Cirugía de manga gástrica

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La cirugía de manga gástrica, también conocida como gastrectomía tubular, es un procedimiento bariátrico (para bajar de peso) que reduce el tamaño del estómago. Al extirpar una parte del estómago, se limita la ingesta de alimentos y se produce una pérdida de peso significativa. Este procedimiento está indicado para personas que no han logrado bajar de peso solo con dieta y ejercicio.

General

La cirugía del manguito gástrico implica la extirpación de aproximadamente el 80% del estómago, dejando un estómago en forma de tubo del tamaño de un plátano. Esta reducción drástica del volumen del estómago hace que la persona se sienta satisfecha después de comer cantidades mucho más pequeñas de comida, lo que reduce la ingesta total de calorías y conduce a la pérdida de peso. Además, la cirugía afecta a las hormonas intestinales, que influyen en varios factores, como el hambre, la saciedad y el control del azúcar en sangre, lo que puede contribuir a la pérdida de peso y a mejorar las afecciones relacionadas con la obesidad, como la diabetes. El procedimiento se realiza por vía laparoscópica, lo que significa que es mínimamente invasivo, requiere incisiones más pequeñas y, por lo general, resulta en un tiempo de recuperación más rápido en comparación con la cirugía abierta tradicional.

Detalles especiales

Who is it for?

Personas con un índice de masa corporal (IMC) de 40 o más (obesidad extrema).

Personas con un IMC de 35 a 39,9 (obesidad) que también tienen un problema de salud grave relacionado con el peso, como diabetes tipo 2, presión arterial alta o apnea del sueño grave.

Personas que han intentado bajar de peso mediante dieta y ejercicio, pero no han tenido éxito.

Recovery Period

La estancia hospitalaria promedio para la cirugía de manga gástrica es de 2 a 3 días.

La recuperación completa de la cirugía suele tardar entre 4 y 6 semanas.

Por lo general, se aconseja a los pacientes que sigan una dieta líquida durante las dos primeras semanas, pasando gradualmente a alimentos en puré y luego a alimentos sólidos durante las próximas semanas.

Potential Risks and Side Effects

Al igual que con cualquier cirugía, los riesgos incluyen infecciones, hemorragias y reacciones adversas a la anestesia.

Los posibles riesgos a largo plazo incluyen el reflujo gastroesofágico, las deficiencias de vitaminas y minerales y la formación de cicatrices que podrían provocar obstrucciones.

En raras ocasiones, puede producirse una fuga en la línea de grapas utilizada para cerrar el estómago.

Alternative Treatments

Cambios en la dieta y aumento de la actividad física.

Medicamentos para bajar de peso.

Otras opciones quirúrgicas incluyen la cirugía de bypass gástrico, la banda gástrica ajustable y la derivación biliopancreática con cambio duodenal.

Success Rate

Los estudios han demostrado que los pacientes suelen perder entre el 50 y el 70% de su exceso de peso dentro de los dos primeros años después de la cirugía, con mejoras en las afecciones relacionadas con la obesidad. La tasa de éxito puede variar según el compromiso del paciente con los cambios en el estilo de vida.

Procedure step-by-step overivew

Evaluación preoperatoria que incluye la historia clínica, el examen físico y las pruebas de laboratorio necesarias.

Administración de anestesia general para garantizar que el paciente esté dormido y sin dolor durante el procedimiento.

Al realizar la cirugía por vía laparoscópica, el cirujano hace pequeñas incisiones en el abdomen e inserta instrumentos quirúrgicos y una cámara.

Con grapas quirúrgicas, el cirujano extrae aproximadamente el 80% del estómago, creando una forma de tubo o «manga».

Luego se cierran las incisiones con suturas y se completa el procedimiento.

Precios

Turquía

$4000

República Checa

$5500

Croacia

$5000

Lituania

$5000

Polonia

$4500

Alemania

$11000

Suiza

$20000

Francia

$12000

Reino Unido

$9000

Estados Unidos

$15000

Canadá

$20000

Australia

$17000

¿Por qué varían los precios?

Honorarios del cirujano, que pueden variar según la experiencia y la reputación.

Tarifas de hospital o centro médico.

Ubicación geográfica, que afecta el costo total de la vida y los gastos médicos.

Si el procedimiento está cubierto por el seguro y el alcance de esa cobertura.

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