{"id":12772,"date":"2018-03-09T08:58:46","date_gmt":"2018-03-09T08:58:46","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/helicobacter-pylori-en-pacientes-con-vagotoma%c2%ada-y-drenaje-por-ulcus-duodenal\/"},"modified":"2018-03-09T08:58:46","modified_gmt":"2018-03-09T08:58:46","slug":"helicobacter-pylori-en-pacientes-con-vagotoma%c2%ada-y-drenaje-por-ulcus-duodenal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/helicobacter-pylori-en-pacientes-con-vagotoma%c2%ada-y-drenaje-por-ulcus-duodenal\/","title":{"rendered":"Helicobacter pylori en pacientes con vagotom\u00eday drenaje por ulcus duodenal"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Asanza Llorente Juan  Antonio <\/strong><\/h2>\n<p>Introducci\u00f3n  la infecci\u00f3n por h.Pylori es una de las m\u00e1s extendidas en el hombre. la relaci\u00f3n con la \u00falcera duodenal es bien conocida, el 95-100% de estos enfermos tendr\u00e1n la bacter\u00eda y su erradiaci\u00f3n cura la \u00falcera y disminuye las recidivas a niveles nunca antes logrados con tratamiento m\u00e9dico.  en nuestro medio existe un n\u00famero importante de pacientes intervenidos por ulcus duodenal mediante vagotom\u00eda troncular y drenaje (vt+d) y algunos, cada vez menos, siguen precisando intervenci\u00f3n por complicaciones del ulcus. los estudios sobre h.Pylori en estos pacientes son escasos e incompletos.  pretendemos averiguar que efecto puede tener la persistencia de h.Pylori tras vt+d, no solo si est\u00e1 asociado con el ulcus recidivado, sino con la sintomatolog\u00eda, niveles de gastrina y pepsin\u00f3geno, as\u00ed como con las lesiones sobre la mucosa g\u00e1strica. Tambi\u00e9n queremos observar que efecto tiene la erradicaci\u00f3n de la bacteria sobre estos aspectos.  material y metodos  para ello se ha estudiado a 37 pacientes con vt+d por ulcus duodenal en el \u00e1rea norte de la provincia de ja\u00e9n. La sintomatolog\u00eda se ha graduado seg\u00fan la escala visick. Se han determinado los niveles, tanto basales, como postest\u00edmulo, de gastrina y pepsin\u00f3geno. En la gastroscopia se han tomado tres biopsias de antro (para estudio micribol\u00f3gico, histol\u00f3gico y test de la ureasa) y una de cuerpo (estudio histol\u00f3gico).La valoraci\u00f3n de vagotom\u00eda completa o incompleta se ha llevado a cabo mediante el test del rojo congo. Los casos con h.Pylori positivos han sido tratados con oca (omeprazol, claritromicina y amoxicilina) durante una semana; una vez comprobada la erradiaci\u00f3n mediante test del aliento se repet\u00eda el estudio, incluyendo gastroscopia en los casos con recidiva ulcerosa.  resultados  la preValencia de infecci\u00f3n por h.Pylori ha sido del 86,5%. La tercera parte de los pacientes ten\u00edan s\u00edntomas disp\u00e9pticos asociados, pero de forma inversa, con la pre<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Helicobacter pylori en pacientes con vagotom\u00eday drenaje por ulcus duodenal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Helicobacter pylori en pacientes con vagotom\u00eday drenaje por ulcus duodenal <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Asanza Llorente Juan  Antonio <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/09\/2001<\/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>Juan Diaz Oller<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joaqu\u00edn Fern\u00e1ndez-crehuet navajas <\/li>\n<li>enrique G\u00f3mez gracia (vocal)<\/li>\n<li>Jos\u00e9 Cantillana Martinez (vocal)<\/li>\n<li>Francisco Rivera huerto (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Asanza Llorente Juan Antonio Introducci\u00f3n la infecci\u00f3n por h.Pylori es una de las m\u00e1s extendidas en el [&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":[9,141,387,491,139,10715],"tags":[41671,2222,41673,2223,10957,41672],"class_list":["post-12772","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","category-gastroenterologia","category-medicina-interna","category-sevilla","tag-asanza-llorente-juan-antonio","tag-enrique-gomez-gracia","tag-francisco-rivera-huerto","tag-joaquin-fernandez-crehuet-navajas","tag-jose-cantillana-Martinez","tag-juan-diaz-oller"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/12772","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=12772"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/12772\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=12772"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=12772"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=12772"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}