{"id":36749,"date":"2023-05-15T17:50:53","date_gmt":"2023-05-15T17:50:53","guid":{"rendered":"https:\/\/healthylifebariatrics.com\/cirugia-de-la-acidez-gastrica-erge\/"},"modified":"2025-06-02T03:23:33","modified_gmt":"2025-06-02T03:23:33","slug":"cirugia-de-la-acidez-gastrica-erge","status":"publish","type":"page","link":"https:\/\/healthylifebariatrics.com\/es\/servicios\/cirugia-de-la-acidez-gastrica-erge\/","title":{"rendered":"Cirug\u00eda de la acidez g\u00e1strica (ERGE)"},"content":{"rendered":"\n

\n\t\t\tCirug\u00eda de la acidez estomacal (ERGE): Peque\u00f1as cicatrices, corta recuperaci\u00f3n y resultados significativos\t<\/h1>\n\n\t\t\t\t\"Heartburn\n\tLa cirug\u00eda bari\u00e1trica (para bajar de peso) ha demostrado ser eficaz para ayudar a los pacientes a eliminar grandes cantidades de peso excedente.<\/strong> En promedio, los pacientes pueden esperar perder entre cuarenta y sesenta libras de su exceso de peso en un per\u00edodo de dos a\u00f1os. Los pacientes que tienen \u00e9xito con la cirug\u00eda bari\u00e1trica suelen considerar el procedimiento como una nueva oportunidad en la vida. Los kilos desaparecen, tienen m\u00e1s energ\u00eda y recuperan su entusiasmo por vivir.\n
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\u00bfQu\u00e9 Causa la Acidez Estomacal y el Reflujo Gastroesof\u00e1gico (ERGE)?<\/strong><\/h2>\nLa acidez estomacal ocurre cuando el \u00e1cido del est\u00f3mago sube al es\u00f3fago, causando irritaci\u00f3n y dolor. Esto sucede porque el esf\u00ednter esof\u00e1gico inferior (EEI), un anillo muscular en la parte inferior del es\u00f3fago, se debilita o relaja y permite que el \u00e1cido suba. Ciertos alimentos, la obesidad, el embarazo, fumar y algunos medicamentos pueden desencadenar o empeorar la acidez.\nEn el ERGE, esa v\u00e1lvula permanece abierta durante m\u00e1s tiempo y con m\u00e1s frecuencia, permitiendo que el \u00e1cido da\u00f1e el es\u00f3fago de forma continua. Esta exposici\u00f3n cr\u00f3nica puede causar inflamaci\u00f3n (esofagitis), \u00falceras, cicatrices y es\u00f3fago de Barrett (cambios celulares precancerosos). Los s\u00edntomas t\u00edpicos incluyen ardor en el pecho o la garganta, regurgitaci\u00f3n, dificultad para tragar y un sabor agrio en la boca.\n
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Cambios en el Estilo de Vida y Medicamentos<\/strong><\/h3>\nLa primera l\u00ednea de tratamiento son los cambios en el estilo de vida, como evitar alimentos que desencadenan s\u00edntomas y comer porciones m\u00e1s peque\u00f1as, junto con anti\u00e1cidos de venta libre. Para el ERGE persistente, medicamentos m\u00e1s fuertes llamados inhibidores de la bomba de protones (IBP) bloquean la producci\u00f3n de \u00e1cido de manera m\u00e1s eficaz. Aunque estas estrategias controlan los s\u00edntomas en la mayor\u00eda de los pacientes, no solucionan el problema de la v\u00e1lvula defectuosa. Por eso, cuando se suspende el medicamento, el reflujo puede regresar. Hasta el 40% de los pacientes siguen teniendo s\u00edntomas a pesar del tratamiento farmacol\u00f3gico optimizado.\n
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\u00bfCu\u00e1ndo se Recomienda la Cirug\u00eda?<\/strong><\/h3>\nEl ERGE severo y cr\u00f3nico que no se controla con medicamentos y que ha da\u00f1ado el es\u00f3fago (comprobado por endoscop\u00eda) es una indicaci\u00f3n para cirug\u00eda. Algunos pacientes que dependen de los IBP para tener un control adecuado, pero que desean dejar de tomar medicamentos a largo plazo, tambi\u00e9n pueden ser candidatos. Los objetivos de la cirug\u00eda son reconstruir la v\u00e1lvula defectuosa, prevenir m\u00e1s exposici\u00f3n al \u00e1cido y permitir la curaci\u00f3n del tejido inflamado. Para algunos pacientes, la cirug\u00eda puede ser una soluci\u00f3n m\u00e1s econ\u00f3mica que tomar medicamentos de por vida.\n
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\u00bfCu\u00e1ndo se Vuelve Necesaria una Revisi\u00f3n Bari\u00e1trica?<\/strong><\/h2>\nAlgunos pacientes pierden peso despu\u00e9s de su procedimiento, solo para ver que la b\u00e1scula vuelve a subir despu\u00e9s de unos a\u00f1os. Junto con el regreso de la obesidad, estos pacientes pueden experimentar reflujo \u00e1cido o apnea del sue\u00f1o. La cirug\u00eda de revisi\u00f3n bari\u00e1trica puede ser la respuesta para vencer la obesidad y tratar las enfermedades relacionadas con ella.\n
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\u00bfQu\u00e9 Tan Com\u00fan es la Cirug\u00eda de Revisi\u00f3n para P\u00e9rdida de Peso?<\/strong><\/h2>\nAproximadamente entre el 10% y el 20% de los pacientes bari\u00e1tricos buscar\u00e1n una cirug\u00eda de revisi\u00f3n. La mayor\u00eda de los pacientes solicitan la revisi\u00f3n entre dos y tres a\u00f1os despu\u00e9s de su procedimiento original.\n\t\t\t\t\"A\n\t

En Healthy Life Bariatrics, el Dr. Moeinolmolki puede proporcionarle un diagn\u00f3stico oficial de ERGE durante una consulta inicial. Los protocolos de pruebas para el diagn\u00f3stico de la ERGE consisten en una endoscopia (una peque\u00f1a c\u00e1mara que observa el interior del es\u00f3fago en busca de inflamaci\u00f3n), radiograf\u00edas de la serie GI superior, manometr\u00eda esof\u00e1gica (comprueba la presi\u00f3n dentro del es\u00f3fago) y pruebas de pH (para determinar los niveles de \u00e1cido dentro del es\u00f3fago).<\/p>\n

Si se diagnostica ERGE, podr\u00eda ser un buen candidato para la cirug\u00eda.<\/p>\n

\u00bfC\u00f3mo se realiza la cirug\u00eda de la ERGE?<\/h2>\n

La cirug\u00eda de la ERGE suele recomendarse como \u00faltimo recurso cuando ni siquiera los medicamentos recetados consiguen hacer desaparecer el ardor de est\u00f3mago.<\/p>\n

El procedimiento m\u00e1s habitual para corregir la ERGE es la fundoplicatura. Se trata de un procedimiento que aumenta la presi\u00f3n en la parte inferior del es\u00f3fago. Durante la intervenci\u00f3n, el Dr. Moein enrolla la parte superior del est\u00f3mago alrededor del EEI. Esto act\u00faa como un tensor del m\u00fasculo del esf\u00ednter, permitiendo que se contraiga cuando se supone que debe hacerlo. Un EEI m\u00e1s tenso aumenta la presi\u00f3n en la parte inferior del es\u00f3fago, lo que evita futuros casos de reflujo. El cirujano realiza una cirug\u00eda laparosc\u00f3pica, que es m\u00ednimamente invasiva e implica incisiones diminutas, cicatrices peque\u00f1as y un breve periodo de recuperaci\u00f3n.<\/p>\n

\u00bfCu\u00e1les son los beneficios de la cirug\u00eda general para la ERGE?<\/h2>\n

La principal ventaja de la cirug\u00eda de ERGE es que no experimentar\u00e1 ardor de est\u00f3mago ni ninguno de los s\u00edntomas que lo acompa\u00f1an, como la dificultad para respirar.<\/p>\n

Reparar el origen de la ERGE, como una hernia de hiato, tambi\u00e9n puede ayudar a prevenir complicaciones posteriores. Las complicaciones graves de la ERGE pueden incluir \u00falceras esof\u00e1gicas, estenosis esof\u00e1gica (cuando el \u00e1cido estomacal da\u00f1a la parte inferior del es\u00f3fago y produce tejido cicatricial) y problemas pulmonares.<\/p>\n

Tambi\u00e9n puede producirse es\u00f3fago de Barrett, en el que el reflujo \u00e1cido altera las c\u00e9lulas que recubren el es\u00f3fago, lo que puede aumentar la susceptibilidad al c\u00e1ncer de es\u00f3fago.<\/p>\n

\u00bfPreparado para hablar del tratamiento quir\u00fargico de la acidez y la ERGE?<\/h2>\n

Si ya est\u00e1 harto de vivir con los s\u00edntomas de la ERGE, la cirug\u00eda puede ayudarle. El Dr. Babak Moeinolmolki y su compasivo equipo quir\u00fargico est\u00e1n deseando atenderle. Si usted vive en Los Angeles, Encino, o Glendale, California, llame hoy para programar una consulta con el cirujano general de clase mundial Dr. Moeinolmolki – (310)807-2378<\/a>.<\/p>\n\n","protected":false},"excerpt":{"rendered":"

Cirug\u00eda de la acidez estomacal (ERGE): Peque\u00f1as cicatrices, corta recuperaci\u00f3n y resultados significativos La cirug\u00eda bari\u00e1trica (para bajar de peso) ha demostrado ser eficaz para ayudar a los pacientes a eliminar grandes cantidades de peso excedente. En promedio, los pacientes pueden esperar perder entre cuarenta y sesenta libras de su exceso de peso en un […]<\/p>\n","protected":false},"author":20,"featured_media":36682,"parent":36757,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-36749","page","type-page","status-publish","has-post-thumbnail","hentry"],"rankMath":{"parentDomain":"healthylifebariatrics.com","noFollowDomains":[],"noFollowExcludeDomains":[],"noFollowExternalLinks":false,"featuredImageNotice":"La imagen destacada debe tener al menos 200 por 200 p\u00edxeles para que Facebook y otros sitios de redes sociales puedan 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