{"id":19139,"date":"2018-03-09T09:08:01","date_gmt":"2018-03-09T09:08:01","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/trasplante-hepatico-en-pacientes-cirroticos-con-diabetes-mellitus-resultados-a-medio-plazo-supervivencia-y-efectos-adversos\/"},"modified":"2018-03-09T09:08:01","modified_gmt":"2018-03-09T09:08:01","slug":"trasplante-hepatico-en-pacientes-cirroticos-con-diabetes-mellitus-resultados-a-medio-plazo-supervivencia-y-efectos-adversos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/trasplante-hepatico-en-pacientes-cirroticos-con-diabetes-mellitus-resultados-a-medio-plazo-supervivencia-y-efectos-adversos\/","title":{"rendered":"Trasplante hep\u00e1tico en pacientes cirr\u00f3ticos con diabetes mellitus: resultados a medio plazo, supervivencia y efectos adversos"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Blanco Gonz\u00e1lez Jos\u00e9 Javier <\/strong><\/h2>\n<p>Hasta un 60-80% de los pacientes con cirrosis hep\u00e1tica presentan intolerancia hidrocarbonada, y entre un 10-32% de los mismos desarrollan diabetes mellitus. el trasplante hep\u00e1tico al revertir algunas de las alteraciones del metabolismo hidrocarbonado tiene un efecto antidiabet\u00f3geno. Sin embargo el tratamiento inmnosupresor que precisan los pacientes trasplantados tiene un efecto diabet\u00f3geno. La obesidad, la hipertensi\u00f3n arterial, las dislipemias, la insuficiencia renal, las infecciones o las complicaciones vasculares son complicaciones comunes tanto a los diab\u00e9ticos como a los trasplantados.  el principal objetivo de este trabajo es estudiar los posibles factores asociados con la diabetes mellitus antes y despu\u00e9s del trasplante hep\u00e1tico, y cu\u00e1l es su impacto en la evoluci\u00f3n posterior del trasplante.  evaluamos la preValencia de diabetes mellitus entre 115 pacientes con cirrosis hep\u00e1tica en lista de espera de trasplante hep\u00e1tico y seguimos su evoluci\u00f3n despu\u00e9s del trasplante (media de seguimiento de 41 meses). para el diagn\u00f3stico de diabetes mellitus utilizamos los \u00faltimos criterios propuestos por la american diabetic association del a\u00f1o 1997.  en la evaluaci\u00f3n previa al trasplante hep\u00e1tico el 53% de los pacientes cirr\u00f3ticos cumpl\u00edan criterios diagn\u00f3sticos de diabetes mellitus (s\u00f3lo un 20% habr\u00edan sido diagn\u00f3sticados de diabetes mellitus si s\u00f3lo hubi\u00e9ramos utilizado criterios de glucemia basal sin prueba de sobrecarga oral a la glucosa). Diecis\u00e9is pacientes presentaban diabetes mellitus con necesidad de tratamiento farmacol\u00f3gico antidiab\u00e9tico (grupo a), cuarenta y cinco pacientes ten\u00edan diabetes mellitus que controlaban con dieta y ejercicio (grupo b), y 54 pacientes no eran diab\u00e9ticos (grupo c).  la supervivencia actuarial al a\u00f1o, 3 y 5 a\u00f1os, fue del 100%, 100% y 100% para el grupo a, 91%, 85% y 85% para el grupo b, y 77%, 74% y 71% para el grupo c, respectivamente (p&lt;0,03). No hubo diferencias entre<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Trasplante hep\u00e1tico en pacientes cirr\u00f3ticos con diabetes mellitus: resultados a medio plazo, supervivencia y efectos adversos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Trasplante hep\u00e1tico en pacientes cirr\u00f3ticos con diabetes mellitus: resultados a medio plazo, supervivencia y efectos adversos <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Blanco Gonz\u00e1lez Jos\u00e9 Javier <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/09\/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>Jorge  Augusto Quiroga Vilas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pilar Civeira murillo <\/li>\n<li>antoni Rimola castell? (vocal)<\/li>\n<li>Francisco Javier Alvarez-cienfuegos suarez (vocal)<\/li>\n<li>Andr\u00e9s Valdivieso l\u00f3pez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Blanco Gonz\u00e1lez Jos\u00e9 Javier Hasta un 60-80% de los pacientes con cirrosis hep\u00e1tica presentan intolerancia hidrocarbonada, y [&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":[9,141,10,851,491,139,17749],"tags":[13222,1283,58948,58949,18372,17764],"class_list":["post-19139","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-de-trasplantes","category-endocrinologia","category-gastroenterologia","category-medicina-interna","category-navarra","tag-andres-valdivieso-lopez","tag-antoni-rimola-castell","tag-blanco-gonzalez-jose-javier","tag-francisco-javier-alvarez-cienfuegos-suarez","tag-jorge-augusto-quiroga-vilas","tag-pilar-civeira-murillo"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19139","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=19139"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19139\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=19139"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=19139"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=19139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}