{"id":1125,"date":"2024-03-15T11:21:51","date_gmt":"2024-03-15T10:21:51","guid":{"rendered":"https:\/\/www.solucionobesidad.com\/service\/techniques-chirurgicales\/"},"modified":"2024-04-18T11:08:34","modified_gmt":"2024-04-18T09:08:34","slug":"techniques-chirurgicales","status":"publish","type":"tratamiento","link":"https:\/\/www.solucionobesidad.com\/fr\/service\/techniques-chirurgicales\/","title":{"rendered":"Techniques chirurgicales"},"content":{"rendered":"\n\t\t\t<div class='et-tabs-container et_sliderfx_fade et_sliderauto_false et_sliderauto_speed_5000 et_slidertype_top_tabs'>\n\t\t\t\t<ul class='et-tabs-control'>\n\t\t\t<li><a href='#'>\n\t\t\tContraignant\n\t\t<\/a><\/li> \n\t\t<li><a href='#'>\n\t\t\tPur malabsorption\n\t\t<\/a><\/li> \n\t\t<li><a href='#'>\n\t\t\tMixte, restriction + malabsorption\n\t\t<\/a><\/li>\n\t\t<\/ul> \n\t\t<div class='et-tabs-content'>\n\t\t\t<div class='et-tabs-content-main-wrap'>\n\t\t\t\t<div class='et-tabs-content-wrapper'>\n\t\t\t\t\t<div class='et_slidecontent'>\n\t\t\tIls r\u00e9duisent le volume d&rsquo;apport. Le meilleur et le plus prometteur actuellement est la <strong>GASTRECTOMIE VERTICALE LAPAROSCOPIQUE OU SONDE GASTRIQUE<\/strong>, qui provoque \u00e9galement un effet m\u00e9tabolique sur les hormones produites par l&rsquo;intestin &#8211; les incr\u00e9tines, corrigeant le diab\u00e8te et am\u00e9liorant d&rsquo;autres comorbidit\u00e9s telles que la dyslipid\u00e9mie, l&rsquo;hypertension ou l&rsquo;apn\u00e9e du sommeil. Depuis 2014, c&rsquo;est la technique la plus pratiqu\u00e9e au monde.Les ballons intragastriques, anneaux de type LapBand ou POSE, pr\u00e9sentent des r\u00e9sultats disparates et variables, avec des pertes de poids plus faibles et moins soutenues dans le temps, conduisant \u00e0 un nombre important d&rsquo;\u00e9checs.Plus de 80 % des patients trait\u00e9s par ballon intragastrique retrouvent le poids perdu 6 mois apr\u00e8s son retrait. 25 % des patients porteurs d\u2019un anneau ou d\u2019une bande laparoscopique doivent subir une nouvelle intervention chirurgicale en raison de r\u00e9sultats insatisfaisants. Le taux de r\u00e9ussite est faible (perte &gt; 50 % de surpoids), 55 % \u00e0 3 ans, 45 % \u00e0 5 ans et 35 % \u00e0 8 ans, et les \u00e9checs sont nombreux (perte &lt; 25 % de surpoids), 15 % les 3 premi\u00e8res ann\u00e9es, 30 % \u00e0 5 ans, et 40 % \u00e0 8 ans, lorsque le nombre d&rsquo;\u00e9checs est sup\u00e9rieur aux r\u00e9ussites. Ces r\u00e9sultats sont aussi d\u00e9courageants \u00e0 moyen et long terme que ceux obtenus par les gastroplasties en anneau, \u00e0 la mode dans les ann\u00e9es 90, et aujourd&rsquo;hui hors d&rsquo;usage.<\/p>\n<p><img decoding=\"async\" src=\"http:\/\/www.solucionobesidad.com\/wp-content\/uploads\/2016\/09\/solucion-obesidad-tubo-gastrico-1.jpg\" alt=\"solucion-obesidad-tubo-gastrico-1\" \/><\/p>\n\t\t<\/div> \n\t\t<div class='et_slidecontent'>\n\t\t\tAbandonn\u00e9 en raison du grand nombre d&rsquo;effets secondaires.<\/p>\n\t\t<\/div> \n\t\t<div class='et_slidecontent'>\n\t\t\tEn plus de r\u00e9duire le volume ing\u00e9r\u00e9, ils associent une malabsorption contr\u00f4l\u00e9e. La meilleure et la plus accept\u00e9e de toutes les techniques bariatriques contre l\u2019ob\u00e9sit\u00e9 morbide est le <strong>BYPASS GASTRIQUE LAPAROSCOPIQUE<\/strong>. Elle est consid\u00e9r\u00e9e comme le Gold Standard ou Gold Standard Technique auquel d\u2019autres techniques sont compar\u00e9es. Il s\u2019agit de la technique bariatrique et m\u00e9tabolique la plus pratiqu\u00e9e au monde.<\/p>\n<p>D&rsquo;autres techniques plus agressives comme le Duodenal Crossing sont indiqu\u00e9es dans des cas tr\u00e8s particuliers d&rsquo;ob\u00e9sit\u00e9 extr\u00eame, en plus d&rsquo;\u00eatre utilis\u00e9es de moins en moins fr\u00e9quemment.Ces derni\u00e8res ann\u00e9es, de nouvelles techniques bariatriques et m\u00e9taboliques ont \u00e9t\u00e9 d\u00e9velopp\u00e9es, comme le SADI-s (variation du classique croisement duod\u00e9nal mais avec une seule anastomose), le mini-gastric bypass (bypass simplifi\u00e9 controvers\u00e9 en raison du risque possible de reflux biliopancr\u00e9atique chez le reste gastrique) et l&rsquo;\u0153sophage), BYPASS DUOD\u00c9NO-IL\u00c9AL avec ou sans gastrectomie verticale (technique m\u00e9tabolique prometteuse pour le diab\u00e8te), etc.<\/p>\n<p><img decoding=\"async\" src=\"http:\/\/www.solucionobesidad.com\/wp-content\/uploads\/2016\/09\/solucion-obesidad-bypass-gastrico.jpg\" alt=\"solucion-obesidad-bypass-gastrico\" \/>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<\/div>\n","protected":false},"featured_media":0,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-1125","tratamiento","type-tratamiento","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - 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