{"id":7834,"date":"2015-02-23T15:00:27","date_gmt":"2015-02-23T14:00:27","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/?page_id=7834"},"modified":"2024-06-01T14:09:18","modified_gmt":"2024-06-01T12:09:18","slug":"bypass-gastric","status":"publish","type":"page","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/obesitat\/bypass-gastric\/","title":{"rendered":"Bypass G\u00e0stric"},"content":{"rendered":"<p><strong>El Bypass G\u00e0stric \u00e9s un procediment quir\u00fargic de reducci\u00f3 d&#8217;est\u00f3mac.<\/strong><\/p>\n<p>El Bypass G\u00e0stric redueix la capacitat g\u00e0strica i crea una malabsorci\u00f3 lleugera dels nutrients, obtenint una p\u00e8rdua de pes efica\u00e7 i perdurable. Es realitza en pacients adults (de 18 a 65 anys) amb Obesitat tipus III (sobretot en IMC&gt; 45 kg \/ m2) o tipus II associada a diabetis mellitus tipus 2, que han fracassat en intentar perdre pes amb dieta i exercici. \u00c9s la t\u00e8cnica d&#8217;elecci\u00f3 en els pacients que presenten reflux gastroesof\u00e0gic.<\/p>\n<p>El tractament quir\u00fargic de l&#8217;Obesitat va comen\u00e7ar el 1956 amb la introducci\u00f3 del bypass jejunoileal, que va ser substitu\u00eft deu anys despr\u00e9s pel g\u00e0stric, a causa de les severes complicacions metab\u00f2liques que el primer originava. El 2011, continuava sent la cirurgia m\u00e9s emprada per al tractament de l&#8217;Obesitat, amb un percentatge del 46,6%, tot i que es troba en descens a causa de la major realitzaci\u00f3 de la gastrectomia tubular.<\/p>\n<p>S&#8217;aconsegueix la p\u00e8rdua de pes per dos mecanismes, combinant un est\u00f3mac de capacitat molt redu\u00efda (component restrictiu) juntament amb un encreuament a l&#8217;intest\u00ed prim (bypass) que origina que nom\u00e9s s&#8217;utilitzi un 60% d&#8217;aquest per l&#8217;absorci\u00f3 de nutrients (component malabsortivo). El cirurgi\u00e0 realitza un petit reservori g\u00e0stric (20-50cc), a costa de la curvatura menor, juntament amb el que denominem una nansa en Y de Roux. La Y de Roux es forma seccionant el jej\u00fa a uns 50 cm de la seva uni\u00f3 amb el duod\u00e8; el segment distal s&#8217;uneix amb el reservori g\u00e0stric (nansa aliment\u00e0ria) i el proximal (nansa biliopancre\u00e0tica) es sutura 150 cm per sota de la uni\u00f3 gastro-jejunal.<\/p>\n<p>El procediment es realitza tamb\u00e9 mitjan\u00e7ant un abordatge laparosc\u00f2pic, amb una durada mitjana de 90-150 minuts. Si hi ha colelitiasi, s&#8217;associa una colecistectomia. Posteriorment, el pacient haur\u00e0 d&#8217;estar hospitalitzat uns 3-4 dies, i pot reprendre la seva vida habitual en 3-4 setmanes.<\/p>\n<p>El Bypass G\u00e0stric aconsegueix una p\u00e8rdua de l&#8217;exc\u00e9s de pes del 60-70% als 5 anys, juntament amb millora o fins i tot remissi\u00f3 de les comorbiditats associades a l&#8217;Obesitat, com la hipertensi\u00f3 arterial, la <a href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/endocrinologia-i-nutricio\/diabetis\/\">diabetis mellitus tipus 2<\/a>, la <a href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/endocrinologia-i-nutricio\/dislipemia\/\">dislip\u00e8mia<\/a> \u00a0i la s\u00edndrome d&#8217;apnea del son.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-medium wp-image-12981\" src=\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2015\/02\/byPass-156x300.png\" alt=\"byPass\" width=\"156\" height=\"300\" srcset=\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2015\/02\/byPass-156x300.png 156w, https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2015\/02\/byPass.png 315w\" sizes=\"(max-width: 156px) 100vw, 156px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>El Bypass G\u00e0stric \u00e9s un procediment quir\u00fargic de reducci\u00f3 d&#8217;est\u00f3mac. El Bypass G\u00e0stric redueix la capacitat g\u00e0strica i crea una malabsorci\u00f3 lleugera dels nutrients, obtenint una p\u00e8rdua de pes efica\u00e7 i perdurable. Es realitza en <a class=\"mh-excerpt-more\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/obesitat\/bypass-gastric\/\" title=\"Bypass G\u00e0stric\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"parent":733,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7834","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Bypass G\u00e0stric - Reducci\u00f3 d&#039;est\u00f3mac a Cl\u00ednica ServiDigest - Barcelona<\/title>\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\/obesitat\/bypass-gastric\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bypass G\u00e0stric - Reducci\u00f3 d&#039;est\u00f3mac a Cl\u00ednica ServiDigest - Barcelona\" \/>\n<meta property=\"og:description\" content=\"El Bypass G\u00e0stric \u00e9s un procediment quir\u00fargic de reducci\u00f3 d&#8217;est\u00f3mac. 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