{"id":142692,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/litotricia-por-ondas-de-choque-para-tratamiento-de-la-colelitiasis-resultados-complicaciones-y-analisis-de-la-recurrencia-litiasica-a-corto-y-medio-plazo\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"litotricia-por-ondas-de-choque-para-tratamiento-de-la-colelitiasis-resultados-complicaciones-y-analisis-de-la-recurrencia-litiasica-a-corto-y-medio-plazo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/litotricia-por-ondas-de-choque-para-tratamiento-de-la-colelitiasis-resultados-complicaciones-y-analisis-de-la-recurrencia-litiasica-a-corto-y-medio-plazo\/","title":{"rendered":"Litotricia por ondas de choque para tratamiento de la colelitiasis: resultados, complicaciones y analisis de la recurrencia litiasica a corto y medio plazo."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Escartin Mu\u00f1oz Ortiz Pedro <\/strong><\/h2>\n<p>El presente trabajo estudia los resultados a corto y medio plazo de la litotricia biliar para el tratamiento de la colelitiasis y sus complicaciones, analizando la recurrencia litiasica tras la desaparicion de los calculos y la posibilidad de prediccion de la fragmentacion en funcion de las caracteristicas ultrasonograficas de los calculos. Para ello se estudian 230 pacientes, en 196 (85.2%) de los cuales se obtuvo una adecuada fragmentacion. Se llevo a cabo un seguimiento de 24 meses al final del cual se objetivo una tasa de vesiculas alitiasicas del 72%, si bien estas cifras se elevaron al 84,4% en pacientes portadores de colelitiasis unica. No se registraron diferencias estadisticamente significativas cuando se compararon los pacientes en funcion de su masa litiasica total.  la complicacion mas frecuente resulto ser el colico biliar, que se desarrollo en un 37,2% de los pacientes y cuya frecuencia no se correlaciono con el numero de calculos tratados resultando ser significativamente mas elevada en pacientes con masa litiasica total mayor de 20 mm. Se registraron tres pancreatitis agudas (1.5%) y cinco vesiculas escleroatroficas, todas ellas en pacientes portadores de calculos infundibulares.  el analisis de la recurrencia arrojo una probabilidad de recidiva litiasica del 17% a los 24 meses, con mayor tendencia a la misma en pacientes con colelitiasis multiple y con masa litiasica total superior a 20 mm.  se demostro que la clasificacion de las caracteristicas ultrasonograficas de los calculos establecida por tsuchiya resulta un metodo eficaz para predecir la fragmentacion mediante loc, siendo esta sensiblemente mayor en las litiasis tipos i y ii.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Litotricia por ondas de choque para tratamiento de la colelitiasis: resultados, complicaciones y analisis de la recurrencia litiasica a corto y medio plazo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Litotricia por ondas de choque para tratamiento de la colelitiasis: resultados, complicaciones y analisis de la recurrencia litiasica a corto y medio plazo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Escartin Mu\u00f1oz Ortiz Pedro <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1993<\/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>Manuel Diaz Rubio Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Arturo Fernandez Cruz <\/li>\n<li>Enrique Moreno Gonz\u00e1lez (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Segovia De Arana (vocal)<\/li>\n<li>Melchor Alvarez De Mon Soto (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Escartin Mu\u00f1oz Ortiz Pedro El presente trabajo estudia los resultados a corto y medio plazo de la [&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 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