{"id":10361,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1996\/01\/01\/causas-gastrointestinales-de-anemia-ferropenica-en-adultos-mayores-de-40-anos-secuencia-diagnostica\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"causas-gastrointestinales-de-anemia-ferropenica-en-adultos-mayores-de-40-anos-secuencia-diagnostica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/causas-gastrointestinales-de-anemia-ferropenica-en-adultos-mayores-de-40-anos-secuencia-diagnostica\/","title":{"rendered":"Causas gastrointestinales de anemia ferropenica en adultos mayores de 40 a\u00f1os. secuencia diagnostica."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Reyes Lopez Antonio  Angel <\/strong><\/h2>\n<p>En la anemia cronica por perdida de sangre por el tracto gastrointestinal (gi), no esta bien precisada la secuencia diagnostica a seguir ni la preValencia de las lesiones causantes.Objetivos: determinar: 1) la preValencia de lesiones sangrantes (ls) o potencialmente sangrantes (lps), 2) la frecuencia de lesiones asociadas y su localizacion, 3) el valor de la h. Clinica en la orientacion diagnostica, y 4) la secuencia diagnostica a seguir.  enfermos y metodos. Se estudiaron prospectivamente 80 enfermos (40h\/40m) de mas de 40 a\u00f1os (x=65; sd=11) con anemia cronica ferropenica por perdidas gi. La endoscopia alta se realizo en 69 pacientes (86%) y el mismo numero fue explorado mediante colonoscopia comenzando por la primera (grupo a) o la segunda (grupo b), segun la orientacion clinica. Solo se realizo enema opaco cuando la colonoscopia fue incompleta. Si estos examenes fueron negativos se efectuo transito baritado convencional y en ocasiones, arteriografia.  resultados. La endoscopia preciso el origen de la hemorragia en el 87%. La endoscopia alta detecto ls o lps en 50 pacientes (72%), 13 de ellos con lesion asociada en el tramo bajo. La colonoscopia detecto lesion en 31 (45%), 20 sin hallazgos en el tramo alto. El enema opaco fue positivo en 4\/24 (17%). El transito baritado y la arteriografia fueron positivas en un paciente de 7 (14%) y 4 (25%) estudiados respectivamente. Las lesiones del tramo gis fueron: hernia hiatal (23), esofagitis erosiva (10), lamgd (10), ulcera peptica (8), ca. Gastrico (12) angiodisplasia (3) y otras (7). Las lesiones del tramo bajo fueron: cancer (17), polipos (3), diverticulos (11), angiodisplasia (4) y otras (2). Trece de los 38 pacientes (34%) con lps benignas en el tracto gis tenian otra lps en colon. La presuncion clinica del origen del sangrado fue: grupo a: sensibilidad= 96%, especificidad= 43% y v.  predictivo positivo= 74% grupo b: sensibilidad= 34%, especificidad=91%, y vpp=80%.  conclusion<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Causas gastrointestinales de anemia ferropenica en adultos mayores de 40 a\u00f1os. secuencia diagnostica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Causas gastrointestinales de anemia ferropenica en adultos mayores de 40 a\u00f1os. secuencia diagnostica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Reyes Lopez Antonio  Angel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1996<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Gonzalo Mi\u00f1o Fugarolas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Pedro S\u00e1nchez Guijo <\/li>\n<li>Javier Salmeron Escobar (vocal)<\/li>\n<li>Antonio Grilo Reina (vocal)<\/li>\n<li>Manuel De La Mata Garcia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Reyes Lopez Antonio Angel En la anemia cronica por perdida de sangre por el tracto gastrointestinal (gi), [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,973,491,139],"tags":[34604,2063,2071,2045,1935,34699],"class_list":["post-10361","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cordoba","category-gastroenterologia","category-medicina-interna","tag-antonio-grilo-reina","tag-gonzalo-mino-fugarolas","tag-javier-salmeron-escobar","tag-manuel-de-la-mata-garcia","tag-pedro-sanchez-guijo","tag-reyes-lopez-antonio-angel"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/10361","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=10361"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/10361\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=10361"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=10361"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=10361"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}