{"id":2835,"date":"2022-07-14T13:08:07","date_gmt":"2022-07-14T13:08:07","guid":{"rendered":"https:\/\/goesresearchgroup.com\/?p=2835"},"modified":"2024-01-04T09:30:46","modified_gmt":"2024-01-04T09:30:46","slug":"la-recerca-desenvolupada-pel-goes-peca-clau-en-la-implementacio-de-la-tecnica-de-disseccio-submucosa-a-althaia","status":"publish","type":"post","link":"https:\/\/goesresearchgroup.com\/ca\/blog\/2022\/07\/14\/la-recerca-desenvolupada-pel-goes-peca-clau-en-la-implementacio-de-la-tecnica-de-disseccio-submucosa-a-althaia\/","title":{"rendered":"La recerca desenvolupada pel GOES, pe\u00e7a clau en la implementaci\u00f3 de la t\u00e8cnica de dissecci\u00f3 submucosa a Althaia"},"content":{"rendered":"\n

El Servei de Digestologia de la Fundaci\u00f3 Althaia realitza un nou procediment per extreure lesions premalignes o c\u00e0ncers incipients de l\u2019est\u00f3mac, c\u00f2lon i recte per via endosc\u00f2pica. Aquest nou procediment \u00e9s molt menys agressiu respecte a la intervenci\u00f3 quir\u00fargica convencional ja que s\u2019evita l\u2019extirpaci\u00f3 total o parcial de l\u2019est\u00f3mac, c\u00f2lon o recte. \u00c9s, per tant, un nou abordatge molt menys invasiu dels c\u00e0ncers inicials, fet que reverteix en la recuperaci\u00f3 del pacient i millora la seva qualitat de vida.<\/p>\n\n\n\n

Althaia \u00e9s un dels primers 5 centres catalans en implementar aquesta t\u00e8cnica, que \u00e9s una alternativa a la cirurgia convencional en aquelles lesions cancer\u00edgenes molt superficials o lesions benignes amb risc de progressi\u00f3. Per tant, perqu\u00e8 es pugui portar a terme \u00e9s fonamental la detecci\u00f3 preco\u00e7.<\/p>\n\n\n\n

Destaca tamb\u00e9 el fet que l\u2019extracci\u00f3 de la lesi\u00f3 es fa en bloc, \u00e9s a dir, en una sola pe\u00e7a completa. Aix\u00f2 permet un an\u00e0lisi histol\u00f2gic m\u00e9s acurat de la lesi\u00f3, que va a c\u00e0rrec del Servei d\u2019Anatomia Patol\u00f2gica de l\u2019Hospital Sant Joan de D\u00e9u de Manresa. Els resultats de l\u2019examen patol\u00f2gic determinen si l\u2019extirpaci\u00f3 ha estat un procediment curatiu o si caldran altres tractaments, com poden ser la cirurgia amb extirpaci\u00f3 de ganglis, la quimioter\u00e0pia o la radioter\u00e0pia, en funci\u00f3 de l\u2019estadi de la lesi\u00f3.  <\/p>\n\n\n\n

En tots els casos, els pacients candidats a aquest nou procediment es decideixen en el Comit\u00e8 de Tumors d\u2019Althaia. Aquest \u00e9s l\u2019\u00f2rgan multidisciplinari en qu\u00e8 els professionals implicats determinen la pauta terap\u00e8utica m\u00e9s adient i personalitzada en funci\u00f3 de cada cas i dels protocols establerts.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Alta especialitzaci\u00f3<\/strong><\/p>\n\n\n\n

De mitjana, el bloc quir\u00fargic de l\u2019Hospital Sant Joan de D\u00e9u de Manresa acull una intervenci\u00f3 al mes d\u2019aquestes caracter\u00edstiques. Aquests tipus de procediments van a c\u00e0rrec d\u2019un equip de digest\u00f2legs de la instituci\u00f3 que s\u2019han format espec\u00edficament en aquesta t\u00e8cnica, que s\u2019anomena dissecci\u00f3 endosc\u00f2pica de la submucosa, tamb\u00e9 coneguda com a ESD per les seves sigles en angl\u00e8s \u2013Endoscopic Submucosal Dissection. Cal tenir en compte que la seva realitzaci\u00f3 requereix d\u2019una gran expertesa per part dels digest\u00f2legs i per aix\u00f2, especialistes de la instituci\u00f3 s\u2019han format en centres d\u2019Anglaterra i Jap\u00f3. A m\u00e9s, l\u2019equip d\u2019Althaia compta amb la col\u00b7laboraci\u00f3 d\u2019un assessor expert de l\u2019Hospital Germans Trias i Pujol.<\/p>\n\n\n\n

La implementaci\u00f3 d\u2019aquesta t\u00e8cnica va molt lligada a una de les l\u00ednies de recerca del Gastrointestinal Oncology, Endoscopy and Surgery (GOES) research group, el grup de recerca d\u2019Althaia centrat en la recerca i innovaci\u00f3 en l\u2019\u00e0mbit de l\u2019oncologia gastrointestinal i l\u2019endosc\u00f2pia. El Dr. Ignasi Puig i el Dr. Marco Antonio \u00c1lvarez, digest\u00f2legs de la instituci\u00f3 i membres d\u2019aquest grup de recerca, han publicat estudis de refer\u00e8ncia sobre el tema i han col\u00b7laborat en l\u2019elaboraci\u00f3 de guies cl\u00edniques internacionals en les quals s\u2019estableix quan \u00e9s o no indicat realitzar aquest tipus de procediments amb l\u2019ajuda del diagn\u00f2stic \u00f2ptic endosc\u00f2pic i la magnificaci\u00f3. Aix\u00ed, el treball en aquesta l\u00ednia de recerca permet una selecci\u00f3 acurada dels pacients a qui es realitza aquest tipus de t\u00e8cnica i s\u2019evita que es faci en les persones amb p\u00f2lips molt benignes en els quals l\u2019extirpaci\u00f3 endosc\u00f2pica convencional \u00e9s suficient.<\/p>\n\n\n\n

La recerca i la innovaci\u00f3 en el camp biom\u00e8dic permeten avan\u00e7ar en el coneixement i aplicar eines i tractaments que milloren la pr\u00e0ctica assistencial. La incorporaci\u00f3 d\u2019aquest nou procediment per extreure lesions premalignes o c\u00e0ncers incipients de l\u2019est\u00f3mac, c\u00f2lon i recte per via endosc\u00f2pica n\u2019\u00e9s un exemple. Aix\u00f2 repercuteix directament en els pacients i la poblaci\u00f3 en general ja que s\u00f3n un dels m\u00e0xims beneficiats de l\u2019activitat dels investigadors. Per aquest motiu, Althaia fa una clara aposta per potenciar aquests \u00e0mbits d\u2019acord al Pla estrat\u00e8gic Talaia 2021-2025.<\/p>\n","protected":false},"excerpt":{"rendered":"

El Servei de Digestologia de la Fundaci\u00f3 Althaia realitza un nou procediment per extreure lesions 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