{"id":14830,"date":"2018-03-09T09:01:42","date_gmt":"2018-03-09T09:01:42","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/aproximacion-a-un-modelo-diagnostico-en-pacientes-con-sospecha-cla%c2%adnica-de-disfuncion-vesicular\/"},"modified":"2018-03-09T09:01:42","modified_gmt":"2018-03-09T09:01:42","slug":"aproximacion-a-un-modelo-diagnostico-en-pacientes-con-sospecha-cla%c2%adnica-de-disfuncion-vesicular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/aproximacion-a-un-modelo-diagnostico-en-pacientes-con-sospecha-cla%c2%adnica-de-disfuncion-vesicular\/","title":{"rendered":"Aproximaci\u00f3n a un modelo diagn\u00f3stico en pacientes con sospecha cl\u00ednica de disfunci\u00f3n vesicular"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Vicente Pons Beltr\u00e1n <\/strong><\/h2>\n<p>El diagn\u00f3stico de la disfunci\u00f3n vesicular se basa en una sospecha cl\u00ednica fundada y la evidencia de una trastorno funcional vesicular. La colecistogammagraf\u00eda din\u00e1mica (cgd) es el m\u00e9todo m\u00e1s fiable para analizar la din\u00e1mica. En este grupo de enfermos tamb\u00eden parece pertinente el investigar la existencia de microlitiasis en la bilis.  objetivos  1,- investigar la existencia de disfunci\u00f3n vesicular y\/o microlitiasis en la bilis de pacientes con s\u00edndrome cl\u00ednico t\u00edpico de c\u00f3lico biliar con resultado normal del estudio ultrasonogr\u00e1fico abdominal.  2,- desarrollar un algoritmo diagn\u00f3stico para este tipo de pacientes aplicable en la pr\u00e1ctica cl\u00ednica.  3,- evaluar la utilidad de la ultrasonograf\u00eda vesicular din\u00e1mica para el diagn\u00f3stico de disfunci\u00f3n vesicular tomando a la cgd como prueba de referencia.  4,- conocer el patr\u00f3n de la din\u00e1mica vesicular en el per\u00edodo de interdigestivo en este grupo de pacientes.  5,- investigar la reproducibilidad del resultado anormal de la cgd en per\u00edodo digestivo.  material y m\u00e9todos  1,- captaci\u00f3n de pacientes que cumplieran el criterio b\u00e1sico (sdr., cl\u00ednico y ultrasonograf\u00eda convencional normal).  2,- reevaluaci\u00f3n cl\u00ednica del paciente.  3,- realizaci\u00f3n de determinaciones anal\u00edticas b\u00e1sicas y repetici\u00f3n de la ultrasonograf\u00eda abdominal para reafirmar la normalidad de la misma, espec\u00edficamente la ausencia de litiasis biliar. Indicaci\u00f3n de otras exploraciones complementarias, como endoscopia digestiva, si proced\u00eda, para asegurar la ausencia de otra patolog\u00eda, que pudiera sospecharse por los datos de la historia cl\u00ednica.  4,- ultrasonograf\u00eda biliar din\u00e1mica mediante un m\u00e9todo sencillo basado en el m\u00e9todo del elipsoide (vaciamiento vesicular anormal &lt;50%).  5,- estudio funcional vesicular mediante cgd con est\u00edmulo de colecistoquinina intravenosa. Se consider\u00f3 que el resultado era anormal cuando la fracci\u00f3n de eyecci\u00f3n (fe) era inferior o igual al 4<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Aproximaci\u00f3n a un modelo diagn\u00f3stico en pacientes con sospecha cl\u00ednica de disfunci\u00f3n vesicular<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Aproximaci\u00f3n a un modelo diagn\u00f3stico en pacientes con sospecha cl\u00ednica de disfunci\u00f3n vesicular <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Vicente Pons Beltr\u00e1n <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/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>Julio Ponce Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Mateo navarro <\/li>\n<li>melchor Hoyos Garc\u00eda (vocal)<\/li>\n<li>Miguel Bixquert jim\u00e9nez (vocal)<\/li>\n<li>gonzalo Mi\u00f1o fugarolas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Vicente Pons Beltr\u00e1n El diagn\u00f3stico de la disfunci\u00f3n vesicular se basa en una sospecha cl\u00ednica fundada y [&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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