{"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":"2025-07-25T10:00:48","modified_gmt":"2025-07-25T14:00:48","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":"Un conducto ileal es un procedimiento quir\u00fargico de derivaci\u00f3n urinaria que crea una v\u00eda alternativa para que la orina salga del cuerpo despu\u00e9s de la extirpaci\u00f3n de la vejiga (cistectom\u00eda radical).1<\/span> En este procedimiento, un cirujano a\u00edsla un segmento corto del \u00edleon terminal (aproximadamente 15 cm), desconecta los ur\u00e9teres de la vejiga y los implanta en este reservorio intestinal reci\u00e9n formado.2<\/span> El extremo proximal de el conducto recibe los ur\u00e9teres, mientras que el extremo distal atraviesa la pared abdominal para crear un estoma en la superficie de la piel.3<\/span> A diferencia de las derivaciones continentes, el conducto ileal no almacena orina sino que sirve como un conducto pasivo para el drenaje continuo de orina desde los ri\u00f1ones a un dispositivo de recolecci\u00f3n externo.4<\/span> Este procedimiento se considera la t\u00e9cnica de derivaci\u00f3n urinaria est\u00e1ndar de oro contra la cual todas las dem\u00e1s se miden, ya que fueron descritos por primera vez por Bricker en el siglo XIX y desarrollados en la d\u00e9cada de 1950.5<\/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: 32644358. 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.2010.07.016\n\n[4] Siracusano S, Niero M, Lonardi C, et al. Quality-of-Life Outcomes in Female Patients With Ileal Conduit: A Systematic Review of the Literature. Front Oncol. 2022;12:855546. DOI: 10.3389\/fonc.2022.855546\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 m\u00e1s com\u00fan de derivaci\u00f3n urinaria realizada por los ur\u00f3logos, particularmente despu\u00e9s de una cistectom\u00eda radical por c\u00e1ncer de vejiga.1<\/span> Las indicaciones cl\u00ednicas incluyen afecciones que requieren extirpaci\u00f3n de la vejiga, como c\u00e1ncer de vejiga con invasi\u00f3n muscular (T2-T4a), c\u00e1ncer de vejiga sin invasi\u00f3n muscular en el que no ha funcionado un tratamiento menos radical (p. ej., terapia con BCG o recurrencia despu\u00e9s de la TURBT) y afecciones neurog\u00e9nicas graves de la vejiga con incontinencia intratable o cr\u00f3nica. S\u00edndromes de dolor p\u00e9lvico en mujeres.2,5<\/span><\/p>\n \n

Los criterios de selecci\u00f3n de pacientes favorecen a los pacientes de edad avanzada y a aquellos con insuficiencia renal porque el segmento intestinal utilizado es corto, lo que minimiza el tiempo de contacto con la orina y reduce las complicaciones metab\u00f3licas.6<\/span> El procedimiento tambi\u00e9n se prefiere para pacientes con destreza manual limitada, deterioro cognitivo o aquellos que no pueden manejar desviaciones continentales m\u00e1s complejas.7<\/span><\/p>\n \n

El procedimiento quir\u00fargico consta de cuatro etapas principales: aislar un segmento ileal de 15 cm ubicado a 15 cm de la uni\u00f3n ileocecal, movilizar los ur\u00e9teres preservando su suministro de sangre, realizar anastomosis ureteroent\u00e9rica (usando la t\u00e9cnica de Bricker o Wallace) y crear un estoma en la pared abdominal.8<\/span><\/p>\n \n

El cuidado postoperatorio incluye el manejo del estoma con un aparato de recolecci\u00f3n externo que consiste en una barrera cut\u00e1nea adhesiva y una bolsa de drenaje.9<\/span> Los resultados esperados son generalmente favorables, aunque las complicaciones a largo plazo pueden incluir estenosis estomal, hernia paraestomal, infecciones del tracto urinario y alteraciones metab\u00f3licas como acidosis metab\u00f3lica hiperclor\u00e9mica debido a la absorci\u00f3n de componentes urinarios a trav\u00e9s del tubo ileal. mucosa.4,7<\/span>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":72},"yoast_head":"\nIleal Conduit: Surgical Derivaci\u00f3n Urinaria After...<\/title>\n<meta name=\"description\" content=\"Un conducto ileal crea una v\u00eda para que la orina salga del cuerpo despu\u00e9s de la extracci\u00f3n de la vejiga, utilizando un segmento del intestino delgado...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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