{"id":18448,"date":"2018-03-09T09:06:59","date_gmt":"2018-03-09T09:06:59","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/helicobacter-pylori-y-persistencia-de-sintomas-postocolecistectomia-analisis-de-la-utilidad-de-su-erradicacion-peroperatoria\/"},"modified":"2018-03-09T09:06:59","modified_gmt":"2018-03-09T09:06:59","slug":"helicobacter-pylori-y-persistencia-de-sintomas-postocolecistectomia-analisis-de-la-utilidad-de-su-erradicacion-peroperatoria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/helicobacter-pylori-y-persistencia-de-sintomas-postocolecistectomia-analisis-de-la-utilidad-de-su-erradicacion-peroperatoria\/","title":{"rendered":"Helicobacter pylori y persistencia de sintomas postocolecistectomia. an\u00e1lisis de la utilidad de su erradicaci\u00f3n peroperatoria"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Gutierrez De La Pe\u00f1a Carlos <\/strong><\/h2>\n<p>La persistencia de s\u00edntomas postcolecistectom\u00eda laparosc\u00f3pica que afecta al 30% de los pacientes intervenidos por colelitiasis sintom\u00e1tica supone un motivo de frustaci\u00f3n al paciente y un problema de grave soluci\u00f3n al cirujano.  numerosos son los estudios que han intentado se\u00f1alar que s\u00edntomas son predictivos de un mal resultado postoperatorio, persistencia que ha sido atribuida a variadas causas, entre ellas la psicolabilidad del paciente.  con nuestra tesis relizada en dos fases en 300 pacientes intervenidos consecutivamente de colelitiasis simple sintom\u00e1tica mediante colecistectom\u00eda laparosc\u00f3pica, hemos pretendido descurbir qu\u00e9 s\u00edntomas son en nuestro medio predictivos de un mal resultado postoperatorio, as\u00ed como cual ha sido la causa de su persistencia.  primeramente en 200 pacientes, que presentaban preoperatoriamente dolor abdominal y sintomatolog\u00eda disp\u00e9ptica, en la revisi\u00f3n realizada el a\u00f1o de la intervenci\u00f3n el 26% continuaba con alg\u00fan tipo de sintomatolog\u00eda. el an\u00e1lisis estad\u00edstico nos permiti\u00f3 confirmar que la pirosis, la distensi\u00f3n abdominal postpandrial y la intolerancia alimenticia, eran s\u00edntomas predictivos de su persistencia postoperatoria. Se analiz\u00f3 la relaci\u00f3n existente con la determinaci\u00f3n positiva de helicobacter y se procedi\u00f3 a su erradicaci\u00f3n.  en la segunda fase de la tesis, realziada en 100 pacientes que presentaban preoperatoriamente s\u00edntomas predictivos de su persistencia, se erradic\u00f3 peroperatoriamente el helicobacter pylori cuando su determinaci\u00f3n fue positiva.  comparando ambos grupos se observ\u00f3 que la curaci\u00f3n de los pacientes de la primera fase antes de la erradicaci\u00f3n del german alcanz\u00f3 el 74%, mientras que en los de la segunda fase, el \u00edndice de curaci\u00f3n al a\u00f1o de la intervenci\u00f3n lleg\u00f3 al 96%.  ello nos ha permitido concluir que la colecistectom\u00eda laparosc\u00f3pica es el tratamiento ideal para la colelitiasis sintom\u00e1tica. Cuando persisyan s\u00edntomas al a\u00f1o de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Helicobacter pylori y persistencia de sintomas postocolecistectomia. an\u00e1lisis de la utilidad de su erradicaci\u00f3n peroperatoria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Helicobacter pylori y persistencia de sintomas postocolecistectomia. an\u00e1lisis de la utilidad de su erradicaci\u00f3n peroperatoria <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Gutierrez De La Pe\u00f1a Carlos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/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>Juan  Antonio Zafra Mezcua<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Sierra l\u00f3pez <\/li>\n<li> Fern\u00e1ndez serrano Jos\u00e9 Luis (vocal)<\/li>\n<li>Santiago Perez ramos (vocal)<\/li>\n<li>ram\u00f3n Mart\u00edn g\u00f3mez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gutierrez De La Pe\u00f1a Carlos La persistencia de s\u00edntomas postcolecistectom\u00eda laparosc\u00f3pica que afecta al 30% de los [&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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