{"id":23595,"date":"2023-01-11T10:14:13","date_gmt":"2023-01-11T09:14:13","guid":{"rendered":"https:\/\/idibell.cat\/?p=23595"},"modified":"2023-04-21T10:19:22","modified_gmt":"2023-04-21T08:19:22","slug":"el-condicionament-gastric-previ-pot-millorar-la-cirurgia-del-cancer-desofag","status":"publish","type":"post","link":"https:\/\/idibell.cat\/2023\/01\/el-condicionament-gastric-previ-pot-millorar-la-cirurgia-del-cancer-desofag\/","title":{"rendered":"El condicionament g\u00e0stric previ pot millorar la cirurgia del c\u00e0ncer d\u2019es\u00f2fag"},"content":{"rendered":"<section class=\"col-sm-7\">\n<div class=\"field field--name-field-blog-body field--type-text-long field--label-hidden field--item\">\n<p>El condicionament g\u00e0stric previ consisteix a cloure tres art\u00e8ries que irriguen l\u2019est\u00f3mac mitjan\u00e7ant cateterisme uns quinze dies abans de la cirurgia. Es tracta d\u2019una t\u00e8cnica que es realitza a l\u2019Hospital de Bellvitge des de fa m\u00e9s de vint anys.<\/p>\n<p>L\u2019actual estudi ha incl\u00f2s 38 pacients operats al nostre centre entre el 2015 i el 2018, dels quals 20 havien rebut un condicionament g\u00e0stric previ i la resta no. Els seus resultats indiquen que els pacients als quals s\u2019ha realitzat de forma satisfact\u00f2ria el condicionament presenten menys complicacions de vascularitzaci\u00f3 de la pl\u00e0stia (5,9% respecte a un 38,9%), menys complicacions greus postquir\u00fargiques (29,4% respecte al 66,7%) i menor estada hospital\u00e0ria.<\/p>\n<p>Encara que les difer\u00e8ncies entre els dos grups s\u00f3n importants, els investigadors destaquen que calen m\u00e9s estudis amb un major nombre de pacients per poder extreure conclusions definitives.<\/p>\n<p>En aquests moments, l\u2019Hospital Universitari de Bellvitge \u00e9s el centre amb m\u00e9s experi\u00e8ncia en l\u2019\u00fas d\u2019aquesta t\u00e8cnica en tot l\u2019estat espanyol.<\/p>\n<p>L\u2019estudi, titulat <em>A pilot randomized controlled trial on the utility of g\u00e0stric conditioning in the prevention of esophagogastric anastomotic leak after Ivor Lewis esophagectomy<\/em>, s\u2019ha publicat a la revista <em>International Journal of Surgery<\/em>, una de les m\u00e9s importants del m\u00f3n en el seu \u00e0mbit. Els seus autors han estat les Dres.\/Drs. Kristel Mils, M\u00f2nica Mir\u00f3, Leandre Farran, Sebasti\u00e0 Videla, Esther Alba, Fernando Estremiana, Carla Bettonica i Humberto Aranda. Aix\u00ed mateix, l\u2019article forma part dels treballs de recerca de la tesi doctoral de la Dra. Mils.<\/p>\n<\/div>\n<\/section>\n<section class=\"col-sm-12\">\n<div class=\"views-element-container form-group\">\n<div class=\"view view-related-news view-id-related_news view-display-id-embed_related_latest js-view-dom-id-353857dafc0101324177f382b5d1c51f943381222c1047d37cbf80a89a243ee5\">\n<div class=\"view-header\">\n<h2 class=\"related-news\"><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Un estudi del grup de recerca Patologia del tub digestiu de l&#8217;IDIBELL ha demostrat que el condicionament de l\u2019est\u00f3mac previ a la cirurgia de ressecci\u00f3 de l\u2019es\u00f2fag tipus Ivor Lewis pot millorar els resultats d\u2019aquesta intervenci\u00f3. Aquesta cirurgia \u00e9s un procediment complex indicat principalment per al tractament de c\u00e0ncers d\u2019es\u00f2fag.<\/p>\n","protected":false},"author":8,"featured_media":23596,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[334,469,472],"tags":[],"publishpress_future_action":{"enabled":false,"date":"2024-05-11 01:41:02","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"_links":{"self":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/23595"}],"collection":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/comments?post=23595"}],"version-history":[{"count":1,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/23595\/revisions"}],"predecessor-version":[{"id":23597,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/23595\/revisions\/23597"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media\/23596"}],"wp:attachment":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media?parent=23595"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/categories?post=23595"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/tags?post=23595"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}