{"id":7836,"date":"2015-02-23T15:02:54","date_gmt":"2015-02-23T14:02:54","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/?page_id=7836"},"modified":"2024-02-26T17:11:33","modified_gmt":"2024-02-26T16:11:33","slug":"derivacio-biliopancreatica-o-switch-duodenal","status":"publish","type":"page","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/cirurgia-metabolica-i-bariatrica\/derivacio-biliopancreatica-o-switch-duodenal\/","title":{"rendered":"Derivaci\u00f3 Biliopancre\u00e0tica amb Encreuament (Switch) Duodenal"},"content":{"rendered":"

La Derivaci\u00f3 Biliopancre\u00e0tica amb Encreuament (Switch) Duodenal, \u00e9s un procediment quir\u00fargic restrictiu, amb reducci\u00f3 de la capacitat g\u00e0strica, per\u00f2 sobretot malabsortiu, mitjan\u00e7ant la reconducci\u00f3 de les vies gastrointestinals i disminuci\u00f3 de la longitud de l’intest\u00ed prim. Es recomana en pacients adults (de 18 a 65 anys) afectes d’Obesitat tipus IV (sobretot en IMC> 55 kg \/ m2), juntament amb un canvi d’estil de vida (dieta i exercici).<\/p>\n

Aquesta cirurgia va ser realitzada per primera vegada en 1976 per Scopinaro, introduint-se posteriorment per Hess el 1988, el encreuament (switch) duodenal. El 2011, corresponia a l’2,1% de les cirurgies realitzades per al tractament de l’Obesitat, per la seva indicaci\u00f3 nom\u00e9s en casos extrems.<\/p>\n

Com en el Bypass G\u00e0stric, s’aconsegueix la p\u00e8rdua de pes per dos mecanismes, combinant una gastrectomia vertical (component restrictiu), juntament amb un encreuament a l’intest\u00ed prim, perqu\u00e8 s’utilitzi nom\u00e9s el 50% d’aquest per a la digesti\u00f3 i absorci\u00f3 dels aliments (component malabsortiu). Per al component malabsortiu es realitza una secci\u00f3 a l’intest\u00ed prim, habitualment a 250 cm de la v\u00e0lvula ileocecal; la part distal s’uneix amb el duod\u00e8 (nansa aliment\u00e0ria) i la proximal es sutura al ili terminal, a uns 50 cm de la seva uni\u00f3 amb el cec.<\/p>\n

El procediment es realitza mitjan\u00e7ant laparosc\u00f2pia, i associa una colecistectomia sistem\u00e0tica. Donada la complexitat de la t\u00e8cnica, i amb l’objectiu de reduir el risc quir\u00fargic, es pot proposar una cirurgia en dos temps (primer gastrectomia tubular i, en un segon temps, la derivaci\u00f3 biliopancre\u00e0tica) o b\u00e9 existeix tamb\u00e9 la possibilitat de realitzar una intervenci\u00f3 m\u00e9s senzilla, amb una \u00fanica anastomosi duodeno-ileal, amb resultats prometedors. En presentar un component malabsortivo important, requereix d’un estricte control per endocrin\u00f2leg i nutricionista, per evitar possibles mancances nutricionals.<\/p>\n

La Derivaci\u00f3 Biliopancre\u00e0tica amb Encreuament (Switch) Duodenal, aconsegueix una p\u00e8rdua de l’exc\u00e9s de pes de m\u00e9s del 75% 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.<\/p>\n","protected":false},"excerpt":{"rendered":"

La Derivaci\u00f3 Biliopancre\u00e0tica amb Encreuament (Switch) Duodenal, \u00e9s un procediment quir\u00fargic restrictiu, amb reducci\u00f3 de la capacitat g\u00e0strica, per\u00f2 sobretot malabsortiu, mitjan\u00e7ant la reconducci\u00f3 de les vies gastrointestinals i disminuci\u00f3 de la longitud de l’intest\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"parent":36491,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7836","page","type-page","status-publish"],"yoast_head":"\nDerivaci\u00f3 Biliopancre\u00e0tica amb Encreuament Duodenal - ServiDigest<\/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\/cirurgia-metabolica-i-bariatrica\/derivacio-biliopancreatica-o-switch-duodenal\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Derivaci\u00f3 Biliopancre\u00e0tica amb Encreuament Duodenal - 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