{"id":7828,"date":"2015-02-23T14:57:25","date_gmt":"2015-02-23T13:57:25","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/?page_id=7828"},"modified":"2024-02-26T17:11:30","modified_gmt":"2024-02-26T16:11:30","slug":"gastrectomia-tubular-o-sleeve-gastrectomy","status":"publish","type":"page","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/cirurgia-metabolica-i-bariatrica\/gastrectomia-tubular-o-sleeve-gastrectomy\/","title":{"rendered":"Gastrectomia tubular (Sleeve Gastrectomy)"},"content":{"rendered":"

La Gastrectomia tubular (Sleeve Gastrectomy) \u00e9s un procediment quir\u00fargic que consisteix a reduir la capacitat g\u00e0strica per aconseguir sensaci\u00f3 de sacietat amb ingestes inferiors a l’habitual. Est\u00e0 indicada en pacients de 18 a 65 anys amb Obesitat tipus III (IMC> 40 kg \/ m2) o Obesitat tipus II amb comorbiditats majors (hipertensi\u00f3 arterial, diabetis mellitus tipus 2, dislip\u00e8mia, s\u00edndrome d’apnea del son) que no aconsegueixen perdre pes tot i canvis en el seu estil de vida. No es recomana aquesta t\u00e8cnica en pacients que presentin reflux gastroesof\u00e0gic.<\/p>\n

Inicialment formava part de l’encreuament duodenal<\/a>, per\u00f2 va comen\u00e7ar a realitzar-se en malalts d’alt risc com a primer temps quir\u00fargic, per despr\u00e9s indicar-se com t\u00e8cnica \u00fanica. El 2011, corresponia al 27,1% de les cirurgies realitzades per al tractament de l’Obesitat, un percentatge que es troba en augment, aconseguint el 60-80% en molts centres.<\/p>\n

Mitjan\u00e7ant aquesta t\u00e8cnica restrictiva, el cirurgi\u00e0 extirpa aproximadament el 80% del volum de l’est\u00f3mac, deixant un romanent de menys de 100cc de capacitat. Per a aix\u00f2, es ressequen el cos i fundus g\u00e0stric (curvatura major), mantenint un petit “sleeve” o tub a nivell de la curvatura menor. El antre es preserva per mantenir el buidament g\u00e0stric.<\/p>\n

El procediment es realitza mitjan\u00e7ant t\u00e8cniques laparosc\u00f2piques, amb una durada mitjana de 90 minuts. Posteriorment, el pacient haur\u00e0 d’estar hospitalitzat unes 24-48 hores, i pot reprendre la seva vida habitual en 2-3 setmanes.<\/p>\n

La Gastrectomia tubular aconsegueix una p\u00e8rdua de l’exc\u00e9s de pes d’entre el 50-60% als 5 anys, juntament amb millora o fins i tot remissi\u00f3 de les comorbiditats associades a l’Obesitat, com la hipertensi\u00f3 arterial, la diabetis mellitus tipus 2<\/a>, la dislip\u00e8mia<\/a> i la s\u00edndrome d’apnea del son, i sense importants requeriments substitutius des del punt de vista nutricional i endocrinol\u00f2gic.<\/p>\n

 <\/p>\n

\"Sleev\"<\/p>\n","protected":false},"excerpt":{"rendered":"

La Gastrectomia tubular (Sleeve Gastrectomy) \u00e9s un procediment quir\u00fargic que consisteix a reduir la capacitat g\u00e0strica per aconseguir sensaci\u00f3 de sacietat amb ingestes inferiors a l’habitual. Est\u00e0 indicada en pacients de 18 a 65 anys […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"parent":36491,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7828","page","type-page","status-publish"],"yoast_head":"\nGastrectomia tubular (Sleeve Gastrectomy) - Servidigest<\/title>\n<meta name=\"description\" content=\"La Gastrectom\u00eda tubular (Sleeve Gastrectomy) consisteix en reduir la capacitat g\u00e0strica per aconseguir una sensaci\u00f3 de sacietat\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/cirurgia-metabolica-i-bariatrica\/gastrectomia-tubular-o-sleeve-gastrectomy\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gastrectomia tubular (Sleeve Gastrectomy) - 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