Prof. Dr. Yusuf AKCAN

Internal Medicine & Gastroenterology Specialist

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Who is Prof. Dr. Yusuf Akcan?

Hacettepe University He graduated from medical school. He received his specialization in Internal Medicine and Gastroenterology from Hacettepe University. In his professional life of more than 30 years , he has worked in many hospitals and universities. It is currently serving in Istanbul.

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Processes

Almost all procedures related to the gastroenterology department such as Endoscopy, Colonoscopy, ERCP, EUS, Capsule Endoscopy, Double Balloon Enteroscopy (DBE), Gastric Balloon are performed under sedation in our unit.

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Contact & Appointment

You can write to us from the live consultation system you see on the screen to get general information and prices about the transactions. You can use our online appointment system to make an appointment, or you can quickly create your appointment by writing to us from the call and whatsapp buttons you see on the screen.

Gastroenterology Unit

Procedures Performed in Our Gastroenterology Unit

Our patients, who were examined by a gastroenterology doctor, were put to sleep under sedoanalgesia given by the anesthesia department in our endoscopy unit;

  • Endoscopy
  • Colonoscopy
  • Ercp
  • EUS
  • Capsule Endoscopy
  • Double Balloon Enteroscopy
  • Endoscopic Reflux Treatments
  • Manometer
  • Liver Biopsy
  • Stomach Botox (Gastric Botox)
  • Stomach balloon (gastric balloon)

Transactions are carried out. After the procedures, patients are rested under the supervision of nurses for a while in recovery rooms. Patients with laboratory and pathology results are prescribed by the gastroenterology doctor in the clinic. Drug reports are published when necessary.

prof. dr. yusuf akcan

Processes

endoskopik ultrason

Endoscopy


The endoscopy
procedure is performed by putting him to sleep under sedation. You can find all the information about the endoscopy procedure and the procedure video on the endoscopy page.

kolonoskopi nasıl yapılır

Colonoscopy

Colonoscopy The procedure is performed by putting him to sleep under sedation. You can find all the information about the procedure and the video of the procedure on the colonoscopy page.

ERCP nasıl yapılır

Ercp

The ERCP procedure is performed by putting him to sleep under sedation. You can find all the information about the ERCP Procedure and the procedure video on the ERCP page.

endoskopik ultrason

Endoscopic Ultrasound (EUS)

Endoscopic Ultrasound (EUS)

is performed by putting people to sleep under sedation. You can find all the information about the process and the trading video You can access it from the Endoscopic Ultrasound page.

Çift balon enteroskopi

Double Balloon Enteroscopy (DBE)


Double Balloon Elnteroscopy (DBE)
procedure is performed by putting you to sleep under sedation. You can find all the information about the procedure and the procedure video on the Double Balloon Enteroscopy page.

Reflü Tedavisi

Reflux Treatment

The ARMA

procedure is performed by putting him to sleep under sedation. You can find all the information about the process and the trading video You can access it from the reflux page.

kapsül endoskopi

Capsule Endoscopy


Capsule Endoscopy
is performed by putting you to sleep under sedation. You can find all the information about the procedure and the video of the procedure on the Capsule endoscopy page.

PEG tüpü

PEG Tube Insertion

The PEG tube insertion

process is performed by putting it to sleep under sedation. You can find all the information about the process and the trading video You can access it from the PEG tube page.

Gastric Balloon

The Gastric Balloon

procedure is performed by putting him to sleep under sedation. You can find all the information about the process and the trading video You can access it from the gastric balloon page.

Gastroenterology DOCTOR
Areas of interest

The name of the department that examines diseases of the esophagus, stomach, small and large intestine is called gastroenterology. Other organ diseases that gastroenterology is also interested in areliver, spleen, gallbladder, and pancreas.

Procedures such as endoscopy, colonoscopy, ERCP, and ultrasound during the diagnostics of these organs are part of three years of gastroenterology specialization training.

The main diseases in which the department of gastroenterology is interested in diagnosis and treatment are:

  • Reflux disease, difficulty swallowing, cancer of the esophagus
  • Reflux disease, difficulty swallowing, cancer of the esophagus
  • Celiac disease, Crohn’s disease
  • Ulcerative colitis, colon polyps, colon cancer, diverticular disease, chronic constipation, chronic diarrhea, hemorrhoids and anal fissure
  • Hepatitis, hepatitis B, Hepatitis C, autoimmune hepatitis, Primary biliary cirrhosis, Wilson’s disease, hemochromatosis, cirrhosis, liver transplantation, liver cancer
  • Gallstones, obstructive jaundice, biliary obstruction
  • Acute pancreatitis, chronic pancreatitis, pancreatic cancer, pancreatic cysts

Frequently Asked Questions

In our unit, we perform the procedures under sedoanalgesia, that is, with the support of the anesthesia department, with some drugs made intravenously.

Patients do not hear, feel or remember anything during the procedure. 

Apart from that, we use carbon dioxide gas in the processes. Since carbon dioxide gas can pass through biological membranes very easily, the gases given to the stomach or intestine during the procedure before the patient wakes up are expelled from the lungs during the awakening period without causing any bloating to the patient. 

Therefore, endoscopy and colonoscope procedures are completely painless.

In many endoscopy units, the device inflates the normal room gas by giving it to the stomach and intestines (a necessary procedure for imaging). However, normal room gas consists of oxygen and nitrogen, and these may wait in the stomach and intestines for a while after the procedure, and in the meantime, patients may experience gas pains after the procedure.

On the other hand, in units that provide special devices , carbon hydroxide gas is blown to inflate the stomach and intestines. After the process is finished, the carbon dioxide gas remaining here passes into the blood very easily and is excreted through the lungs. When the patient wakes up, almost all of the carbon dioxide gas given will be removed from the body. In these patients, there is no gas, bloating and gas pain after the procedure.

Polyps are excesses in the form of bumps on the inner surface of the stomach and intestines, such as moles. Large ones can start from 2-3 mm and go up to 30-40 millimeters.

Polyps have different biological types, some of which have a high tendency to turn into cancer over time.

For example, it can take 5 to 10 years for an adenomatous polyp to form from scratch and turn into cancer.

Therefore, detecting polyps before they turn into cancer and removing them from the stomach or intestines with polypectomy is a life-saving procedure as it will destroy cancer before it starts.

Since the formation of polyps increases with age, the age of screening polyps with colonoscopy is considered to be 50 years old.

Colon cancers are the type of cancer that causes death due to cancer, which ranks 2nd in the world in both men and women.

On the other hand, it is one of the easiest types of cancer to prevent.

Because it is known that colon cancers develop from polyps at a rate of 95% or more .

By screening in advance with colonoscopy, these lesions are caught at the polyp stage before cancer develops, and if they are removed during the procedure with polypectomy , the body is completely rid of these cancerous foci before cancer develops.

Today, the World Health Organization has decided that screening with colonoscopy is appropriate 10 years before the age of 60, when colon cancer peaks.
In people who do not have a family history of stomach or intestinal cancer, it is recommended to have a colonoscopy screening every 10 years if no polyps are detected in the colonoscopy screening

In reflux disease, it can cause tissue changes in the mucosa on the lower surface of the esophagus as a result of the stomach contents escaping into the esophagus, even if it is acid or alkaline. This tissue change, called helmet’s esophagus, poses a risk of esophageal cancer in the long term.

In addition, in reflux patients, these refluxes can cause various problems such as burning and pressure in the chest, chronic cough, bad breath, bifurcation in the voice and otitis media.

We think that the frequency of reflux disease in the society is around 20% with the most optimistic calculations.

Especially in young patients, it is recommended to close the lower end valve of the esophagus in terms of treatment, as it will be difficult in practice to comply with the recommendations we call drug therapy or general lifestyle changes for many years.

Gastric valve closure surgeries, which were classically performed with the surgical method, can now be performed with different endoscopy methods.

GERDX, TIF, ARMS, ARMA procedures are some of the reflux surgeries performed with endoscopy. Of these, the ARMA process is an easy and safe method that we can do in our unit.

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