{"id":21055,"date":"2018-03-09T09:10:38","date_gmt":"2018-03-09T09:10:38","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/reflujo-vesicoureteral-grados-iii-iv-factores-implicados-en-la-efectividad-del-tratamiento-endoscopico-con-respecto-a-la-terapia-medica-y-quirurgica-en-pacientes-pediatricos\/"},"modified":"2018-03-09T09:10:38","modified_gmt":"2018-03-09T09:10:38","slug":"reflujo-vesicoureteral-grados-iii-iv-factores-implicados-en-la-efectividad-del-tratamiento-endoscopico-con-respecto-a-la-terapia-medica-y-quirurgica-en-pacientes-pediatricos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/a-coruna\/reflujo-vesicoureteral-grados-iii-iv-factores-implicados-en-la-efectividad-del-tratamiento-endoscopico-con-respecto-a-la-terapia-medica-y-quirurgica-en-pacientes-pediatricos\/","title":{"rendered":"Reflujo vesicoureteral grados iii-iv: factores implicados en la efectividad del tratamiento endosc\u00f3pico con respecto a la terapia m\u00e9dica y quir\u00fargica en pacientes pedi\u00e1tricos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Roberto Mendez Gallart <\/strong><\/h2>\n<p>Introducci\u00f3n y objetivos  el reflujo vesicoreteral (rvu) es una de las anomal\u00edas cong\u00e9nitas urol\u00f3gicas m\u00e1s frecuentes y se detecta hasta en el 30-50% de los pacientes pedi\u00e1tricos diagnosticados de infecci\u00f3n del tracto urinario (itu). Su tratamiento es controvertido. Existen m\u00faltiples estudios cl\u00ednicos que comparan los resultados de la terap\u00faetica antibi\u00f3tica frente a la reimplantaci\u00f3n quir\u00fargica, pero desde la introducci\u00f3n  de una tercera alternativa en el a\u00f1o 1984 (tratamiento endosc\u00f3pica), las recomendaciones y protocolos de tratamiento del rvu han cambiado dram\u00e1ticamente. El objetivo de nuestro estudio es el de describir y analizar los factores que influyen en la curaci\u00f3n del reflujo mediante tratamiento endosc\u00f3pico en sistemas con rvu grados iii y iv seg\u00fan la clasificaci\u00f3n internacional.  material y m\u00e9todos  estudio de cohortes retrospectivo y prospectivo que analiza los 90 pacientes con rvu grados iii y iv tratados endosc\u00f3picamente empleando tefl\u00f3n o macropl\u00e1stico entre marzo de 1995 y diciembre de 2001. Sobre un total de 550 pacientes (735 unidades renales refluyentes) diagnosticados de rvu en el servicio de cirug\u00eda pedi\u00e1trica de a coru\u00f1a entre 1985 y 2001 se seleccionaron s\u00f3lo 184 tratados endosc\u00f3picamente. El grupo final de estudio de 90 pacientes (130 unidades) se constituy\u00f3 tras excluir los casos de reflujo secundario (vejiga neur\u00f3gena, ureterocele) y aquellos con seguimiento incompleto. todos los pacientes fueron sometidos a citograf\u00eda miccional convencional o bien a sonocistograf\u00eda con galactosa para realizar el diagn\u00f3stico, gammagraf\u00eda con dmsa para evaluar la nefropat\u00eda, ecograf\u00eda renal y vesical y exploraci\u00f3n cl\u00ednica del patr\u00f3n miccional. Se registraron datos sobre sexo, edad, itu, bilatteralidad, da\u00f1o renal, disfunci\u00f3n miccional, tasa de curaci\u00f3n, complicaciones y recurrencias. Definimos un nuevo factor: grado de dilataci\u00f3n ureteral independiente de la clasificaci\u00f3n internaci<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Reflujo vesicoureteral grados iii-iv: factores implicados en la efectividad del tratamiento endosc\u00f3pico con respecto a la terapia m\u00e9dica y quir\u00fargica en pacientes pedi\u00e1tricos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Reflujo vesicoureteral grados iii-iv: factores implicados en la efectividad del tratamiento endosc\u00f3pico con respecto a la terapia m\u00e9dica y quir\u00fargica en pacientes pedi\u00e1tricos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Roberto Mendez Gallart <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 A coru\u00f1a<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/12\/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>Diego Vela Nieto<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jorge Teijeiro vidal <\/li>\n<li>froilan Hidalgo acera (vocal)<\/li>\n<li> Mart\u00ednez urrutia Mar\u00eda Jos\u00e9 (vocal)<\/li>\n<li>ernesto Pais pi\u00f1eiro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Roberto Mendez Gallart Introducci\u00f3n y objetivos el reflujo vesicoreteral (rvu) es una de las anomal\u00edas cong\u00e9nitas urol\u00f3gicas [&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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