{"id":19471,"date":"2018-03-09T09:08:27","date_gmt":"2018-03-09T09:08:27","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-de-la-endoscopia-digestiva-alta-urgente-en-la-hemorragia-digestiva\/"},"modified":"2018-03-09T09:08:27","modified_gmt":"2018-03-09T09:08:27","slug":"utilidad-de-la-endoscopia-digestiva-alta-urgente-en-la-hemorragia-digestiva","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/leon\/utilidad-de-la-endoscopia-digestiva-alta-urgente-en-la-hemorragia-digestiva\/","title":{"rendered":"Utilidad de la endoscopia digestiva alta urgente en la hemorragia digestiva"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Yolanda Martinez G\u00f3mez <\/strong><\/h2>\n<p>La endoscopia digestiva alta es una t\u00e9cnica especializada que se ha incorporado a la pr\u00e1ctica m\u00e9dica rutinaria tanto en el diagn\u00f3stico como en el tratamiento de m\u00faltiples procesos digestivos.  a pesar de su uso habitual no ha sido evaluada su utilidad como indicaci\u00f3n en las urgencias digestivas, por lo que en este estudio se han valorado los siguientes objetivos:  1,- analizar la eficacia y seguridad de la endoscopia digestiva alta realizada con car\u00e1cter de urgencia.  2,- analizar la utildiad de la endoscopia digestiva alta urgente en el diagn\u00f3stico de los pacientes con hemorragia digestiva alta.  3,- analizar a utilidad de la endoscopia digestiva alta urgente en el pron\u00f3stico de los pacientes con hemorragia digestiva alta.  4,- analizar el impacto de la endoscopia digestiva alta urgente en las altas precoces desde el servicio de urgencias y sus repercusi\u00f3n de los costes.  5,- valorar el valor predictivo de la endoscopia digestiva alta urgente junto con el resto de las variables cl\u00ednicas en: la necesidad de ingreso hospitalario: persistencia de la hemorragia; tratamiento quir\u00fargico; fallecimiento de los pacientes.  pacientes y m\u00e9todos  el estudio se ha realizado en el hospital de le\u00f3n, hospital de tramo i que atiende el \u00e1rea de salud de le\u00f3n con 375.000 habitantes, analiz\u00e1ndose diversas variables cl\u00ednicas, anal\u00edticas y endosc\u00f3picas.  resultados  se han evaluado 2883 endoscopias digestivas altas urgentes. Tras su realizaci\u00f3n, fueron dados de alta desde el servicio de urgencias al 97,6% de los pacientes que precisaron la exploraci\u00f3n por sospecha de cuerpo extra\u00f1o esof\u00e1gico, al 65,2% de los que consultaron por disfagia, al 77,2% de los casos en que se practic\u00f3 por dolor abdominal y al 36,6% de los pacientes con hemorragia digestiva alta. La prueba tuvo una alta especificidad (100%) cuando se realiz\u00f3 por cuerpo extra\u00f1o esof\u00e1gico, una alta sensibilidad (83,5%) y especificidad (98,5%) cuando se hizo por<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad de la endoscopia digestiva alta urgente en la hemorragia digestiva<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad de la endoscopia digestiva alta urgente en la hemorragia digestiva <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Yolanda Martinez G\u00f3mez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Le\u00f3n<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/10\/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>Francisco Jorquera Plaza<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: agustin Caro paton gomez <\/li>\n<li>Jos\u00e9 Luis Calleja panero (vocal)<\/li>\n<li> Olcoz go\u00f1i Jos\u00e9 Luis (vocal)<\/li>\n<li>Jes\u00fas Espinel d\u00edez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Yolanda Martinez G\u00f3mez La endoscopia digestiva alta es una t\u00e9cnica especializada que se ha incorporado a la 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