{"id":145976,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/nuevo-tratamiento-de-la-hipertension-portal-en-la-cirrosis-hepatica-mediante-protesis-intrahepatica-portosistemica-por-via-yugular-resultados-clinicos-preliminares\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"nuevo-tratamiento-de-la-hipertension-portal-en-la-cirrosis-hepatica-mediante-protesis-intrahepatica-portosistemica-por-via-yugular-resultados-clinicos-preliminares","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/nuevo-tratamiento-de-la-hipertension-portal-en-la-cirrosis-hepatica-mediante-protesis-intrahepatica-portosistemica-por-via-yugular-resultados-clinicos-preliminares\/","title":{"rendered":"Nuevo tratamiento de la hipertension portal en la cirrosis hepatica mediante protesis intrahepatica portosistemica por via yugular. resultados clinicos preliminares."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luis Julio Garcia Villarreal <\/strong><\/h2>\n<p>La hemorragia por varices y la ascitis son complicaciones frecuentes de la hipertension portal de la cirrosis hepatica. Existen muchos tratamientos para ambas con eficacia y complicaciones distintas y ninguna posee clara superioridad. Recientemente se ha introducido un nuevo tratamiento no quirurgico: protesis intrahepatica portosistemica (pip, \u00abtips\u00bb). Hemos tratado 31 pacientes con wallstent de 8 mm 0 bajo control ecografico y fluoroscopico: 21 por hemorragia y 10 por ascitis refractaria.  la tecnica fue posible en todos y consiguio una descompresion portal marcada y mantenida. Las complicaciones tecnicas fueron infrecuentes y autolimitadas. Despues de la pip empeoraron transitoriamente algunas pruebas de funcion hepatica. La encefalopatia fue frecuente durante el seguimiento pero generalmente leve, de facil control, precoz y en pacientes con antecedentes. La pip consiguio cohibir la hemorragia activa en todos los pacientes y previno la recidiva en el 100%. La ascitis se elimino en los 10 pacientes sin reacumulacion posterior. La natriuresis aumento significativamente sin cambios en el filtrado glomerular paralelo a un descenso en la aldosterona. Esto permitio disminuir las dosis de diureticos y liberalizar la ingesta de sodio en algunos pacientes.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Nuevo tratamiento de la hipertension portal en la cirrosis hepatica mediante protesis intrahepatica portosistemica por via yugular. resultados clinicos preliminares.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Nuevo tratamiento de la hipertension portal en la cirrosis hepatica mediante protesis intrahepatica portosistemica por via yugular. resultados clinicos preliminares. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luis Julio Garcia Villarreal <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/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>Jos\u00e9 Manuel Zozaya Urmeneta<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Pedro Betancor Le\u00f3n <\/li>\n<li>Jaime Bosch Genoves (vocal)<\/li>\n<li>Federico Conchillo Teruel (vocal)<\/li>\n<li>Ignacio Alberola Gomez-escolar (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luis Julio Garcia Villarreal La hemorragia por varices y la ascitis son complicaciones frecuentes de la hipertension [&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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