{"id":15473,"date":"2002-07-02T00:00:00","date_gmt":"2002-07-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-paliativo-de-las-neoplasias-biliopancreaticas-irresecables-mediante-protesis-metalicas-autoexpandibles\/"},"modified":"2002-07-02T00:00:00","modified_gmt":"2002-07-02T00:00:00","slug":"tratamiento-paliativo-de-las-neoplasias-biliopancreaticas-irresecables-mediante-protesis-metalicas-autoexpandibles","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tratamiento-paliativo-de-las-neoplasias-biliopancreaticas-irresecables-mediante-protesis-metalicas-autoexpandibles\/","title":{"rendered":"Tratamiento paliativo de las neoplasias biliopancreaticas irresecables mediante protesis metalicas autoexpandibles"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Joaquin Gil Romero <\/strong><\/h2>\n<p>Introduccion  actualmente, el tratamiento de la ictericia obstructiva maligna es por t\u00e9cnicas endosc\u00f3picas o percut\u00e1neas. Describimos el tratamiento con pr\u00f3tesis met\u00e1licas percut\u00e1neas.  material y m\u00e9todos  en los \u00faltimos 5 a\u00f1os se han colocado 92 pr\u00f3tesis met\u00e1licas percut\u00e1neas, agrupando la patolog\u00eda para su estudio en \u00abafectaci\u00f3n hiliar\u00bb o \u00abafectaci\u00f3n extrahep\u00e1tica\u00bb, seg\u00fan la localizaci\u00f3n de la estenosis. Analizamos el \u00e9xito t\u00e9cnico, los par\u00e1metros de colostasis pre y postdrenaje, la morbilidad precoz y tard\u00eda, la supervivencia y lapermeabilidad en relaci\u00f3n con el tipo de tumor, su localizaci\u00f3n y el tipo de pr\u00f3tesis; la estancia hospitalaria y se realiz\u00f3 un an\u00e1lisis de regresi\u00f3n multivariante (cox) para evaluar las influencias de las variables en la supervivencia.  resultados  \u00e9xito t\u00e9cnico: 99% reducci\u00f3n del 57,4% de bilirrubina a lasemana. Complicaciones mayores en los primeros 30 d\u00edas: 16%. Mortalidad en los primeros 30 d\u00edas: 8,7%. Complicaciones tard\u00edas: 15,2%. Tasa de oclusi\u00f3n de las pr\u00f3tesis: 16,2%. Permeabilidad primaria: 133 d\u00edas. Permeabilidad asistida: 141 d\u00edas (mediana). Supervivencia media: 218 d\u00edas. En el an\u00e1lisis multivariante solo mostraron diferencias significativas la supervivencia seg\u00fan el tipo de tumor (mostrando menor supervivencia el c\u00e1ncer de ves\u00edcula y la mayor el colangiocarcinoma) y seg\u00fan el tipo de pr\u00f3tesis (mostrando mayor supervivencia la pr\u00f3tesis strecker).  conclusiones  se trata de un procedimiento t\u00e9cnicamente asequible, con r\u00e1pida disminuci\u00f3n de los valores de colostasis. Presenta improtante morbi-mortalidad, por lo que debe realizarse por personal experimentado. La mayor\u00eda de las pr\u00f3tesis permanecen permeables m\u00e1s que la supervivencia del individuo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento paliativo de las neoplasias biliopancreaticas irresecables mediante protesis metalicas autoexpandibles<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento paliativo de las neoplasias biliopancreaticas irresecables mediante protesis metalicas autoexpandibles <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Joaquin Gil Romero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 07\/02\/2002<\/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>Luis Aparicio Bellver<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: bruno Camps vilata <\/li>\n<li>elisa Martinez alfaro (vocal)<\/li>\n<li>enrique Hernandez gimenez (vocal)<\/li>\n<li>ofelia Gonz\u00e1lez sequeros (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Joaquin Gil Romero Introduccion actualmente, el tratamiento de la ictericia obstructiva maligna es por t\u00e9cnicas endosc\u00f3picas o [&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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