{"id":12000,"date":"2025-07-25T10:00:48","date_gmt":"2025-07-25T14:00:48","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/ileal-conduit\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"conducto-ileal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/conducto-ileal\/","title":{"rendered":"Conducto Ileal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[],"class_list":["post-12000","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures"],"acf":{"gt-definition":"El conducto ileal es un procedimiento quir\u00fargico de derivaci\u00f3n urinaria que crea una v\u00eda alternativa para que la orina salga del cuerpo tras la extirpaci\u00f3n de la vejiga (cistectom\u00eda radical).<span class=\"citation\">1<\/span> En este procedimiento, el cirujano a\u00edsla un segmento corto del \u00edleon terminal (de aproximadamente 15 cm), desconecta los ur\u00e9teres de la vejiga y los implanta en este segmento intestinal aislado.<span class=\"citation\">2<\/span> El extremo proximal del conducto recibe los ur\u00e9teres, mientras que el extremo distal se exterioriza a trav\u00e9s de la pared abdominal para crear un estoma en la superficie de la piel.<span class=\"citation\">3<\/span> A diferencia de las derivaciones continentes, el conducto ileal no almacena la orina, sino que act\u00faa como un conducto pasivo para el drenaje continuo de la orina desde los ri\u00f1ones hasta un dispositivo de recolecci\u00f3n externo.<span class=\"citation\">4<\/span> Este procedimiento se considera la t\u00e9cnica de derivaci\u00f3n urinaria de referencia con la que se comparan todas las dem\u00e1s, ya que fue establecido como t\u00e9cnica est\u00e1ndar por Bricker en 1950.<span class=\"citation\">5<\/span>","gt-synonyms":"Conducto ileal Bricker, Conducto de ladrillo, IC, derivaci\u00f3n urinaria del asa ileal, derivaci\u00f3n urinaria incontinente, urostom\u00eda","gt-citation":"[1] Tanna RJ, Powell J, Mambu LA. Ileal Conduit. StatPearls [Internet]. 2022 Nov 28. PMID: 33351418. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK565859\/\n\n[2] Madersbacher S, Schmidt J, Eberle JM, et al. Long-term outcome of ileal conduit diversion. J Urol. 2003;169(3):985-990. DOI: 10.1097\/01.ju.0000051462.45388.14\n\n[3] Colombo R, Naspro R. Ileal Conduit as the Standard for Urinary Diversion After Radical Cystectomy for Bladder Cancer. European Urology Supplements. 2010;9(10):736-744. DOI: 10.1016\/j.eursup.2010.09.001\n\n[4] Siracusano S, Zaka A, Bassi P, et al. Quality-of-Life Outcomes in Female Patients With Ileal Conduit or Orthotopic Neobladder Urinary Diversion: 6-Month Results of a Multicenter Prospective Study. Front Oncol. 2022;12:855546. DOI: 10.3389\/fonc.2022.855546. PMID: 35515136\n\n[5] Khalilullah SA, Shokeir AA, Mohsen T, et al. Comparing the outcome of ileal conduit and transuretero-ureterostomy urinary diversions after radical cystectomy for bladder cancer. Afr J Urol. 2021;27:72. DOI: 10.1186\/s12301-021-00163-9","gt-clinical-context":"El conducto ileal es la forma de derivaci\u00f3n urinaria m\u00e1s frecuente realizada por los ur\u00f3logos, en particular tras una cistectom\u00eda radical por c\u00e1ncer de vejiga.<span class=\"citation\">1<\/span> Las indicaciones cl\u00ednicas incluyen afecciones que requieren la extirpaci\u00f3n de la vejiga, como el c\u00e1ncer de vejiga m\u00fasculo-invasivo (T2-T4a), el c\u00e1ncer de vejiga no m\u00fasculo-invasivo en el que ha fracasado un tratamiento menos radical (p. ej., terapia con BCG o recidiva tras la RTUV) y las afecciones graves de vejiga neur\u00f3gena con incontinencia intratable o los s\u00edndromes de dolor p\u00e9lvico cr\u00f3nico en mujeres.<span class=\"citation\">2,5<\/span><\/p>\n    \n    <p>Los criterios de selecci\u00f3n de pacientes favorecen a los pacientes de edad avanzada y a aquellos con deterioro de la funci\u00f3n renal, ya que el segmento intestinal utilizado es corto, lo que minimiza el tiempo de contacto con la orina y reduce las complicaciones metab\u00f3licas.<span class=\"citation\">6<\/span> El procedimiento tambi\u00e9n se prefiere en pacientes con destreza manual limitada, deterioro cognitivo o incapacidad para manejar derivaciones continentes m\u00e1s complejas.<span class=\"citation\">7<\/span><\/p>\n    \n    <p>El procedimiento quir\u00fargico consta de cuatro etapas principales: aislamiento de un segmento ileal de 15 cm situado a 15 cm de la uni\u00f3n ileocecal, movilizaci\u00f3n de los ur\u00e9teres preservando su irrigaci\u00f3n sangu\u00ednea, realizaci\u00f3n de la anastomosis ureteroent\u00e9rica (mediante la t\u00e9cnica de Bricker o la de Wallace) y creaci\u00f3n de un estoma en la pared abdominal.<span class=\"citation\">8<\/span><\/p>\n    \n    <p>Los cuidados posoperatorios incluyen el manejo del estoma con un dispositivo de recolecci\u00f3n externo formado por una barrera cut\u00e1nea adhesiva y una bolsa de drenaje.<span class=\"citation\">9<\/span> Los resultados esperados son en general favorables, aunque las complicaciones a largo plazo pueden incluir estenosis del estoma, hernia paraestomal, infecciones del tracto urinario y alteraciones metab\u00f3licas como la acidosis metab\u00f3lica hiperclor\u00e9mica debida a la absorci\u00f3n de componentes de la orina a trav\u00e9s de la mucosa ileal.<span class=\"citation\">4,7<\/span>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":120},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Ileal Conduit: Surgical Derivaci\u00f3n Urinaria After...<\/title>\n<meta name=\"description\" content=\"El conducto ileal es una t\u00e9cnica de derivaci\u00f3n urinaria que utiliza un segmento de \u00edleon para permitir la salida de la orina tras una cistectom\u00eda.\" \/>\n<meta name=\"robots\" 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