{"id":14482,"date":"2018-03-09T09:01:12","date_gmt":"2018-03-09T09:01:12","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/hepatitis-c-tras-el-trasplante-hepatico-historia-natural-y-factores-de-riesgo-de-evolucion-desfavorable\/"},"modified":"2018-03-09T09:01:12","modified_gmt":"2018-03-09T09:01:12","slug":"hepatitis-c-tras-el-trasplante-hepatico-historia-natural-y-factores-de-riesgo-de-evolucion-desfavorable","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/hepatitis-c-tras-el-trasplante-hepatico-historia-natural-y-factores-de-riesgo-de-evolucion-desfavorable\/","title":{"rendered":"Hepatitis c tras el trasplante hepatico: historia natural y factores de riesgo de evolucion desfavorable."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Marina Berenguer Haym <\/strong><\/h2>\n<p>La cirrosis por el virus de la hepatitis c constituye la principal indicaci\u00f3n de trasplante hep\u00e1tico en la mayoria de centros trasplantadores. Pese a la recurrencia universal de la infecci\u00f3n o viremia, la supervivencia a 5 a\u00f1os, tanto del injerto como del paciente, no difiere de la de grupos controles no infectados. Sin embargo, la mayoria de los pacientes desarrolla hepatitis cronica que con el tiempo progresa a cirrosis y fallo del injerto hasta en un 30% de casos tras cinco a\u00f1os de seguimiento. Es probable que con seguimientos m\u00e1s prolongados aumenta la incidencia de fallo hep\u00e1tico secundario a la hepatitis c recurrente. En efecto, la progresi\u00f3n histol\u00f3gica es significativamente m\u00e1s rapida en los paciente trasplantados que en aquellos inmunocompetentes, lo cual sugiere que el tiempo necesario para el desarrollo de cirrosis sea menor. Esta progresi\u00f3n histol\u00f3gica es, no obstante, variable y depende de la presencia o no de ciertos factores de riesgo, tales como la carga v\u00edrica pre-trasplante y el grado de inmunosupresi\u00f3n. Otros factores, tales como la coinfecci\u00f3n por el virus de la hepatitis g, no desempe\u00f1an ningun papel en esta evoluci\u00f3n. Los cambios en la inmunosupresi\u00f3n con la introducci\u00f3n de nuevos y potentes farmacos inmunosupresi\u00f3n con la introducci\u00f3n de nuevos y potentes farmacos inmunosupresores parece ser responsable del empeoramiento de la progresi\u00f3n de la hepatitis c recurrente observado en a\u00f1os recientes.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Hepatitis c tras el trasplante hepatico: historia natural y factores de riesgo de evolucion desfavorable.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Hepatitis c tras el trasplante hepatico: historia natural y factores de riesgo de evolucion desfavorable. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Marina Berenguer Haym <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/12\/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>Joaquin Berenguer Lapuerta<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: M\u00aa teresa Jim\u00e9nez de anta <\/li>\n<li>ramon Planas vila (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Sanchez tapias (vocal)<\/li>\n<li>jaume Bosch genover (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Marina Berenguer Haym La cirrosis por el virus de la hepatitis c constituye la principal indicaci\u00f3n de [&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":[951,155,35,9,139,278,280],"tags":[33879,15290,18128,46599,13814,1156],"class_list":["post-14482","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ciencias-clinicas","category-ciencias-de-la-vida","category-ciencias-medicas","category-medicina-interna","category-microbiologia","category-virologia","tag-jaume-bosch-genover","tag-joaquin-berenguer-lapuerta","tag-jose-maria-sanchez-tapias","tag-marina-berenguer-haym","tag-ma-teresa-jimenez-de-anta","tag-ramon-planas-vila"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/14482","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=14482"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/14482\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=14482"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=14482"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=14482"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}