31 Safra Kesesi̇ Ve Ekstrahepati̇k Bi̇li̇er Si̇stem

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T_T, BOLUM 31 Safra Kesesi ve Ekstrahepatik Bilier Sistem ort Ocean ohn G, Hunter ‘Cevers Dean Karayaion ‘Anatom Sara Keres Fizyoto Sua Yop ye eed Sua Kses Fnksyons "Ein ve Salsas Mote Akvis omheononl Repo inst TTanisal Gabgmatar an Testes Unset (a Kotesisoxrt ‘ee iat HDA) Bilganya Tone Perum Tansy Konig Marea Kezonans Garnisme (MRO) Enos Rett Kolanoga ve edo Urano Safra Tast Hastalgi Prevent ve sine Sara Tas Otsu Pet Tae Sempomati aa Ta Tonk Kole ‘Akt Koes Koleatiais Konape ler Pein Kolnjenepais Safra Tags Hastalig iin Operatif Giisoter| Kolesoomi Koleos Tao stot Inusapetilaogal ve Uasonogli Kolook spleen Koleok ren) rset ‘Tradodenl Skea Diger Benign Hastailae ve Lezyontar Aaaie Kose ier Rieter Skea Kelas a Str Stsore Sata Yols Deen Safra Yolu Yaralanmalan Satta eset stabepa Sate Youn ‘Tan eda Seo Tumorter “sans Been Pata ln Manitessyoniar ve Tas Teds ‘link Mariteanontr ve Ta Tota Proper ANATOM! Safra Kesest Sala ses alana pases! 30 ~ 30 lob 7-10 em ean benze by, Ci kan ee ‘nolarak eneyp 300 lye ars eli Sale ees ei anatomic olan ave sol Lb lara He ayn ‘gd ve Kaien at yond burn bi festa yer ae Sua ess! dt anion bzeye aye. Fudos, Kops ai ‘ve boy ges Pun: Kaci sn 2 (Gator yt ase gogo ane bor Somtutsioomabat sa shyt. Bonin ate se tenet mal sata hse kasinas ve bop. Sits ve celeb ger Ponca ss keer isin eller anes Fall et dei 4di stinkeent (user saan (se pn si) doom gm sah. Dude eri sta yolaegrasenuea engler ve aly as ie yond. Duodeeu kann os Yonel pan afar Earmap biryani ve uae sia soln asin bir ylsek tang Zoot. Oa stk am. unmount ve fuel dslesin bsmer deen usm 15 mm Hg yshashtie Manometde dks et ona fii osetia sr Ample 2A an nasi. Sinker primer ocak sata sk zal. CCK fzey amu le gevjene ole ve bo fk Kenrisyeicen ‘ltd seater Bea sine Se ema donde, ta nts amas sal Sl 315, Ack finer eaves perio a sf Rees tlm ve MMC Cgraing yet Rell) no len rsa spe oot TANISAL CALISMALAR, Safe sea ear yon baal sph bleu iler Spit nl yaar meter 1924 yes Gran ve {ote rind allan skan or Kolo esa {ast ness Gn eel alasg 10 lla bye stra neesnd en Sona ek mt. 980 de ‘er sii geil ve bem en yell gine resis saloyn vasbepuik ¥e eedakopk reget Hola ‘gr teknker ied. Diba som uknscnoga, gy toro (BT). many ena gree (MRO) esta dollars grislennesioe one tee satan, Kan Tester! Sara kets! woe ehunbepe safe yon atlas belerginde am an yt ve aaigrFnksiyon ese fie lak ier Yuck ir bayer Ke say oles iter veya yiptesis yaad. Efe bite yoke Dilabin, ale Yotes ve amine diced vane Toleiten pipette. Sa aloes ebusions lan Jokstar Kako clk yuck Sutin (ced ve aes feu sevyele lei Sein ansnovasteralnra ‘ey bi ysek lb. Ber Koil hasta an se {icone nor LUnrazonografi ‘Usp sft yo sth en tnd tk ayartsca cloned, Ivacv ony, a, basa rmjsjoma meri baknayn e kik dud stad ‘yglanaeek br yoetemae. Yep tees ve deveyinine biti v innit (sk ame so0- fi iclenes sas ee grep bili ona). ons ogi giro sein cleat ner hed, ot lords ve base ditions olsen ‘agin i neem yplinayae, Sls Kes sland se sie, sensite 90% Uzeinder. Talar asta Yond ve vs dalglanwansucers gegen Artalanns ser cslgsanmin gepmesne engeloldilan ign staan aac lg olarak 31-8), Tp aya essen yer dir Plies ase oop gg ver Pieler anek poxsyona yer defigimedr Baz ler sa eset gine svge otinbite, Baan ie ge ony ‘pear aire Kalen sf ks dvan ve kal a= Inte kl ret der Saf Kat devarina Sem nye {ata keset de Lancer arin em vara skit Koei ard Sat ess toymensubyan by waren hse Doyen es deecede abil cat dan sce Sal Kowa hh iva frkose ont ols gunn Ekmtepa se ln oes asd ky ds leasoogra se iy ‘lei Sot la a baad sf yl ise las scope obstsiyonu ie ede. Tana snd See 31.5 Sa se US ‘Sern i ga snl. Kolookai Ri tr, senate slut do deoum akin wldtiin ign sap th Uisasonopade le fed ve sin Keene kale ‘asa jin Mini binds 4 ey itr ison de cléage vans. Pesiumplertmres liecnogrel ie spank 205 ols aneak retedindea! smn side Dsiksyonen seviyet ve nedeni it greet ‘Uvesnopi pamper en ceed ei irre lp veo an aan ve indy nvazyomun ‘ned art ol ral Kolesistogratt ‘Orc saa ng tema i eh ein Si lan ol oesistopraisin yee uheooog gn ge la [Abed alan clei herds sin vss keine en tc radyoopak aga geet, lind alr oak tir ata fees don defer kind ron, Or! Kl sega testinal malsbesjon, Kon hae lie Iara ens arin hg dee ya Biller Sitigrat(HIDA) Bile sina: aces, sae hase, saa kanal ve dh ‘ejventiesn sir. Din ino dash an CIDA) {eisyn 9 aren reve inven lak aye lun. Keiberde Kir Mle finn lr ve sa He air Kareiede tule 10 ck ide tee ve sf ese sa yolss ve dcdnem 3g olin Kgl dha soto pine est Kees dirs lr stg Sst ka any at ness gn yolk ra oy 1237 preter utseyn all dae kg, Saft ess ve Keech terete son deademm acy veye ison _Ealenyrs ample anil ne Sei ese! veya Safe yl ceahsinden son given sea Iagkle da Smile detail en da eal Bilgisayarli Tomograth Safa wslonni causes sbdowioa BT USC's dita bane, Tin an wast la ekstbepa si 90 ‘ese estheotie sata yollan ve ars orgnian elie de prizes opel malign Ixy deren ini tech eee tayo yond. BT lane tna ‘cris ayer tm Enc a le ati (Gk 31-, Spal BT se evlenede Glide perianal bogs tt Perkitan Transhepatik Kolanjiogratt arc safe yellanes(rokop) ileus ine rife ie lag. Sua anand pocsyon dolncan sonra gad evar tel psi ve hsp dbl ‘einen br ket Bae 31-4, Bakteriol olay eke vey sa eave ten yee sh eda dil ener yop, PTC na Komik lar ‘a ta problemen gk eyo Anak alte drt ile clugn gb bo yowemde de pone ise va DTK iis nt gene! ola kas an sf sts age tatcre bah poems IManyetik Rezonans Gorantaleme (MRG) yoo rte, Yen eile ve Kons alk 1238 sconwneres commana nxevenvoze. ‘anak a yollannn ve antes ane ayn nse orinileiny MRG ite elle eek mmkin olmytr Kolo’ sapamade 95 seve ve 9 seve “Fopsnkzeatografi (MRKP) sata yollant ve pankrewik problem Tenn tek tir noi yee tnemt sabeyeibackedi (e831). Endoskopik Retrograt Kolanjiografl ve Endoskopik Ultrasonografi Yondan il bir eneskop le ana saa faa kale aie ve sep ln nog eile Gk 31-10, ‘Gir fasts iter sedsyonano gee, Ealoskaph rary Kolzgogrin (ERK) evar ample Bogen fie pst ve cl fa kame det ge tdi aiimin yep. Komplke lmao sala ca Tesh gn madre ger Anca ole tans elise (tans si, blot veya af iy prkeniade ERK ‘teed. Enlropik klejogeice Kamlde sir gt enien seston ean yap ane Sata tana noe tele. eset eer soa ara ancasyont ve otnfopaetine basins RAN rede Tansal ERK kompltajonsn reods park ve solani ‘andr ve boar belo Sine girtlniser. Endossopk uasorogafi scuals ubasosogra trace ols bir favostop ert Sonar ante tapmbi. Avcak sa tan ve Rong yopsin noisy olaak pele tonsa ler. Oraike de triarin depending ve ‘eekly igtneds dei. Eadostopic lasonagrfide falenan hyo hale wiasosoga khwahigande tend ‘yop yam cnet, Berka leascogzat ‘ae alin asda doll, Aes ER ta SAFRA TAS! HASTALIGL Prevelans ve insidans Sahat sd stein eye en probe leon iii Olp!gaialnnds kip 11-36 aside ini. Sarat preva yep sieve cen Taso device oll Cyt dala sa flim kein, Obese gel diel ker inn hi, fermi jem recent, mide cera, rete soreien, ok Me apemi, aside sain lek yak Kadir ele gee 3 kt dae fi ie tal vst tala Lace alana bk Thar fara Hawai goons sara gn yam oytnca elt vermex Tem nla edelet ba bat Tacs kaal yen Dag yas ier ole emp Se 318 Obsrnon yan ls [Be tomnyoonnomun eng ve wan sarat aca Biase Tonicianewncete get. Sea hn ts Une po Sts eve ge te fn olnjoget yep. tn gfe © Gn te Sothya sonar Miccar gear v= ‘cocarora a Tomer ene tle dineme eyeer. Sempomatih sata at oxo bu ‘alin yo ag kompiarenan dos ieee Ba koe ‘ikon rsd at ols, an vey mayen Joledoolans, sate pune, hlestokoledstl fit, ‘okesteducem! fil sft esa Sokesto etek Fst ye Sata ees kant saya. Kompiaiyonr mite le ayer lie. Bile empemin lmayen sett halon inser ola USO, BT, Jann graf vey lputoside 1239 DU/SAFRA ESE! VE EXSTRAHERATI: ER STEM _} Le tamil, Bier Kalk ve cdl komptikayenann gelpme [Stinson ek syd aga yim. Asem Instlanm yakagt 7% ba yal smptomae ewegin bie Tole) heel Br kare seta get Son sep toni eheaaeflnindae Serpomate Rates 3-5 tert Komi ble gl 20 yl sits ssemponat sa yap 22° segs alma devam ee. Dae ‘nce bli vermeyen tailan gok mn Komplkayon 1240 scrawores censor eXELERVOZEL KONULAR setgit iin septa has robe Koesiektont adie goes, Disab olan os) anlar wb Ned {en uno ster Sram Kee see ase tle eel hasta pois lesson {nce Sutera kab oldub porte so ‘eo asda leno ma ene Safra Tasi Olusumt ‘Sofa sl ein gids loans keine sone uj Safa naj ras inter iri, funn, fxr ve Sewer. San an Holes Fpererine gre Kolesero! ve plgment_tulan_olaak __ nena, ign ada kaveengi ve sah et {ssn lak snd Ds eplomnnds setae ‘EAD Koleerol Ye $1520 shah pigment tan Xatveren’ pines ula abi an rs Hr 8 ames taj Aya eterinde daa sk. Kolesterot Tagan Saf koko len nase ee S10'ndon mt cejurin Genel aogbn yizel ek byl ole ‘rer ideals alan gogolounds dik ten so pgs kl. Anck De an ‘hi lak 470 den fu Kaeo. Bt peeie Seo) 919, MIR gen ese pew a ytur (un ome ‘Sarre ona so goto ie ang, oye el ey ines dt toon ve Yrs rl Gb 31-1) Reve beams fandan yes sabe Radar deBiehili. Kolestrl ian nlp alien) udan raion. Sa vey Grn yop do lt fester slur olumundti ork ‘Say sali ktelen a dey ale gles Bods ‘ol yk stale seiyer ile oem sf inp 98 taht lack degre, Kolestelyiek crams nompo- Terk ves ve sina gk ane. Koes gang Sokol sa tna ve esi sat ink an extn) ec onsnyonans bi, Age oy em et aman fst esata Wlrns ezams sereyoowan sok foetal, hipeeeeyensn Bia Kole ann Kine over fovtped vex alba sekete ei. Kok toleayoun inde toi lm saz fst ols! omplest olan mie gels yomsrs olesera! ffl ‘eile tsk atm. Miglin ve veillesin ayes ahd koran iginde telomere be Kis anda tke eesne ln Salo, Weiter piles mille er Kolestolen aia hia gage. Buran dla de vslerkoesercen nga tal gi dengeleebirve else ssl bet Doygmelmayan ads veteran rng esheng bir tong simpli Af doygun sind He (olden zngin rele yizeyins Kolsterl youn alt 1241 21/5001 SESE VE ENSTRANEPAT: BER ENA Se6¢2110 62 Sana ear oro gen enaiopu ve eek nel ttn gerbe Enc key ess tow geste tre spy peri Man oH dean ‘pige m i geretor ey gelip ser ssl gnu lus. i sk uot 10 ger ep apc lester fs fai veils saa ind! Iesteron ofeaguoy asi (sek 3. Plgrent Taian gent in 50nd Klee pri ve sium ‘tial gs cede Foye ski Baran deen 4.21.1 a eine eet tn Fa nce sis kate! pigment aan ea oak ota ye {ur vay aero dedeendsle. Sih pigment ‘a ovelne Kt, kg, yh ve azn de gba Kali bit, Arba Ye fesfaun apn oygunuga deni olga en ak aon beter fest vey ak ce am gi benoit bomEar ve sad oles! aan pb Rees er zana sai ees ligt [Ung lin san iene hoz ibid dase land, Bibi denjgasym saa gine ars ele. ‘he deedeKojge eb tlt heli r= {a eaenjigebinbin etn nr Str ankorige iaiin fan sekcte oimerine eden oli. Degen Kol ‘een dekons ile vie ats ary gkelne pel Joong it Asya lelerade sy a Bat yr lode siyeh pigment tr osnndan ok abe OKs alerng nl eel Ie" ght ve tan ahve 18 roll yume ve pede callie ovlidir. Ses. esesiads veya sf gold ola. GeelIke 2 Same weden olde skooder bakisiyel eneksiyontie tadldlor Te ana paps ken tla iain ve taste ere dlr our, Hatch col tlt ‘lr lain goon gzaneyesunkjoge abi en ‘rath logs olayan bn goon salar. ‘alsin ger, ere over ee fata yollnndas adver wl letra Kabvereii ‘lr dpk elk Ay opto saa yllnnda gO ve armies shooter es sn eis, Bat {options Jaber alr bier sta oan bass rime se gon lark ey fer Koledo nnn yaa 1242 “SCHRUARIZ'S CERRSHIGN IXELERUOZEL KONAR A Bate \+ MOL SAFRATUZLARI% —\ “88 31:12 Satonm og an bln Ogg sti ners Ferma! hn its toa en heen rea ‘mins gonematie israel Nk ‘eau tear purr ag cea mel saya ike [nonryan srirn gotercie hs balgesn eran une ‘Soetantnon i aaramgun meee ena ast grat 3 irt tnn yan harper sop sed Ne ‘cn enna apostasy vets st pee ‘ve tates! Konalauyon sencusda olan bthe gta Semptomatik Safra Tastart rank oles ‘Safa pole bolum bs yap 29° peli ve yal lak ier Kol ela aod eran stall arn gai. Agr feel vara pogelh ‘ba perigee olan sist Kae obursijons Sona ole Semple geelile sok kore olmayan tl deihiiler makoaly in oie inlernsyotar ‘elite somal ied ir sae Kasei cee kala ‘gm Bos Watsural Sirois pee kena ono one bisa keene da ier. Mekoz slang no sal veya bpeeof ola. Anek dioscue wzot ol ve hoch? Rokins slot olarak lands ela kas oto ie trey pei Kink Basvaru, Senpconatk sata pede ana spo sip. Age se voi yar sate de a ve ok ‘lak 15st er pian ya 8 et rand ‘tilda ng yuo veya sesplr arses yn Ae tir ‘e-ntjtve ip otra dgee veya ah i yen sore aya online ul wr ve Dazed us eel. ‘Abn epinci aalrfk zm taken oar ‘ee eed de Keni hse. Aes majae asc fai wosyesede Gi yor Beyaz ite sym ve e Si 303 > sagan 107 nao er slog {Bet og ra geen pes 1000 pri er Iden cat jone wre fad st ve meal seni ik ‘ateoniae Suse ane sot nasi a dt ‘near ra rubunde an yoy Dlg Hz) ‘erage fonksion eter! korpike oma stra esos hasta Jano geet noma, Sai ths aii reer tary di skie. Yenekete sh sls SAO ‘lr. Boat hale dba haf ae ta near ama yell bln rer. ime lara ssl st ‘ha veya a haad lab Ga ve geyime teil ve fin satan ie bolted. Aupik presetyonies sa lular varls be gee gtloleée jelly. Bose asin ppl ler Basa, aso Benfageal res sas, ‘aad ee, a bars, dives has, ‘araciger hash, bobrek tap plewrl ag ve moka ag vari Baja pole clas bak asda Safa See ‘ar Af 2 senda in ster isis pe tag veya aka Anesititen apes aki) siptelenlineiie ipa lms bir ws se Kost Hops ola ndaniian roms olin. Safa emir anck hese eps aukas ‘allamaya devas edr ves es tnd materya eer ‘Sofa sel lp eel anata deie Sta ‘ese tip ee vac iene, insyon nfo ve perforsjona iden lbil Hiss gale preleme seen ‘oad srk ale geil anak gene lak ogee lode een Soest See. ‘Tam. Senptonstk sf aon veya broil esisit ‘ani pik sempomlae vein We tna tee sain ‘urn sites cyan Sata as in boon Masnoyaf sanstest Safa zen kara gated ‘eye hipsayackomognte sari a val eer ha tad ke samplomlr var oat giginden Bice wane af esata kes ve saa olan greene, Semper ‘mayan asta esaden saan asta data ence bse {80 dokunanate Baza ile asics stars “altacnngraie te pnemas ii, Razed larnnarie tas hessinde sade se gaming. Eee Rte teruloyn pk ier ag vas ve ki veya das fala ay kesosgaicincelenade gamar vai devam dese Kok ise apna gee Gamer ve tek lank Hes tesla ve adenomgomteis de pk io semper nen llr ve but lseneprafide pail, Koletrlcs Safe Kees kori ded rafts kl olarak ey pid ple holster! tines! sonca ol ek Sata ess cik adandnin esik calzostopik renee lar. Adeno ayers vee oes gels prot ferns salestopide hie kas ie ve mskeal sual a5 ie yet elie tel ins og) ‘ule Geant paper tulsa linen iene dog Divi. Sats Hes dian kang. Sela veya sar hkl, Secpomatic heard lesion bu esp as Jaa rel ein ea yeni, ‘Tedav Semplomsti aaa hsm ei kes tom yep Seri. Cea bekecton veya coma ctekanek sounds ie beileme dneminds haan ya ve aya mllade Glenn kagianas) Greiner Sempra ti: ln iyabetk asad ian Se les tom yop ik a i at lei sas egies eBils da fad Sempra 1 olan gebe asad eer jet mediasyon bagi myers ni Tinesede givenle lproskopikkoleieiomi papa [peop hlessekan gpa ype iva ve ‘in bi soe, Kole ier pi ster pesto ‘sn ley un ne sora sii Tip te se toma olan sat hastalansn yang 9s eek tonen son semploir orden Kas. Atpik semana sea digest (ga, gin, gyi ve digs) yo olen ‘tn ase sour ba Kay ei. ‘Als Kole Patogenes. Aku Lossict bwxlane 8O09S'nde sara tana bagi lu kal oi pk ola gk > ‘et potenen asad grr a earls ‘iis ane, A less Sinden zn meen St na ay ir dri Siac Eas yon 1243 USAR KESES Ve ERGTRAHEPATIC LER ly lyr se Heesiindsunsions, naman Ye iver Sdemiie Sink kanal becasyonan eden bare ale ‘naseni laps tere Muerlen sini kal 1 obstSsion ses bane belienetede. Ragan okt lois ema bir yar ve muboretndelsln bit {io ol lesen ve botany ea tan pte hive i el medytrerde, Sekoner altel kon ‘amisesjo0 Koni clams fat Kleist deal le een oksiteton!yxplan hasan yarn falda doko lng Ako foesiite sas Rees: car pote oak Sabina ve serie as Eaarala dele ara ek ae Perkins ska var. Makozada Nero ve er nekror linings, Sadeti oluada C10) me ‘ay eer esa Hest duran Sel Ye walroia nde ‘hr, dtm sla eta yernden apa ve ataayon ger. Sas kee obsritiyn dove eae vo zt sekooder bale teed enehyon ene oat gaged kasi gli ve es cd apyem ey aie or, Nate lke aaslt revo oar. Pevforsen geal sipbepatk ans omen {nye erga smn Ares peor Ye romblnan {eet perio ina abnye olen oan inraeptie pforyon ve Koksistoetrk file snulsnan keg orn ite pesfansyenia grliic (Gudenare veys Kolo). Gat Cletren bier sekonder aktenyel enesiyounun te see fant aes lark ain abo al ple ey bg ogress Reva! Kent ‘se davarnta ge goes! dra geil. Kinik Manifestasyonlar. Ako Koes hastalann ‘30nd tonk eles nama] vn, At Kolesar ok snclara lr anak algin ain ae were ve Chev deve ig gin seb Ags ik laa sx stad ‘sd veya pias ve sta vya itencapul laye ‘bli Ag Kops tier len enelibe daa Slodeciti. Hasan ska ae ver gsi, bst ve Fenda skayet eer ve naman ly sie pti cadp intrest eee init Fak mayenode eb {a Jaan lol eit ve dfs entiteva. Se sev ora mentum lan ile ple edi ‘Arc define bane engl 528 sabes tagcln den ‘lpasonina iprenie danas oak anlanan muy sis aren naar, Hai ~ ora decd (2000 1500 ews) kor genase va. Anesk eosin normal ear ire eget de tc. ubsek ever Hie (0000's Wer) ganzense Kolesisit eforsyon vey fit eden olan gi kompiaryonian decade arse fonkiyn ttle gvlie normale Anca 4 ei sland oan ha abn yall ve Pa ltl fost, train oe er heb Dba ide sank ‘Seige in veya nina je os Br Sarat sis peckolesstiksalamssyooun san yolues toca elu bsp eramnu dis (Mis ‘nism. Yh hosalarde veya dsb balunslade tne felkncye nen cable drone ME seyret Bu ap Fala rpisyonlar doa yak egy se hast Tara ce msl 10 at at yet As Klin ayes tania prloe ln vey can peter panies. pn. 1244 is heat, paths Fetugh ve Cuts senrom), Inyo seni promon pli ve itl sine ean ‘an. Utseoogra shat oli tn ine tah yo tele Seve e pei 95'Ur-Taane vr ja Jokupne posermee haw bir te olmnsin yeni sa est ve am peri sy d esee (S2i1 1), Urasncgat poke ala Kees Komproeeligiee okt suse dys cog ep bls) de abt ole igadarneir. Biber singh (IDA. xan) de ik vasa yrs bir stn sora sata ssn Solan sik Kal obarsijonen ser eB et BN ‘neds at oe gn yc xan pei ve senile ghee, Normal HIDA stirs ska oles ‘hac ti BT ak kar isle entra il i. Safin Kes var ahs perils, sf 1p ‘eid ve aa kee vane bar lb eek alse ‘eda Ako Kleist ie bayvrun haste itvente se, mebiotkve amie gree Abiynkler gram () 2b farm yn asco eli cl I nerbi et ‘rot ound amioogthaat le bite means! yen {ssindr Alt oles fastine bir Kem inlay ‘eri lide sf ein jalan poi Hang tasann sskonder olarak oft ottuga Biacneyece! in snide ode meted evn bc parn AH kk Séttn Resin es eesti Kelsi aa Taos gop tra Kona lmagr, Hatin Op Sade yn Kletetons bang medi elaine 6 To a sma geek irl veya sg oesiste HOM erin ee Gis ema items era lee ee Iyer dec ln Hater dnd een bsisekto stn yt Resin nlm sma, ha ye steve salaya een tulle gi aramaar nen le eh Sell 3126, Ag Rta na dime Laps esis shales i een tien yt. Aga dpe os aut oes (10-15) Toon les pre ta yet. Amaia li van fie dhbe sor ve mmdur. Anenk get Opry Keying een opeoyonea Rompe ora ta fala, Hes go agin (3-4 gh son) veya he i bir edele cera gn yon dele anion eda pl we oarostpix Llosa 2a sonas in psn. Sepang mea ied s30 hos bajrsz lr ve bitin Ted onse geass sok. Bz coma Sisk ap carats pansy teacher Cera yt Wi deren sah nay tsistads pian Yolen ve Kolstovonden sn dunn einem: pele an gen ve pafoasjo vagina Dol Bu hac craton aaa Kolesononige ya vraers goon tle cai st atl psa kate gb. lproskopk le ‘onion geet gh pala. Cera wee edeneye- el a stad aero ce alsa ess ‘en tt arya ear Kolecokottians ve saa fees fa slanane -2'side gine SMM Saar 6 yer epost saa Kees ta ola st las bern 92025 ciennéade, Ba opm sa ara anc ok buy gounegy sa esse luton sonra days age cop kyr. Sond kolck ta sla jedi. Koledka luna ie pine ta Tet, Sohnde an sftelafe Koll cen primer Turn gobnioa tavern! igen ast. Prine feed teen sida dil, ppl tensa, wr ve con desta b, SI/SAFRA ESE! VE ESTEAENAT: ler TELA 1245 Kink Manifestasyontar Kolo tan sess li ve last lak spn. Tam veya kn syn yap ‘ir vey Kolo ey sara ta pnt Kim elilir Kolo tp bah ao sate hands pte tn a le len fk deg Baa ve tums Fick yee crab acak pai ja ‘34 tan Rass e bite aif sik sk gr. ‘Semplonlsr termina. Bu drum seve) bk sunpla npae lan n eat ve Srin apn Agnesfe oadan keybolmsnyla soci Tuy amamen Inpole lp ot popes nies nen oat. Kole ‘ag basa ser iti, alan Psat ve wns, bt a girilrAcak ted a ules Rasalan Seki 1/ndeDateiger fy ter tan noma ‘lil, Sd kyle et ln tasnapasa ess Taji Hen ordre enseines agisndan yer. ‘Aye oleok gipda Sige. Toh ital kona ge ‘Blind ora gain vkrorngaideptlene lr ene. Sa ask ve ier dip art lox ‘rtd gene en den yk oe vrs aledk im ys oranda cena. Mane 0 ns lara (MEK) kennel nso ayn enya a we Klelita sapta 495 sence ve 9 spesvieye bp. 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Teer ea lan wr btw gk saya ‘labile “Geni bir sfiskertmi spina Gkarsimasiny Totton ynsrs En oe eee lan Soe (an digest Gol. Koldok tape bayvan 70 oy oth Insane tr endskoik clk gard, Sle eps tage ta grip baad 1S cesta sep blegeligh iin Klssekoml yaplnas jt dei Ancak gee ded ‘ean Restle we ble, Kotani Kol aldo tne pica i ier ns tor ssoruar Alot lol saa kanallamis wr sey ks tsjen ie ite clas sedan tlre cathy. ue. Kaaler sats ser est yl sar se ‘afm sams est iidek ingots gi stbakersel ‘nacelle er lr, Se esp mn probleme Sere! enainn soa Klatne Kolo al edie cbstaigosnedene wash p= i sta eer si, Safa ble! omoiasyonu te bp Kink laa olan elstrmaya yet dei Cah ake Kerang ve sf yl bsitsiyonanan ite Salen ere, Kotick bona a sk nen lecok tala. Digeraesenler ise boien veye align iar, paar, ss yl istremsnasyonu te se ariel lak thao cones ansoneaid. Koln Sata kalinde Weyen en sie raiveorananler Eccl ‘lesa pnomons, cpacous false Bacterses fags ‘ink Prezantasyon. 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Anak nce node! tr lank ‘onayn oyu, Kesh tt Jone ERICH: ERK nat Saran Ess vEeesHOv Eran an Sens 1247 eran PTI yas ented, Hens ERK erie PT ‘hsrsiyon seine ve neers ise ae ae yasmin tar vara gen esl falanmn set veya ree eines aglayeeat, Besa ome. pat ve MRI eg vrlans peat veya ramulle kites Sate Kaa aieasyonumun yam om gtr. Kol hsalann bang teat avenge ambi ve sev sie tusond Bu asada youn bk tees ve vzopese ese pete Hasan ebb are yon ete ‘ane uka eaaalan tata tlic lr eines ce ‘imei. Hale SES anti ye wv ayumi, Yat vemmer Ve a bier dekomprenyon see Bi etomprnon endosopi pertian veya eral pts Heng yoneavn vygun ogi ani sevien Yernsdenite blank aa vera. 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ERK ennjoms Kolanjiohepatiis Recuen pyoenik olmak ds linen Kolanbepait dogs toplamsnnss endemi Ayren ABD. Avrops ve ‘net es in oplasyonenda se Heri cet ‘lace ve ke ypu 3. ve 4 deans Bee Kolenjoteatt sf yollanen baktriyel (akikls Eo ‘lela rer, Bastedes ve Enerococs fess) kota hasjons sone ole e its Honors sens pers iver, Ascaris Lanois sa pri ie bode hie enim aba dongs ede ve stn gam A 4 248 scrvasezs ceneatinen WXELERVOZEL KOMUIAR ka ete. Bu gus ve li bates cls kate ie- meat lnm hora Ta gekiveginde rin Klosrs ar, foam ve atari talons, Ba tor str yoann her ‘afin oar ve parse! oktsinen ropa kan lint atkins neem oil. Tetiyan Koln sala once fa yu diol ve Balas do fat apaonsereeiyens, lair abesre we Jarier Jeune ‘ge (stoner rizr) ade lr, Hanae a En ‘veep abr} vse de arunar. Semple feeaamast be asain en arteriole b= sic. Aullane ide egy gO, Ane gigs ‘yaar ghee alison ve kre yee jo Ton. Unrsenogt sta yolaredsk tapsn axe oapran ‘mkooraznal ie eftsijens ag probe’, ace Shsenh ve biped dik gotene. Sf Ra dave Enlai alee nek Balas S20'sinde flame le Wo sien ye, MKP ve PT sf olin lesen fk yanimer olan ybacrienr Obtrtsiyenan spb, lane an ave ve sep tds at kon ‘eon ph laa ver, Kaur blr ek hone elt Telaino vom nemde ome taglann ve ‘denn ettataiyon ve dala amas Bu Wenge ‘ye hii ve loc evemle i REY epee Joos geet Bazede arse etenes olane- i eckson ea iy tie yale oli. Nake sit ve ei eal einen sone progoz Ett. SAFRA TAS! HASTALIGI ICIN OPERATIF Ginisivter Kolesistostom! Kole den, aa, drop ve pie dak fen ‘sell dedompeess ve dene oder Ket amet tee ee imeyeeee dorundakl hasta ign endkedie. Ultasoograt «line pci Far yereiines tech een yoni ‘tee a van v Farag gsi stakes 2 ‘sl Gainer yeti (Gb 31-17). Katrin Emin asym sala apa skin minnie er. Kater inanasyon einen ve Anteun dune elsken soe ele Sout 3117 Penn toss pata aera ayer ve taroge og oturdan georek aahesse yrs, ~ ‘Sua hss ert i dh sme poopie kali (Ossie ital anoes lus pit cluak helssexon pln sien gre Kolesistektom! Kolessehe at Ukalenide ek ypan jr sb gai. Cit angen bch I apn olny 1882 ya en seein ve 10 yi ga bi ie srg eras aiid wanda ey clu, Ag kale Seki tem sea herd opal kal gn given ve ‘ee br ec yon Laps Klean 1887 ‘ins Plippe Moret anton Pasa yauamaya at ‘ok hk sa edi ei, Sec gk kesitelrominin yen ana amt zaman excep ok aps ve sata ua eime tev i oni enter ‘yguenasinaki tesoayadn son ved. Laparskopk le stekton sil ar tes in nial lve olarak dana gn dba ge sear ve ake een at i av ‘anya rom be yom Gasca Laprstpi Ele sion septate sit eda ign ik teh ees sche youd. Kelston gn an enasyon eae ‘rs saa varie, Mase Koouensyoatr Kon “mula ve son eve karsier hs. Nasen gid hs skier saps veya Lajos ap etme ha lar (tion fesigons $20 den st) CO? peeps ‘oe odes ve ape koesseiomi genie. Gromit ‘tit Komenstaronar saa at ei la ak Klee ‘ixgangren,ampisen velit fist, chest peti vet lo pstoel at io, ginny st ebonia cera ilee pi dara both em zodiac (uk deerendinetei re seri separ at laa ota kasama vy ‘wl ir ste somes lene seaamges agi eile comige gepmek geeiie gel. Elk guna a nme orn 85 cin Ac gms daa fa cara beat gee ve Komp stra pret lb. Bs romara aja donne on 1020 arse. Asa done ir bare der ve hnstayn Bosh alia dees glam Cdl kolasjonar nad. Laprskophe ‘kel! orale 34.1 carta. Ag oabive se yur komptxsjonlan ve hadyepuiaoner mori daha gc, Sata you yeas fe bi dt fle (ts, yo Jrlzadana kan} Kolsite ypc asa atom an deere we aif fonlsyeo teeing peopl ‘whanalié Dusk olka ai heparin veya Kompresyen onan le gain ven tbs? proitsnyspinalr [Amslominaneyegsnden nce Rasen tranny yaa en ‘acc Ir fondo mien gee car. Ee mie gre ota ergs ap yeti ve amelie sonia gar Laparoskopik Kolsite ‘asa anelyt masa spin yond ya ve er Isanin sol toed dr, Bas corhla 8x ebcominl eile ga hasta back asia demay ere ee

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