{"id":15815,"date":"2018-03-09T09:03:08","date_gmt":"2018-03-09T09:03:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/indicaciones-de-la-colecistectoma%c2%ada-en-la-ciruga%c2%ada-de-la-obesidad-morbida\/"},"modified":"2018-03-09T09:03:08","modified_gmt":"2018-03-09T09:03:08","slug":"indicaciones-de-la-colecistectoma%c2%ada-en-la-ciruga%c2%ada-de-la-obesidad-morbida","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/indicaciones-de-la-colecistectoma%c2%ada-en-la-ciruga%c2%ada-de-la-obesidad-morbida\/","title":{"rendered":"Indicaciones de la colecistectom\u00edaen la cirugia de la obesidad m\u00f3rbida"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Cruz Verd\u00fan Joan De La <\/strong><\/h2>\n<p>La obesidad es el trastorno nutricional m\u00e1s frecuente en la actualidad. se define como un exceso de almacenamiento en forma de grasa que se manifiesta por un peso elevado comparando con la edad y sexo del individuo. La obesidad m\u00f3rbida es aquella en que las cifras son tributarias de tratamiento quir\u00fargico.  la litiasis biliar, junto la obesidad, es la patolog\u00eda m\u00e1s frecuente en nuestra comunidad, siendo las cifras elevadads, tanto en pacientes sintom\u00e1ticos como en los que no presentan cl\u00ednica alguna.  la relaci\u00f3n obesidad\/patolog\u00eda biliar es de largo conocida. Nos planteamos en la siguiente tesis el estudio de la patolog\u00eda biliar en todo aquel paciente que va a ser intervenido de su obesidad mediante cirug\u00eda bari\u00e1trica.  cuando utilizamos t\u00e9cnicas bari\u00e1tricas complejas, derivatias o malabsortivas, la colecistectom\u00eda se realiza de forma reglada. En las t\u00e9cnicas restrictivas (gastroplast\u00eda vertical anillada en nuestro caso) el tema est\u00e1 en el aire, pero valoramos el riesgo de reintervenir al paciente por la aparici\u00f3n de patolog\u00eda biliar posterior.  realizamos un estudio y seguimiento de 170 pacientes intervenidos de gva a los que se les realiza un estudio sistem\u00e1tico de la bilis con la presencia de litiasis, o patolog\u00eda biliar en un estudio intraoperatorio de la bilis mediante microscopio \u00f3ptico.  concluimos que \u00fanicamente el 7,6% de los pacientes intervenidos de gva poseen la bilis normal (no patol\u00f3gica) en un periodo de seguimiento de 4 a\u00f1os y por ello, nos planteamos la realizaci\u00f3n de la colecistectom\u00eda terap\u00e9utica o profil\u00e1ctica, a todo aquel paciente afecto de obesidad m\u00f3rbida que se ha de intervenir quir\u00fargicamente de su obesidad.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Indicaciones de la colecistectom\u00edaen la cirugia de la obesidad m\u00f3rbida<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Indicaciones de la colecistectom\u00edaen la cirugia de la obesidad m\u00f3rbida <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Cruz Verd\u00fan Joan De La <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/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>Jaume Fern\u00e1ndez Llamazares Rodriguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Armengol carrasco <\/li>\n<li>joan Vi\u00f1as salas (vocal)<\/li>\n<li>celestino Rei jol\u00ed (vocal)<\/li>\n<li>xavier Su\u00f1ol sala (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Cruz Verd\u00fan Joan De La La obesidad es el trastorno nutricional m\u00e1s frecuente en la actualidad. se [&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":[467,9,141,387,2931],"tags":[50271,50270,14217,32818,13950,1280],"class_list":["post-15815","post","type-post","status-publish","format-standard","hentry","category-ciencias-de-la-nutricion","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","category-enfermedades-de-la-nutricion","tag-celestino-rei-joli","tag-cruz-verdun-joan-de-la","tag-jaume-fernandez-llamazares-rodriguez","tag-joan-vinas-salas","tag-manuel-armengol-carrasco","tag-xavier-sunol-sala"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/15815","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=15815"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/15815\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=15815"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=15815"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=15815"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}