id=\"hcap_cf7-69e3d29e499ef7.00138237\" class=\"wpcf7-form-control h-captcha\"\n\t\t\tdata-sitekey=\"84798d7e-0cf6-4ec3-bb7b-e211c2efeb7b\"\n\t\t\tdata-theme=\"light\"\n\t\t\tdata-size=\"normal\"\n\t\t\tdata-auto=\"false\"\n\t\t\tdata-ajax=\"false\"\n\t\t\tdata-force=\"false\">\n\t\t<\/span>\n\t\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"e3f5035f93\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ar\/wp-json\/wp\/v2\/pages\/49714\" \/><\/span><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"\u064a\u0631\u0633\u0644\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"ar\"\/><\/form>\n<\/div>\n\n<\/div>\n\t\t<\/section><section id=\"nav_menu-2\" class=\"widget widget_nav_menu\"><h5 class=\"widget-title\">\u0627\u0644\u0639\u0644\u0627\u062c\u0627\u062a<\/h5><\/section><section id=\"custom_html-2\" class=\"widget_text widget widget_custom_html\"><h5 class=\"widget-title\">\u0625\u062d\u062c\u0632 \u0645\u0648\u0639\u062f<\/h5><div class=\"textwidget custom-html-widget\"><a id=\"zl-url\" class=\"zl-url\" href=\"https:\/\/www.doktortakvimi.com\/mehmet-caglikulekci\/genel-cerrahi-gastroenteroloji-cerrahisi\/istanbul\" rel=\"nofollow noopener\" data-zlw-doctor=\"mehmet-caglikulekci\" data-zlw-type=\"big_with_calendar\" data-zlw-opinion=\"false\" data-zlw-hide-branding=\"true\" target=\"_blank\">\u0645\u062d\u0645\u062f \u062c\u0627\u063a\u0644\u064a\u0643\u0648\u0644\u0643\u062c\u064a - DoktorTakvimi.com<\/a><script>!function($_x,_s,id){var js,fjs=$_x.getElementsByTagName(_s)[0];if(!$_x.getElementById(id)){js = $_x.createElement(_s);js.id = id;js.src = 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\u0627\u0644\u0645\u0631\u0636. \u0648\u0647\u0648 \u0627\u0644\u0633\u0628\u0628 \u0627\u0644\u062b\u0627\u0646\u064a \u0627\u0644\u0623\u0643\u062b\u0631 \u0634\u064a\u0648\u0639\u064b\u0627 \u0644\u0644\u0648\u0641\u064a\u0627\u062a \u0627\u0644\u0645\u0631\u062a\u0628\u0637\u0629 \u0628\u0627\u0644\u0633\u0631\u0637\u0627\u0646 \u0641\u064a \u0627\u0644\u0639\u0627\u0644\u0645\u060c \u0628\u0639\u062f \u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0631\u0626\u0629. \u0627\u0646\u062e\u0641\u0636 \u0645\u0639\u062f\u0644 \u0627\u0644\u0625\u0635\u0627\u0628\u0629 \u0628\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0645\u0639\u062f\u0629 \u0628\u0645\u0642\u062f\u0627\u0631 \u062e\u0644\u0627\u0644 \u0627\u0644\u0633\u0628\u0639\u064a\u0646 \u0639\u0627\u0645\u064b\u0627 \u0627\u0644\u0645\u0627\u0636\u064a\u0629 \u0641\u064a \u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629. 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