{"id":18148,"date":"2002-05-07T00:00:00","date_gmt":"2002-05-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-isotopico-del-funcionalismo-digestivo-en-pacientes-sometidos-a-ciruga%c2%ada-bariatrica\/"},"modified":"2002-05-07T00:00:00","modified_gmt":"2002-05-07T00:00:00","slug":"estudio-isotopico-del-funcionalismo-digestivo-en-pacientes-sometidos-a-ciruga%c2%ada-bariatrica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-isotopico-del-funcionalismo-digestivo-en-pacientes-sometidos-a-ciruga%c2%ada-bariatrica\/","title":{"rendered":"Estudio isot\u00f3pico del funcionalismo digestivo en pacientes sometidos a cirugia bari\u00e1trica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Xavier Mira Alonso <\/strong><\/h2>\n<p>Con el objetivo de estudiar el funcionalismo del tramo digestivo superior en distintas t\u00e9cnicas bari\u00e1tricas (gastroplastia vertical anillada (gva) con o sin vagotom\u00eda troncular (vt) y salmon) en las condiciones m\u00e1s parecidas a las de ingesta habitual, se han reclutado 40 pacientes previamente intervenidos quir\u00fargicamente por obesidad m\u00f3rbida (9 gva, 18 gva+vt y 13 salmon) de forma aleatoria. A los pacientes se les ha practicado una gammagraf\u00eda durante la ingesta de una comida semis\u00f3lida marcada con contraste isot\u00f3pico (99m tc), e ingerida en posici\u00f3n de sedestaci\u00f3n. Con posterioridad se han calculado los tiempos 1\/2 de vaciamiento de distintas \u00e1reas de estudio del tramo digestivo superior (reservorio, est\u00f3mago, y marco duodenal o asa eferente seg\u00fan la t\u00e9cnica), compar\u00e1ndose los mismos seg\u00fan t\u00e9cnica quir\u00fargica, resultado antropom\u00e9trico y tiempo postoperatorio transcurrido.  resultados  el t 1\/2 de vaciamiento del reservorio de los pacientes estudiados es de 242&#8243; para los pacientes sometidos a gva, 82&#8243; para el grupo de gva+vt y 60&#8243; para salmon, con valores de p para la comparaci\u00f3n entre \u00e9xitos y fracasos de 0,40 para gva, 0,095 para gva+vt y no valorable para el grupo sometido a la t\u00e9cnica de salmon. Valores an\u00e1logos para el vaciamiento g\u00e1strico han sido 932&#8243;, 1287&#8243; y 211&#8243;, con p de 0,34, 0,54 y 0,45 para comparar \u00e9xitos y fracasos. El funcionamiento del reservorio no ha mostrado estad\u00edsticamente significativas entre las distintas t\u00e9cnicas, como tampoco se ha objetivado en el estudio de los otros tramos digestivos analizados. La vagotom\u00eda provoca un enlentecimiento no significativo del vaciamiento g\u00e1strico (931&#8243; y 1287&#8243; para gva y gva+vt respectivamente con p=0,06) y del marco duodenal (461&#8243; y 825&#8243; para gva y gva+vt respectivamente con p=0,1574). La \u00fanica modificaci\u00f3n estad\u00edsticamente significativa a lo largo del tiempo, ha sido el enlentecimiento en el vaciamiento g\u00e1strico en la t\u00e9cnica de salmon (t 1\/2 d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio isot\u00f3pico del funcionalismo digestivo en pacientes sometidos a cirugia bari\u00e1trica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio isot\u00f3pico del funcionalismo digestivo en pacientes sometidos a cirugia bari\u00e1trica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Xavier Mira Alonso <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/07\/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: xavier Rius cornado <\/li>\n<li>manel Monreal bosch (vocal)<\/li>\n<li>joan Vi\u00f1as salas (vocal)<\/li>\n<li>Antonio Rafecas renau (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Xavier Mira Alonso Con el objetivo de estudiar el funcionalismo del tramo digestivo superior en distintas t\u00e9cnicas [&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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