{"id":16585,"date":"2018-03-09T09:04:16","date_gmt":"2018-03-09T09:04:16","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/papel-de-la-ultrasonografia-endoscopica-y-la-puncion-aspirativa-guiada-por-ecoendocoscopia-en-la-estdificacion-prequirurgica-del-carcinoma-de-esofago\/"},"modified":"2018-03-09T09:04:16","modified_gmt":"2018-03-09T09:04:16","slug":"papel-de-la-ultrasonografia-endoscopica-y-la-puncion-aspirativa-guiada-por-ecoendocoscopia-en-la-estdificacion-prequirurgica-del-carcinoma-de-esofago","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/papel-de-la-ultrasonografia-endoscopica-y-la-puncion-aspirativa-guiada-por-ecoendocoscopia-en-la-estdificacion-prequirurgica-del-carcinoma-de-esofago\/","title":{"rendered":"Papel de la ultrasonografia endoscopica y la punci\u00f3n aspirativa guiada por ecoendocoscopia en la estdificaci\u00f3n prequirurgica del carcinoma de esofago"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Enrique Vazquez Sequeiros <\/strong><\/h2>\n<p>Introduccion  el carcinoma de es\u00f3fago ocupa el cuarto lugar en frecuencia entre las neoplasias del tubo digestivo. El tratamiento y el pron\u00f3stico de estos pacientes depende del estad\u00edo tumoral prequir\u00fargico, ya que aquellos que presenten enfermedad localmente avanzada (estad\u00edo iib-iii) se beneficiar\u00e1n de la asociaci\u00f3n de quimioradioterapia prequir\u00fargica para disminuir la tasa de recidivas y aumentar la supervivencia. La estadificaci\u00f3n del carcinoma de es\u00f3fago se realiza mediante tac y ultrasonograf\u00eda endosc\u00f3pica (use) (precisi\u00f3n diagn\u00f3stica del 50% y 80%, respectivamente). La utilidad de nuevas tecnolog\u00edas (punci\u00f3n guiada por ecoendoscopia: use-paaf) para la estadificaci\u00f3n del carcinoma de es\u00f3fago es desconocida.  hip\u00f3tesis  1,- la use-paaf es una t\u00e9cnica segura y m\u00e1s precisa que tac o use para la estadificaci\u00f3n del carcinoma de es\u00f3fago.  2,- la use-paaf modifica el tratamiento recibido por estos pacientes.  objetivos  1,- determinar la seguridad y la precisi\u00f3n diagn\u00f3stica de la use-paaf en la estadificaci\u00f3n prequir\u00fargica del carcinoma de es\u00f3fago en comparaci\u00f3n con otras t\u00e9cnicas de imagen.  2,- determinar el impacto de tac, ecoendoscopia y use-paaf en el tratamiento de los pacientes con carcinoma de es\u00f3fago.  material y m\u00e9todos  se han dise\u00f1ado 3 estudios para resolver las cuestiones planteadas.  en el primero de ellos se evaluaron 86 pacientes con adenopat\u00edas mediast\u00ednicas de etiolog\u00eda desconocida mediante use-paaf, determin\u00e1ndose la seguridad de la t\u00e9cnica y su fiabilidad diagn\u00f3stica (comparados con tac y use).  en el segundo estudio se compar\u00f3 la precisi\u00f3n de la estadificaci\u00f3n mediante use-paaf (31 pacientes) en el carcinoma de es\u00f3fago con la obtenida por use sin punci\u00f3n (cohorte hist\u00f3rica de 33 pacientes).  un tercer estudio prospectivo y ciego (125 pacientes), compar\u00f3 directamente la precisi\u00f3n de la estadificaci\u00f3n mediante tac helicoidal, use y use-paaf, y el impacto que<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Papel de la ultrasonografia endoscopica y la punci\u00f3n aspirativa guiada por ecoendocoscopia en la estdificaci\u00f3n prequirurgica del carcinoma de esofago<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Papel de la ultrasonografia endoscopica y la punci\u00f3n aspirativa guiada por ecoendocoscopia en la estdificaci\u00f3n prequirurgica del carcinoma de esofago <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Enrique Vazquez Sequeiros <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/04\/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> Pajares Garc\u00eda Jos\u00e9 M.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Escatin marin <\/li>\n<li> Figueroa andolfo Jos\u00e9 Manuel (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Segura cabral (vocal)<\/li>\n<li>Jos\u00e9 Antonio Solis  herruzo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Enrique Vazquez Sequeiros Introduccion el carcinoma de es\u00f3fago ocupa el cuarto lugar en frecuencia entre las neoplasias [&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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